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.
연구 개요
상세 설명
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.
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Dr. Kelly M. Harris, PhD, CCC-SLP
- 전화번호: 314-273-3242
- 이메일: kmharris@wustl.edu
연구 연락처 백업
- 이름: Madelyn Yoo, MSOT
- 전화번호: 314-400-8118
- 이메일: m.g.yoo@wustl.edu
연구 장소
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Missouri
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St Louis, Missouri, 미국, 63110
- 모병
- WashU School of Medicine
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연락하다:
- Madelyn Yoo, MSOT
- 전화번호: 314-400-8118
- 이메일: m.g.yoo@wustl.edu
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 해당 없음
- 중재 모델: 단일 그룹 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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실험적: 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). |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Asthma knowledge and awareness
기간: Measured at baseline and at study completion (average of 1 year)
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Measured via survey. Data collected from student caregivers and school nurse implementers. |
Measured at baseline and at study completion (average of 1 year)
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Implementation
기간: 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
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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
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Asthma guideline adherence
기간: Measured at baseline and at study completion (average of 1 year)
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Measured via survey. Data collected from student caregivers and school nurse implementers. |
Measured at baseline and at study completion (average of 1 year)
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School connectedness
기간: Measured at baseline and at study completion (average of 1 year)
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Measured via survey. Data collected from student caregivers. |
Measured at baseline and at study completion (average of 1 year)
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Healthcare utilization
기간: 24 months prior to intervention, during intervention, and 12 months following intervention completion
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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
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School Attendance/Absence
기간: 24 months prior to intervention, during intervention, and 12 months following intervention completion
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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
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- 202605145
- SCH205081 (기타 보조금/기금 번호: William T Grant Foundation)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
all IPD that underlie results in a publication
IPD 공유 기간
Beginning 1 year after publication with no end date.
IPD 공유 액세스 기준
Any researcher may request access with a description of the planned use and analyses, and a completed and approved data sharing agreement.
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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