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.
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.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
430
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).
WashU School of Medicine
St Louis, Missouri, United States
RECRUITINGAsthma knowledge and awareness
Measured via survey. Data collected from student caregivers and school nurse implementers.
Time frame: Measured at baseline and at study completion (average of 1 year)
Implementation
Measured via surveys and post-trial semi-structured focus group/interview. Data collected from student caregivers, school nurse implementers, and providers.
Time frame: 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
Asthma guideline adherence
Measured via survey. Data collected from student caregivers and school nurse implementers.
Time frame: Measured at baseline and at study completion (average of 1 year)
School connectedness
Measured via survey. Data collected from student caregivers.
Time frame: Measured at baseline and at study completion (average of 1 year)
Healthcare utilization
Number of asthma related emergency department visits, hospitalizations, and clinic/office visits collected from the electronic medical record.
Time frame: 24 months prior to intervention, during intervention, and 12 months following intervention completion
School Attendance/Absence
Number of days student is attends school, and number of school absence days. Data provided by the school.
Time frame: 24 months prior to intervention, during intervention, and 12 months following intervention completion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.