Resources and Education for Addressing Chronic Health (REACH)
ConditionAsthma (Diagnosis)
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age3-18
SponsorWashington University School of Medicine
About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Employed by partner school district and work in an identified building
Trial design
Design model
Single group
Treatments tested in this trial
REACH
Other interventionThe 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).
Treatment groups
430 Participants
are divided into 1 treatment groupGroup A: REACHExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Asthma 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)2
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 groupsSecondary outcomes
1
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)2
School connectedness
Measured via survey. Data collected from student caregivers.
Time frame
Measured at baseline and at study completion (average of 1 year)3
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 completion4
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 completionSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov