Aligning With Schools To Help Manage Asthma (Project ASTHMA)
| Status: | Recruiting |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 4 - 14 |
| Updated: | 1/11/2019 |
| Start Date: | January 17, 2017 |
| End Date: | September 2019 |
| Contact: | Lucy C Holmes, MD, MPH |
| Email: | LHolmes@upa.chob.edu |
| Phone: | 716-323-0034 |
Aligning With Schools To Help Manage Asthma
Project ASTHMA is a school-based health center intervention program that institutes
guideline-based chronic asthma care and provides supervised administration with daily
preventive asthma medications to improve asthma symptoms and lung function, reduce emergency
visits, and decrease missed days of school among children from communities with health
disparities.
guideline-based chronic asthma care and provides supervised administration with daily
preventive asthma medications to improve asthma symptoms and lung function, reduce emergency
visits, and decrease missed days of school among children from communities with health
disparities.
Project ASTHMA in schools is a 7 month randomized control intervention pilot trial. Forty
students, ages 4 to 14 years, with persistent asthma, or who utilize acute care facilities
frequently for their asthma, will be recruited from 3 urban SBHCs in the fall of 2018. All
students will receive NHLBI guideline-based asthma assessments to determine eligibility and
proper dosing of preventive medication. The asthma assessment will include spirometry
testing. All enrolled students and parents will receive asthma education at the time of
enrollment. Eligible students will be randomized to an intervention or usual care group using
permuted block randomization stratified by SBHCs. In collaboration with the student's PCP,
the SBHCs' mid-level providers will prescribe the preventive medication to the students in
the intervention group. These students will receive the morning dose of their preventive
medication from the school nurse each school day for the remainder of the school year.
Students and their parents will be responsible to administer the evening and non-school day
doses. Students randomized to the usual care group will be referred back to their PCP for
further asthma management. All participants will be re-evaluated at 1, 3 and 7 months after
enrollment, and medication dose adjustments will be made in the intervention group as needed.
students, ages 4 to 14 years, with persistent asthma, or who utilize acute care facilities
frequently for their asthma, will be recruited from 3 urban SBHCs in the fall of 2018. All
students will receive NHLBI guideline-based asthma assessments to determine eligibility and
proper dosing of preventive medication. The asthma assessment will include spirometry
testing. All enrolled students and parents will receive asthma education at the time of
enrollment. Eligible students will be randomized to an intervention or usual care group using
permuted block randomization stratified by SBHCs. In collaboration with the student's PCP,
the SBHCs' mid-level providers will prescribe the preventive medication to the students in
the intervention group. These students will receive the morning dose of their preventive
medication from the school nurse each school day for the remainder of the school year.
Students and their parents will be responsible to administer the evening and non-school day
doses. Students randomized to the usual care group will be referred back to their PCP for
further asthma management. All participants will be re-evaluated at 1, 3 and 7 months after
enrollment, and medication dose adjustments will be made in the intervention group as needed.
Inclusion Criteria:
- Active asthma
- Diagnosed with asthma for at least 12 months
- Enrolled in the school-based health center
- Persistent asthma as defined by NAEPP-EPR3 guidelines OR at least 1 hospitalizations
OR at least 2 ED/urgent care visits OR at least 2 courses of oral steroids for asthma
in the previous 12 months for asthma
Exclusion Criteria:
- Underlying heart or lung disease other than asthma
- Student has well controlled asthma
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