Despite increasing reliance on licensed practical nurses (LPNs) to provide health services in schools, we do not know whether this is a cost-effective prevention strategy against student absenteeism. Therefore, we evaluated the costs and effectiveness of an LPN-based school nursing program for improving attendance and chronic absenteeism at a…

Introduction: We report predictive validity of the newly defined Student Risk Screening Scale -- Internalizing and Externalizing (SRSS-IE 9, with 9 items) when used for the first time by middle and high school teachers from 43 schools. Methods: The sample included 11,773 middle school-aged students representing four geographic regions, and 7,244…

School-based anxiety interventions reduce anxiety and related impairment, but little is known about whether they improve academic outcomes, especially when delivered by non-mental health specialists. This study examined the impact of two brief, school nurse-delivered anxiety interventions on working memory, school functioning, and school…

Background: School nutrition reform continues to be of interest to many due to the potential for widespread benefits for students who eat at school. however, disparities still exist in implementing the mandates resulting from the 2010 Healthy, Hunger-Free Kids Act. Purpose: The purpose of this study was to investigate middle school stakeholders'…

This study examined the association between two implementation factors, nurse-reported intervention adherence and self efficacy, and children's outcomes in school nurse-delivered anxiety interventions. Data were collected in a pilot randomized controlled effectiveness trial with 54 children and 21 school nurses. Nurses implemented either a…

School and district leaders make annual decisions about investing their budgets in a multitude of educational programs. Policy directives set expectations for investing in programs that show evidence of improving student outcomes. However, evaluating many simultaneously-implemented programs under typical school operating conditions is challenging.…

The goal of this study was to evaluate the feasibility and impact of brief school-nurse-administered interventions for reducing anxiety. Thirty school nurses in Connecticut and Maryland were randomly assigned to deliver the Child Anxiety Learning Modules (CALM; n= 14) or CALM--Relaxation only (CALM-R; n= 16). Students (N= 54) were ages 5-12 (M age…

The evidence-based decision-making emphasis in education has largely focused on the adoption of new practices for which evidence of effectiveness exists. Following adoption, however, the focus shifts to improvement and the appropriate evidence needed to support budget decisions must be local, timely, and relevant. Existing evidence used to support…

Anxiety disorders are common in children and severely impair their functioning. Because a hallmark symptom of anxiety is somatic complaints, anxious youth often seek help from their school nurse. Thus, school nurses are in an ideal position to identify anxious children and intervene early. This study assessed the feasibility of a brief…

Problem: Excessive anxiety is among the most common psychiatric problems facing youth. Because anxious youth tend to have somatic complaints, many seek help from the school nurse. Thus, school nurses are in an ideal position to provide early intervention. This study addresses this problem and describes the plans to develop and test a new…