368 - Understanding Community Needs for School-based Asthma Programming: A Qualitative Assessment in Colorado

To qualitatively explore opportunities to and needs for dissemination of the program to five regions in Colorado.


Design/Methods:

We used an exploratory qualitative approach and thematic content analysis to identify and understand programmatic and implementation needs when translating the program to community settings beyond the Denver area. Five regions in Colorado were targeted for inclusion based on their diverse populations (e.g., Latinx, Native American/American Indian race, rates of free-reduced lunch, non-English speaking, rural), local context, and expressed interest in implementation of SBAPs. Community advisory board partners including school nurses, parents, pediatric providers, public health professionals, and community organization representatives were invited to interviews.  We conducted in-depth, semi-structured key informant interviews. All data were recorded and transcribed. Analyses were both inductive and deductive, informed by the Practical, Robust, Implementation and Sustainability Model (PRISM) framework.


Results:

Thirty-eight participants were interviewed. Across the 5 regions, we identified 6 types of needs for successful future implementation of our SBAP: 1) Buy-in from parents/families, school nurses/school staff, providers, and community SDOH organizations; 2) Resources to address healthcare and SDOH needs and improved knowledge of existing resources; 3) Improved relationships, communication and coordination between school nurses, providers, SDOH agencies, and children/families; 4) Asthma prioritization: recognition of how our SBAP intersects with other community health priorities; 5) Asthma education for parents, children, school staff, and community members; and, 6) School Asthma Care Plan Coordination: improved processes for collecting and managing asthma care plans among schools, providers and families.


Conclusion(s): We identified common needs for successful implementation to consider when translating our SBAP outside of a dense urban area and academic medical center context. Next steps will include tailoring implementation strategies to variations in individual regional contexts to support fit and sustainment and implementing SBAP in five rural/suburban regions of Colorado.