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.
調査の概要
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Dr. Kelly M. Harris, PhD, CCC-SLP
- 電話番号：314-273-3242
- メール：kmharris@wustl.edu
研究連絡先のバックアップ
- 名前：Madelyn Yoo, MSOT
- 電話番号：314-400-8118
- メール：m.g.yoo@wustl.edu
研究場所
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Missouri
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St Louis、Missouri、アメリカ、63110
- 募集
- WashU School of Medicine
-
コンタクト：
- Madelyn Yoo, MSOT
- 電話番号：314-400-8118
- メール：m.g.yoo@wustl.edu
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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). |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Asthma knowledge and awareness
時間枠：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
時間枠：Measured at trial mid-point (approximately 6 months following enrollment) for school nurses only, and at study completion (average of 1 year) for all noted groups
|
Measured via surveys and post-trial semi-structured focus group/interview. Data collected from student caregivers, school nurse implementers, and providers. |
Measured at trial mid-point (approximately 6 months following enrollment) for school nurses only, and at study completion (average of 1 year) for all noted groups
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Asthma guideline adherence
時間枠：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
時間枠：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
時間枠：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
時間枠：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
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 202605145
- SCH205081 (その他の助成金/資金番号：William T Grant Foundation)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
all IPD that underlie results in a publication
IPD 共有時間枠
Beginning 1 year after publication with no end date.
IPD 共有アクセス基準
Any researcher may request access with a description of the planned use and analyses, and a completed and approved data sharing agreement.
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。