School Board Health Centers
Conditions
Keywords
School Board Health Center, Pediatrics
Brief summary
This is a prospective cross sectional study to assess the feasibility of a school based health centre (SBHC) at Sprucecourt Public School, an inner-city elementary school in Toronto. The SBHC allows inner-city children who face barriers to accessing health care the opportunity to receive health care in their school.The primary aim of this study is to determine utilization of the SBHC. Establishing feasibility of the SBHC would support further development and expansion of this program into other inner city schools.
Detailed description
A chart review of the first year of the SBHC was conducted. Feasibility metrics included the number of children who enrolled at the SBHC. Efficacy metrics included the proportion of enrolled children who enrolled at SBHC. Efficacy metrics included the proportion of enrolled children who attended and received new diagnoses and treatment plans
Interventions
OTHERStudents attending SBHC
School based health clinic. This is a cohort study as such there is only one group of children who used the SBHC
Sponsors
The Hospital for Sick Children
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* All students at Sprucecourt Public School and the surrounding fourteen schools, as well as their siblings (ages 0-12 years), who are enrolled at and have consent to attend the SBHC * All infants and preschool aged children attending the on-site Parenting and Family Literacy Centre who are enrolled at the SBHC
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Enrolled Participants Who Attended SBHC | 1 year | The primary objectives are to determine utilization of the SBHC including: 1. The number of students who are enrolled at the SBHC 2. The number of enrolled students enrolled who attended the SBHC |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Students Attending SBHC With New Treatment Plans | 1 year | Proportion of children seen in the clinic with treatment plans |
| Number of Students Attending SBHC With New Diagnoses | 1 year | Number of students attending SBHC with new diagnoses |
| Number of Referrals Made of Students Attending SBHC | 1 year | Number of referrals of the 127 students who attended the SBHC from 8 months-1 year of the opening of the clinic |
Other
| Measure | Time frame | Description |
|---|---|---|
| Follow-up Appointments | 1 year | Attendance at follow-up appoints was not collected. |
| Number of Students Enrolled in SBHC Who Were From the Host School (Sprucecourt) | 8 months | The number of students who enrolled in SBHC who were from the host school Sprucecourt |
| Ontario Health Insurance Plan (OHIP)Status | 1 year | OHIP status of students attending the clinic was not reported or collected |
| Absenteeism | 1 year | Outcome data comparing absenteeism in the school with the year preceding the SBHC was not collected |
| Sprucecourt Public School Vs Other Participating Schools | 8 months | To compare the number of students who attend the SBHC from the host school (Sprucecourt Public School) with the number of students who attend the SBHC from the other participating schools |
| Number of Students Triaged From School Support Team Meetings | 1 year | The number of students triaged from SST meetings was not collected. |
| Number of Students Referred to SBHC Who Attended SBHC | 8 months | This data was not collected. |
Countries
Canada
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Students Attending SBHC Students who attend the SBHC from either Sprucecourt Public School or any other participating schools.
Students attending SBHC: School based health clinic. This is a cohort study as such there is only one group of children who used the SBHC | 127 |
| Total | 127 |
Baseline characteristics
| Characteristic | Students Attending SBHC |
|---|---|
| Age, Categorical <=18 years | 127 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 0 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 127 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 95 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants |
| Race (NIH/OMB) More than one race | 8 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 8 Participants |
| Race (NIH/OMB) White | 10 Participants |
| Sex: Female, Male Female | 76 Participants |
| Sex: Female, Male Male | 51 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | — / — |
| other Total, other adverse events | 0 / 127 |
| serious Total, serious adverse events | 0 / 127 |
Outcome results
Primary
Number of Enrolled Participants Who Attended SBHC
The primary objectives are to determine utilization of the SBHC including: 1. The number of students who are enrolled at the SBHC 2. The number of enrolled students enrolled who attended the SBHC
Time frame: 1 year
Population: 379 students enrolled in the SBHC and 127 of those students attended SBHC. Existing data is based on 127 students who attended SBHC.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Students Attending SBHC | Number of Enrolled Participants Who Attended SBHC | Total number of students attending SBHC | 127 participants |
| Students Attending SBHC | Number of Enrolled Participants Who Attended SBHC | Number of students not attending SBHC | 252 participants |
Secondary
Number of Referrals Made of Students Attending SBHC
Number of referrals of the 127 students who attended the SBHC from 8 months-1 year of the opening of the clinic
Time frame: 1 year
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | Number of students with no referrals | 97 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred to family physician | 20 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred to specialist | 10 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred for psychological test | 6 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students ref to community mental health | 3 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred to dietician | 1 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred to audiology testing | 19 participants |
| Students Attending SBHC | Number of Referrals Made of Students Attending SBHC | number of students referred to vision testing | 7 participants |
Secondary
Number of Students Attending SBHC With New Diagnoses
Number of students attending SBHC with new diagnoses
Time frame: 1 year
Population: 120 of the 127 students who attended the SBHC had a new diagnosis. 94 received one new diagnosis and 26 children received more than one new diagnosis
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Students Attending SBHC | Number of Students Attending SBHC With New Diagnoses | Number of students attending SBHC_ new diagnosis | 94 participants |
| Students Attending SBHC | Number of Students Attending SBHC With New Diagnoses | Number of students attending SBHC with >1 new diag | 26 participants |
| Students Attending SBHC | Number of Students Attending SBHC With New Diagnoses | No new diagnosis | 7 participants |
Secondary
Number of Students Attending SBHC With New Treatment Plans
Proportion of children seen in the clinic with treatment plans
Time frame: 1 year
Population: 115 students out of 127 students attending SBHC had a new treatment plan.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Students Attending SBHC | Number of Students Attending SBHC With New Treatment Plans | Number of students with treatment plans | 115 participants |
| Students Attending SBHC | Number of Students Attending SBHC With New Treatment Plans | Number of students with no treatment plans | 12 participants |
Other Pre-specified
Absenteeism
Outcome data comparing absenteeism in the school with the year preceding the SBHC was not collected
Time frame: 1 year
Other Pre-specified
Follow-up Appointments
Attendance at follow-up appoints was not collected.
Time frame: 1 year
Other Pre-specified
Number of Students Enrolled in SBHC Who Were From the Host School (Sprucecourt)
The number of students who enrolled in SBHC who were from the host school Sprucecourt
Time frame: 8 months
Population: Total number of students who enrolled in SBHC. Outcome is the number of students from host school (sprucecourt) who enrolled in SBHC
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Students Attending SBHC | Number of Students Enrolled in SBHC Who Were From the Host School (Sprucecourt) | 227 participants |
Other Pre-specified
Number of Students Referred to SBHC Who Attended SBHC
This data was not collected.
Time frame: 8 months
Other Pre-specified
Number of Students Triaged From School Support Team Meetings
The number of students triaged from SST meetings was not collected.
Time frame: 1 year
Other Pre-specified
Ontario Health Insurance Plan (OHIP)Status
OHIP status of students attending the clinic was not reported or collected
Time frame: 1 year
Other Pre-specified
Sprucecourt Public School Vs Other Participating Schools
To compare the number of students who attend the SBHC from the host school (Sprucecourt Public School) with the number of students who attend the SBHC from the other participating schools
Time frame: 8 months
Population: total number of students who attended SBHC
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Students Attending SBHC | Sprucecourt Public School Vs Other Participating Schools | number of students attending from Sprucecourt | 89 participants |
| Students Attending SBHC | Sprucecourt Public School Vs Other Participating Schools | number of students attending from school cluster | 20 participants |
| Students Attending SBHC | Sprucecourt Public School Vs Other Participating Schools | number of students attending from preschool age | 14 participants |
| Students Attending SBHC | Sprucecourt Public School Vs Other Participating Schools | number of students with unknown enrolment data | 4 participants |