Asthma Knowledge and Skills Tests
dPAS II Component Five
Elizabeth L. Thomas
MEd, RN, NCSN, FNASN
DSNA, November, 2012
What are we doing?
• Selecting the condition of asthma as a focus for
health promotion
• Measuring knowledge and skills with the notion
that healthy students are better learners
• Using a written test with skills demonstration
followed by health education to improve student
knowledge and skills
WHY? A GOAL of improved health (and a higher
score on the post test)
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Four Pre Tests and Four Post Tests
K-2
3-5
6-8
High school
School Nurse may choose to administer a different
level test to students based on developmental age
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• Total of 100 possible points//10 MC for 3 points and
10 skills for 7 points
Choosing a cohort
• Maybe all students in a grade with HCP
documented asthma?
• Maybe all students in a grade who have RX meds
in school for asthma?
• Maybe all students in whole school with above?
• Maybe only students who have multiple visits for
asthma symptoms in previous month?
• School Nurse Decision-But must be cohort of 10150 students
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Giving the Pre Test
1.
2.
3.
3.
Schedule the pretest with the teacher
CONSISTENCY is key
Assure appropriate level for student
Ten multiple choice questions may be
administered by another staff member prn.
4. Questions may be read to student.
5. Item Tag and codes will be useful for research
6. Demo of skills should closely follow MC
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Skills Demonstration
Must be assessed by School Nurse using rubric
provided
7 possible points for each skill
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Must be done 1:1 as soon as possible after the
written test
Remember to be consistent!!!
Knowing the codes
Item tag found after each test item:
Example is 0001.AS.3-5.Pre.MC-LV2-TP
LV1, LV2, LV3 indicate depth of knowledge
Last letter indicates area of knowledge and skill set
D=definition or description
P=pathophysiology
M=Medications
S=Symptoms
TP=Treatment Plan
Q=Equipment
HS=Health Status
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Health Education Intervention
• Suggest that parents be notified of student
learning opportunity around chronic condition
• Must last at least four weeks
• Must be consistent for whole cohort
• May include parent information packets
• Use your skills, ingenuity and creativity
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• SN: Scope and Standards (2011) Standard 5b
Resources for educational plan
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www.aaaai.org
www.kidshealth.org
www.lunginfo.org
www.nlm.nih.gov/medlineplus/asthma.html
www.cdc.gov
www.epa.gov/asthma/pdfs/asthma_fact_sheet_
en.pdf
• http://niaid.nih.gov/topics/asthma
• http://nhlbi.nih.gov
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Post Test
• MC may be given as a
group if convenient
• MC may be monitored by
another staff member
• Skills development must
be assessed by SN
• Expectations appropriate
to age/developmental
age
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Scoring the Tests
• Ten MC worth three points each= 30 points
• Ten Skills Demos worth seven points each=70
points
• Potential score = 100 points
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Calculating the Score
# Students showing improvement
________________________________ =
Total # of Students in Cohort
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% of cohort growth (improvement)
Acceptable Growth
50% is acceptable student growth-Need ½ of
cohort to improve
Example:
8 students show improved score = 80%
10 students in cohort
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Remember—if pre test and post test are 100%,
maintaining 100% is considered improvement!
Evaluating the Test Results
Compare the pre and post tests using the codes
Determine if knowledge questions or skills demos
are problematic
Revise education plan as appropriate
Try again!
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Looking Forward
Research possibilities
compare cohort to control group
compare absences due to asthma pre/post
intervention
compare GPA pre/post
etc
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Bank of Learning Opportunities
Test bank
Thank You
Libbythomas@msn.com
302-764-3759
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