Resources and Education for Addressing Chronic Health (REACH) (REACH)

Piloting REACH - a School-Based Care Coordination Service Model to Support Youth With Asthma: A Systems Approach

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.

Study Overview

• Status: Recruiting
• Conditions: Asthma (Diagnosis)
• Intervention / Treatment: Other: REACH

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.

• Study Type: Interventional
• Enrollment (Estimated): 430
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Dr. Kelly M. Harris, PhD, CCC-SLP; Phone Number: 314-273-3242; Email: kmharris@wustl.edu
• Study Contact Backup: Name: Madelyn Yoo, MSOT; Phone Number: 314-400-8118; Email: m.g.yoo@wustl.edu

Study Locations

• United States
  • Missouri
    • St Louis, Missouri, United States, 63110
      • Recruiting
      • WashU School of Medicine
      • Contact: Madelyn Yoo, MSOT; Phone Number: 314-400-8118; Email: m.g.yoo@wustl.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: No

Description

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

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: 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.

Other: REACH; 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).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Asthma knowledge and awareness	Measured via survey. Data collected from student caregivers and school nurse implementers.	Measured at baseline and at study completion (average of 1 year)
Implementation	Measured via surveys and post-trial semi-structured focus group/interview. Data collected from student caregivers, school nurse implementers, and providers.	Measured at mid-trial (school nurses only) and at study completion (average of 1 year)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Asthma guideline adherence	Measured via survey. Data collected from student caregivers and school nurse implementers.	Measured at baseline and at study completion (average of 1 year)
School connectedness	Measured via survey. Data collected from student caregivers.	Measured at baseline and at study completion (average of 1 year)
Healthcare utilization	Number of asthma related emergency department visits, hospitalizations, and clinic/office visits collected from the electronic medical record.	24 months prior to intervention, during intervention, and 12 months following intervention completion
School Attendance/Absence	Number of days student is attends school, and number of school absence days. Data provided by the school.	24 months prior to intervention, during intervention, and 12 months following intervention completion

Collaborators and Investigators

• Sponsor: Washington University School of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): June 9, 2026
• Primary Completion (Estimated): June 1, 2030
• Study Completion (Estimated): June 1, 2030

Study Registration Dates

• First Submitted: September 1, 2026
• First Submitted That Met QC Criteria: September 9, 2026
• First Posted (Actual): September 15, 2026

Study Record Updates

• Last Update Posted (Actual): September 15, 2026
• Last Update Submitted That Met QC Criteria: September 9, 2026
• Last Verified: September 1, 2026

More Information

Terms related to this study

• Keywords: Asthma; nursing; patient care management; health services research; child health
• Additional Relevant MeSH Terms: Pathologic Processes; Immune System Diseases; Respiratory Tract Diseases; Lung Diseases; Bronchial Diseases; Lung Diseases, Obstructive; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Pathological Conditions, Signs and Symptoms; Asthma; Disease
• Other Study ID Numbers: 202605145; SCH205081 (Other Grant/Funding Number: William T Grant Foundation)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: all IPD that underlie results in a publication
• IPD Sharing Time Frame: Beginning 1 year after publication with no end date.
• IPD Sharing Access Criteria: Any researcher may request access with a description of the planned use and analyses, and a completed and approved data sharing agreement.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No