Asthma (Diagnosis)
Conditions
Keywords
Asthma, child health, patient care management, nursing, health services research
Brief summary
This study pilots REACH, Resources and Education for Addressing Chronic Health, a service model to facilitate care coordination and communication across medical, school, and home settings. REACH seeks to address barriers to school-based asthma management, improving health and educational outcomes and reducing negative impacts for children with asthma.
Detailed description
This study develops and tests the REACH intervention which includes (a) a strategic communication or messaging and dissemination strategy to build school and family relationships and trust, (b) capacity building activities to improve asthma knowledge and awareness through asthma education and resources, and (c) a tool/hub that allows record and communication sharing across healthcare and educational systems to facilitate care coordination. Using a Single-Arm Non-Randomized Pre-Post Cluster Trial design, this study tests the hypothesis that use of a care coordination hub will improve school-based asthma management.
Interventions
OTHERREACH
The REACH intervention which includes (a) a strategic communication or messaging and dissemination strategy to build school and family relationships and trust, (b) capacity building activities to improve asthma knowledge and awareness through asthma education and resource provided both digitally and in-person, and (c) a tool or dashboard that allows records and communication sharing across healthcare and educational systems to facilitate care coordination (REACH tool).
Sponsors
Washington University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
Parents (N=200)/Children (N=200) Inclusion criteria for recruited parents/children: * parents/caregivers with at least one child with asthma or present to the nurse with asthma symptoms in the partner school district, * child with asthma must have a diagnosis of asthma or suspected asthma due to asthma symptom-related healthcare utilization and/or multiple visits to the school nurse (\>1) * attend a school in one of the partner school districts * have access to email and a computer or other mobile device * receive care within the BJH/ WUSM system (an indicator of participation in the electronic health record system).
Exclusion criteria
for recruited families: * Child does not have asthma and do not present to school nurse with asthma symptoms * Child does not attend one of the identified schools in a partner school district * Children in foster care or wards of the state School Nurses (Implementers) (N=15) Inclusion Criteria for school nurses: * Employed by partner school district and work in an identified building * Provide care to students with asthma or present with asthma symptoms
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Asthma knowledge and awareness | Measured at baseline and at study completion (average of 1 year) | Measured via survey. Data collected from student caregivers and school nurse implementers. |
| Implementation | Measured at mid-trial (school nurses only) and at study completion (average of 1 year) | Measured via surveys and post-trial semi-structured focus group/interview. Data collected from student caregivers, school nurse implementers, and providers. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Asthma guideline adherence | Measured at baseline and at study completion (average of 1 year) | Measured via survey. Data collected from student caregivers and school nurse implementers. |
| School connectedness | Measured at baseline and at study completion (average of 1 year) | Measured via survey. Data collected from student caregivers. |
| Healthcare utilization | 24 months prior to intervention, during intervention, and 12 months following intervention completion | Number of asthma related emergency department visits, hospitalizations, and clinic/office visits collected from the electronic medical record. |
| School Attendance/Absence | 24 months prior to intervention, during intervention, and 12 months following intervention completion | Number of days student is attends school, and number of school absence days. Data provided by the school. |
Countries
United States
Contacts
CONTACTDr. Kelly M. Harris, PhD, CCC-SLP
CONTACTMadelyn Yoo, MSOT
Outcome results
None listed