Implementation of Asthma Community Home and School Management Program (Asthma CHAMPS)
Study Details
Study Description
Brief Summary
The long-term goal is to implement an evidence-based asthma intervention based on the Center for Disease Control's recommended framework (EXHALE) within Baltimore City Public Schools (BCPS). As part of a stepped wedge pragmatic trial the investigators will:
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Evaluate the effectiveness of a tailored implementation plan of Asthma CHAMPS in 32 Baltimore city elementary schools to reduce asthma disparities.
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Conduct a pragmatic trail using a stepped wedge design to evaluate implementation of a school and home asthma intervention program to reduce asthma-related absences, healthcare utilization and exacerbations and improve asthma control, among children enrolled in 32 Baltimore City elementary schools.
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Use qualitative methods (observation and semi structured interviews) to obtain stakeholder feedback (parents, community health workers, school personnel and administrators) on impact of Asthma CHAMPS, identify potential refinements in intervention and implementation strategies, and evaluate impact of local adaptation and fidelity on implementation success and sustainability.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: School staff School staff in a K-8 school participating in Asthma CHAMPS |
Behavioral: Asthma CHAMPS full program
Full program includes (1) education for staff, students, and caregivers (2) environmental education and intervention (3) asthma care coordination (4) resources
Behavioral: Asthma CHAMPS Wait List Control
Stepped wedge design
|
| Experimental: Children with asthma Aged 5-13 and enrolled in Baltimore City Public School participating in Asthma CHAMPS |
Behavioral: Asthma CHAMPS full program
Full program includes (1) education for staff, students, and caregivers (2) environmental education and intervention (3) asthma care coordination (4) resources
Behavioral: Asthma CHAMPS Wait List Control
Stepped wedge design
|
| Experimental: Caregivers of children with asthma Caregiver of a child with asthma that is aged 5-13 enrolled in a Baltimore City Public School participating in Asthma CHAMPS |
Behavioral: Asthma CHAMPS full program
Full program includes (1) education for staff, students, and caregivers (2) environmental education and intervention (3) asthma care coordination (4) resources
Behavioral: Asthma CHAMPS Wait List Control
Stepped wedge design
|
Outcome Measures
Primary Outcome Measures
- Asthma-related absences [4 years]
Administrative data from schools on attendance for child with asthma
- Emergency Department (ED) utilization for asthma by children [4 years]
Counts of ED visits for asthma
- Hospitalization for asthma by children [4 years]
Counts of hospital admissions for asthma
- Oral corticosteroid steroid prescription for asthma by children [4 years]
Counts of prescribed oral corticosteroids for asthma
Secondary Outcome Measures
- Intervention penetration as assessed by counts [4 years]
Counts of asthma education sessions for family and staff
- Acceptability of Intervention (AIM) as assessed by a 4 item questionnaire [4 years]
4 item measure of implementation outcome often considered "leading indicator" of implementation success. Administered on a 5 point Likert scale with higher scores indicating greater agreement with specific items.
- Intervention Appropriateness Measure (IAM) as assessed by a 4 item questionnaire [4 years]
4 item measure of implementation outcome often considered "leading indicator" of implementation success. Administered on a 5 point Likert scale with higher scores indicating greater agreement with specific items.
- Feasibility of Intervention (FIM) as assessed by a 4 item questionnaire [4 years]
4 item measure of implementation outcome often considered "leading indicator" of implementation success. Administered on a 5 point Likert scale with higher scores indicating greater agreement with specific items.
- Intervention Satisfaction as assessed by a composite measure [4 years]
Composite measure administered to staff and caregivers with items assessing asthma management motivation and confidence. Answer options are on a scale of 1-10 with higher scores generally indicating greater agreement.
Eligibility Criteria
Criteria
Adult
Inclusion Criteria:
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Aged 18 or older
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Current caregiver of child with asthma or staff member at a Baltimore City K-8 Public School in Asthma CHAMPS
Exclusion Criteria:
- Unwilling to consent
Children with asthma
Inclusion Criteria:
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Asthma diagnosis
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Currently enrolled in Baltimore City K-8 Public School participating in Asthma CHAMPS
Exclusion Criteria:
- Unwilling to provide assent
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Baltimore City Public Schools | Baltimore | Maryland | United States | 21202 |
Sponsors and Collaborators
- Johns Hopkins University
- Baltimore City Public Schools
- Baltimore City Health Department
- National Heart, Lung, and Blood Institute (NHLBI)
Investigators
- Principal Investigator: Michelle N Ealin, PhD, JHU
- Principal Investigator: Meredith McCormack, MD MHS, JHU
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IRB00301358
- HL157845