Piloting REACH - a School-Based Care Coordination Service Model to Support Youth With Asthma: A Systems Approach
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 430
- 试验地点
- 1
- 主要终点
- Asthma knowledge and awareness
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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).
排除标准
- •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
- •Exclusion Criteria for school nurses:
- •- Do not work for partner school district or for an identified building
- •Providers (N =15)
- •Inclusion Criteria for Providers:
- •- Provide care to a child participant on the study
- •Exclusion Criteria for Providers:
- •- Do not provide care to a child participant on the study
研究组 & 干预措施
REACH
Consists of school nurses who serve as both participants and REACH intervention implementers, students and their caregivers, and student providers. Though there are several participant types, there is only 1 experimental group. All participants serve as their own controls.
干预措施: REACH (Other)
结局指标
主要结局
Asthma knowledge and awareness
时间窗: Measured at baseline and at study completion (average of 1 year)
Measured via survey. Data collected from student caregivers and school nurse implementers.
Implementation
时间窗: 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.
次要结局
- School connectedness(Measured at baseline and at study completion (average of 1 year))
- Asthma guideline adherence(Measured at baseline and at study completion (average of 1 year))
- Healthcare utilization(24 months prior to intervention, during intervention, and 12 months following intervention completion)
- School Attendance/Absence(24 months prior to intervention, during intervention, and 12 months following intervention completion)
研究者
Kelly Harris
Assistant Professor
Washington University School of Medicine