RESULTS
At the organizational level, 50 changes supporting sustainability were reported by CALM grantees from 2011 to 2012. Of these, 21 were policy changes and 29 were practice changes; none of the reported changes were changes to systems. Of the total 50 reported changes, 27 were school-based changes, with 12 policy changes and 15 practice changes. For this article, changes enacted in school settings are discussed.
School-based policy and practice changes reported were found to fall within 2 themes: those supporting sustainability of Improved Care for Children with Asthma and those supporting sustainability of
Improved Communication between Caregivers and Health Care Providers. Under these 2 main themes, the
following sub-themes emerged (reported policy and practice changes often encompassed multiple themes)
(Table 1).