Clinical trial NCT06320210: Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence
Official title: Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Asthma in Children
Lead sponsor: University of Chicago
Sponsor class: OTHER
First posted: 2024-03-20
Enrollment: 400
Sex: ALL
Minimum age (years): 4
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Research has shown that adherence to evidence-based asthma guidelines leads to improved outcomes, yet critical gaps remain in the implementation of these guidelines, particularly among minority and low-income youth. Schools represent a crucial point of intervention, as demonstrated by school-based asthma programs that have addressed individual components of the guidelines with promising results. This project aims to develop, implement, and evaluate a pragmatic, multi-component asthma program that builds upon existing targeted interventions to fully implement the asthma guidelines and integrate them in school practices to foster sustainability. The investigator seeks to understand whether this type of program will improve asthma outcomes at the child and school level.

Detailed description: Significant health disparities persist in childhood asthma prevalence and morbidity despite existing evidence-based asthma guidelines that have been shown to improve outcomes. Schools are an integral partner in asthma management. Prior literature has outlined various targeted school-based interventions with some positive outcomes; however, these programs focus on individual components of the guidelines and take place transiently without integration into school processes for sustainability. To more comprehensively impact asthma care, schools have enacted policies to support guideline-based practices; however, implementation falls short and thus these policies have not led to effective, systemic practices. Therefore, this project aims to bridge the gap in the implementation of asthma guidelines and policies by developing and evaluating a pragmatic, multicomponent school-directed, child-centered asthma program that builds upon existing targeted interventions and is integrated in the school to foster sustainability. This innovative project contributes beyond existing school-based programs by simultaneously and pragmatically implementing multiple components of the asthma guidelines through school-wide systems and streamlined processes led by lay health workers.

A multi-level program will be put in place for all students and families within the school. Intervention components will include: in-depth training for current school staff who are critical in asthma care, restructured processes to identify students with asthma, technological adaptations to create integrated tracking systems for asthma care and absenteeism, strategies to enhance communication about asthma within school and between school and home, protocols for routine care (e.g., participation in gym/recess) and emergencies, and education for all students about asthma.

Eligibility criteria: Participants will be included in the study if:

1. The participant either works at, attends, or is the legal guardian of a child who attends one of the two elementary schools included in the study from the University of Chicago Charter Schools - North Kenwood Oakland and Donoghue.
2. The child participant has a diagnosis of asthma OR the parent participant is legal guardian of a child with asthma.
3. The adult stakeholder is 18 years or older.

Participants will be excluded from the study if:

1. The participant declines or is unable to provide consent/assent
2. The participant does not speak or read English
3. The participant has already enrolled in the study

Primary outcomes:
measure: Asthma control
timeFrame: Years 1 and 2
Secondary outcomes:
measure: Missed work days in parents
timeFrame: Years 1 and 2
measure: Asthma knowledge - parents
timeFrame: Years 1 and 2
measure: Asthma knowledge - child
timeFrame: Years 1 and 2
measure: Asthma quality of life - child
timeFrame: Years 1 and 2
measure: Caregiver quality of life
timeFrame: Years 1 and 2
measure: Asthma impact - parent
timeFrame: Years 1 and 2
measure: Missed school days
timeFrame: Years 1 and 2
measure: Healthcare utilization
timeFrame: Years 1 and 2
measure: Asthma impact - child
timeFrame: Years 1 and 2
Other outcomes:
Locations:
city: Chicago
country: United States
facility: University of Chicago Charter Schools
state: Illinois
Study officials:
affiliation: University of Chicago
name: Anna Volerman, MD
role: PRINCIPAL_INVESTIGATOR
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