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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Students attending SBHC | Students who attend the SBHC from either Sprucecourt Public School or any other participating schools. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Students attending SBHC | Other | School based health clinic. This is a cohort study as such there is only one group of children who used the SBHC |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Enrolled Participants Who Attended SBHC | The primary objectives are to determine utilization of the SBHC including:
| 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Students Attending SBHC With New Treatment Plans | Proportion of children seen in the clinic with treatment plans | 1 year |
| Number of Students Attending SBHC With New Diagnoses | Number of students attending SBHC with new diagnoses |
| Measure | Description | Time Frame |
|---|---|---|
| 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 | 8 months |
| Sprucecourt Public School Vs Other Participating Schools |
Inclusion Criteria:
Exclusion Criteria:
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All students of Sprucecourt Public School as well as the fourteen surrounding inner city public schools and their siblings. All children attending the on-site Parenting and Family Literacy Centre.
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| Name | Affiliation | Role |
|---|---|---|
| Jonathon Maguire, MD | The Hospital for Sick Children | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Hospital for Sick Children | Toronto | Ontario | M5G 1X8 | Canada |
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| ID | Title | Description |
|---|---|---|
| FG000 | Students Attending SBHC | Students who attend the SBHC from either Sprucecourt Public School or any other participating schools. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 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 |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Retrospective chart review |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Enrolled Participants Who Attended SBHC | The primary objectives are to determine utilization of the SBHC including:
| 379 students enrolled in the SBHC and 127 of those students attended SBHC. Existing data is based on 127 students who attended SBHC. | Posted | Number | participants | 1 year |
|
|
1 year
no adverse events were reported for students attending SBHC
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Students Attending SBHC | Students who attend the SBHC from either Sprucecourt Public School or any other participating schools. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Sloane Freeman | St.Michael's Hospital | 416-864-6060 | 77042 | freemansl@smh.ca |
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| 1 year |
| 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 | 1 year |
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
| 8 months |
| Number of Students Triaged From School Support Team Meetings | The number of students triaged from SST meetings was not collected. | 1 year |
| Number of Students Referred to SBHC Who Attended SBHC | This data was not collected. | 8 months |
| Follow-up Appointments | Attendance at follow-up appoints was not collected. | 1 year |
| Absenteeism | Outcome data comparing absenteeism in the school with the year preceding the SBHC was not collected | 1 year |
| Ontario Health Insurance Plan (OHIP)Status | OHIP status of students attending the clinic was not reported or collected | 1 year |
| Count of Participants |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
|
|
| Secondary | Number of Students Attending SBHC With New Treatment Plans | Proportion of children seen in the clinic with treatment plans | 115 students out of 127 students attending SBHC had a new treatment plan. | Posted | Number | participants | 1 year |
|
|
|
| Secondary | Number of Students Attending SBHC With New Diagnoses | Number of students attending SBHC with new diagnoses | 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 | Posted | Number | participants | 1 year |
|
|
|
| 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 | Posted | Number | participants | 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 | Total number of students who enrolled in SBHC. Outcome is the number of students from host school (sprucecourt) who enrolled in SBHC | Posted | Number | participants | 8 months |
|
|
|
| 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 | total number of students who attended SBHC | Posted | Number | participants | 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. | Not Posted | 1 year |
| Other Pre-specified | Number of Students Referred to SBHC Who Attended SBHC | This data was not collected. | Not Posted | 8 months |
| Other Pre-specified | Follow-up Appointments | Attendance at follow-up appoints was not collected. | Not Posted | 1 year |
| Other Pre-specified | Absenteeism | Outcome data comparing absenteeism in the school with the year preceding the SBHC was not collected | Not Posted | 1 year |
| Other Pre-specified | Ontario Health Insurance Plan (OHIP)Status | OHIP status of students attending the clinic was not reported or collected | Not Posted | 1 year |
| 0 |
| 127 |
| 0 |
| 127 |
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| Title | Measurements |
|---|
|
|
| number of students referred for psychological test |
|
| number of students ref to community mental health |
|
| number of students referred to dietician |
|
| number of students referred to audiology testing |
|
| number of students referred to vision testing |
|
| Title | Measurements |
|---|---|
|
| number of students with unknown enrolment data |
|