A multidisciplinary health care team's efforts to improve educational attainment in children with sickle-cell anemia and cerebral infarcts

Allison King, Sonya Herron, Robert McKinstry, Stephen Bacak, Melissa Armstrong, Desiree White, Michael DeBaun

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

The primary objective of this study was to improve the educational success of children with sickle-cell disease (SCD) and cerebral infarcts. A prospective intervention trial was conducted; a multidisciplinary team was created to maximize educational resources for children with SCD and cerebral infarcts. Students were evaluated systematically before and, after the intervention. A baseline evaluation was completed assessing the presence of an Individualized Education Plan (IEP), grade retention in school, and days absent from school in the year preceding the intervention. A postintervention assessment occurred 2 years later for these same measurements. At baseline, 74% (17 of 23) of the students were receiving IEPs. Two years later, 87% (20 of 23) students received IEPs (p = .34). Despite the intervention, the rate of children retained in their school grade increased from 0.6 per 100 years in school at baseline to 1.7 per 100 years, 95% CI (-3.86, 1.49). The school absenteeism rate did not significantly change after the intervention; the average days absent per student rose from. 15.5 to 22.5, (p = .05). The multidisciplinary team effort alone was insufficient to decrease grade retention and absenteeism rate. Further support, from either the parents or school administration, is needed to increase education attainment of students with cerebral infarcts.

Original languageEnglish
Pages (from-to)33-37
Number of pages5
JournalJournal of School Health
Volume76
Issue number1
DOIs
StatePublished - Jan 1 2006

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