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Pediatr Allergy Immunol Pulmonol. 2015 Jun 1;28(2):121-128.

Development of a Tool to Evaluate Asthma Preparedness and Management in Child-Care Centers.

Author information

1
School of Medicine, University of California , San Francisco, San Francisco, California.
2
Maternal, Child and Adolescent Health Division, San Francisco Department of Public Health , San Francisco, California.
3
Department of Pediatrics, University of California , San Francisco, San Francisco, California.
4
Children's Environmental Health Division, San Francisco Department of Public Health , San Francisco, California.
5
Department of Pediatrics, University of California , San Francisco, San Francisco, California. ; Philip R. Lee Institute of Health Policy Studies, University of California , San Francisco, San Francisco, California. ; Department of Epidemiology and Biostatistics, University of California , San Francisco, San Francisco, California.

Abstract

Introduction: Asthma is a common condition affecting many children in child-care centers. The National Asthma Education and Prevention Program offers recommendations about creating an asthma-friendly child-care setting. However, no studies have investigated the extent to which child-care centers adhere to these recommendations. This study describes the development of a novel instrument to determine the ability of child-care centers to meet national recommendations for asthma. Methods: The Preparing for Asthma in Child Care (PACC) Instrument was developed using information from existing recommendations and standards, the peer-reviewed literature, site visits, and expert interviews. The survey questions were pilot-tested at 36 child-care centers throughout San Francisco. Results: The instrument is composed of 43 items across seven domains: smoking exposure, presence of a medical consultant and policies, management of ventilation and triggers, access to medication, presence of asthma action plans, staff training, and encouragement of physical activity. Discussion: The PACC Instrument is an evidence-based and comprehensive tool designed to identify areas to target to improve asthma care for children in child-care centers.

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