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

9. september 2026 opdateret af: Kelly Harris, Washington University School of Medicine

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.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

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.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

430

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

  • Navn: Dr. Kelly M. Harris, PhD, CCC-SLP
  • Telefonnummer: 314-273-3242
  • E-mail: kmharris@wustl.edu

Undersøgelse Kontakt Backup

Studiesteder

    • Missouri
      • St Louis, Missouri, Forenede Stater, 63110
        • Rekruttering
        • WashU School of Medicine
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

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

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: 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.
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).

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Asthma knowledge and awareness
Tidsramme: Measured at baseline and at study completion (average of 1 year)
Measured via survey. Data collected from student caregivers and school nurse implementers.
Measured at baseline and at study completion (average of 1 year)
Implementation
Tidsramme: 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.
Measured at mid-trial (school nurses only) and at study completion (average of 1 year)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Asthma guideline adherence
Tidsramme: Measured at baseline and at study completion (average of 1 year)
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
Tidsramme: Measured at baseline and at study completion (average of 1 year)
Measured via survey. Data collected from student caregivers.
Measured at baseline and at study completion (average of 1 year)
Healthcare utilization
Tidsramme: 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.
24 months prior to intervention, during intervention, and 12 months following intervention completion
School Attendance/Absence
Tidsramme: 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.
24 months prior to intervention, during intervention, and 12 months following intervention completion

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

9. juni 2026

Primær færdiggørelse (Anslået)

1. juni 2030

Studieafslutning (Anslået)

1. juni 2030

Datoer for studieregistrering

Først indsendt

1. september 2026

Først indsendt, der opfyldte QC-kriterier

9. september 2026

Først opslået (Faktiske)

15. september 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

15. september 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. september 2026

Sidst verificeret

1. september 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 202605145
  • SCH205081 (Andet bevillings-/finansieringsnummer: William T Grant Foundation)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

all IPD that underlie results in a publication

IPD-delingstidsramme

Beginning 1 year after publication with no end date.

IPD-delingsadgangskriterier

Any researcher may request access with a description of the planned use and analyses, and a completed and approved data sharing agreement.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP

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