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| ID | Type | Description | Link |
|---|---|---|---|
| R01MD018384 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Minority Health and Health Disparities (NIMHD) | NIH |
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Children with asthma from communities that experience health inequities frequently do not receive guideline-based asthma care, and as a result, account for a disproportionate percentage of asthma exacerbations, emergency department visits, and hospitalizations. Project ASTHMA (Aligning with Schools To Help Manage Asthma) tests the effectiveness of school-based health centers as a delivery model to improve health outcomes by providing children with guideline-based asthma assessments and preventive medication management, directly observed therapy of their preventive medication to support adherence, and self-management support. If successful, this multicomponent intervention will represent a cost effective and sustainable model to reduce asthma morbidity in historically marginalized communities, and has the potential to impact communities throughout the United States where over 2,500 school-based health centers operate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SBHC group | Experimental |
| |
| PCP group | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APP assessment and management of asthma | Other | APPs will be trained to follow NIH guidelines for assessment and management of asthma, and to apply their knowledge to the care of the students. Students will also receive DOT of the morning dose of their controller medication. |
| Measure | Description | Time Frame |
|---|---|---|
| Asthma exacerbations | Number of asthma exacerbations requiring systemic steroids based on medical records | from 1 month after enrollment to the end of the school year for 1 school year; to be assessed after the end of the school year. |
| Measure | Description | Time Frame |
|---|---|---|
| Daytime asthma symptoms | Frequency of daytime asthma symptoms based on questionnaire minimum value: 0 days maximum value: 28 days Higher scores mean a worse outcome. | to be assessed at baseline and 1-, 3-, 5- and 7-months after enrollment for 1 school year |
| Nighttime asthma symptoms |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lucy CY Holmes, MD, MPH | Contact | 716-323-0034 | LHolmes@upa.chob.edu | |
| Deanna Hamilton, MSEd | Contact | 716-323-0060 | DeHamilton@upa.chob.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University at Buffalo, Department of Pediatrics | Recruiting | Buffalo | New York | 14203 | United States |
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| ID | Term |
|---|---|
| D023801 | Directly Observed Therapy |
| D001249 | Asthma |
| ID | Term |
|---|---|
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
| D000074822 | Treatment Adherence and Compliance |
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Frequency of nighttime asthma symptoms based on questionnaire minimum value: 0 nights maximum value: 28 nights Higher scores mean a worse outcome. |
| to be assessed at baseline and 1-, 3-, 5- and 7-months after enrollment for 1 school year |
| Spirometry - FEV1 | Forced Expiratory Volume in 1 second | to be assessed at baseline and 1-, 3-, 5- and 7-months after enrollment for 1 school year |
| Spirometry - FEV1/FVC ratio | FEV1/Forced Vital Capacity ratio | to be assessed at baseline and 1-, 3-, 5- and 7-months after enrollment for 1 school year |
| ED visits | Number of ED visits for asthma symptoms based on medical records | from 1 month after enrollment to the end of the school year for 1 school year; to be assessed after the end of the school year. |
| Urgent care visits | Number of urgent care visits for asthma symptoms based on medical records | from 1 month after enrollment to the end of the school year for 1 school year; to be assessed after the end of the school year. |
| Hospitalizations | Number of hospitalizations based on medical records | from 1 month after enrollment to the end of the school year; to be assessed after the end of the school year. |
| Quality of Life - caregiver | Children's Health Survey for Asthma, American Academy of Pediatrics Higher scores mean a better outcome. | to be assessed at baseline and at 7-month follow-up for 1 school year |
| Activity Limitation | Degree of activity limitation based on questionnaire Higher scores mean a worse outcome. | to be assessed at baseline and 1-, 3-, 5- and 7-months after enrollment for 1 school year |
| school absenteeism | Number of missed school days based on school records | from 1 month after enrollment to the end of the school year for 1 school year; to be assessed after the end of the school year. |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012130 | Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |