Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence

NCT06320210 | Recruiting

• 1 other identifier: IRB19-1308
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

Research has shown that adherence to evidence-based asthma guidelines leads to improved outcomes, yet critical gaps remain in the implementation of these guidelines, particularly among minority and low-income youth. Schools represent a crucial point of intervention, as demonstrated by school-based asthma programs that have addressed individual components of the guidelines with promising results. This project aims to develop, implement, and evaluate a pragmatic, multi-component asthma program that builds upon existing targeted interventions to fully implement the asthma guidelines and integrate them in school practices to foster sustainability. The investigator seeks to understand whether this type of program will improve asthma outcomes at the child and school level.

Conditions

Asthma in Children

Outcome Measures

Primary Outcomes (1)

• Asthma control

  Childhood Asthma Control Test

  Years 1 and 2

Secondary Outcomes (9)

• Missed work days in parents

  Years 1 and 2

• Asthma knowledge - parents

  Years 1 and 2

• Asthma knowledge - child

  Years 1 and 2

• Asthma quality of life - child

  Years 1 and 2

• Caregiver quality of life

  Years 1 and 2

Study Arms (1)

Children with asthma, parents/guardians of children with asthma, school staff

EXPERIMENTAL

Children will be recruited from two University of Chicago Charter elementary schools. Children with a diagnosis of asthma and their parents will be eligible for inclusion in the study and will specifically be targeted for study recruitment. Staff and administrators at each school will also be recruited through in-person, phone, and email communication, primarily through word of mouth and professional development days. UCCS teachers, staff, and administrators will also be included in the program evaluation and we will obtain appropriate consent. Up to 400 families with a child/children with asthma from two UCCS schools will be added to a registry database. A total of 68 children with a diagnosis of asthma and their parents will be recruited for evaluation of the multi-component program, resulting in a total of 136 children and parents. We will also recruit 24 teachers, staff, and administrators across the two schools to participate in the evaluation of the overall program.

Behavioral: Multicomponent program

Interventions

Multicomponent program BEHAVIORAL

The intervention is a multi-component program that includes in-depth training for current school teachers/staff who are critical in asthma care, restructured processes to identify students with asthma, technological adaptations to support integrated systems for asthma care and absenteeism, strategies to enhance communication about asthma within school and between school and home, protocols for routine care (e.g., participation in gym/recess) and emergencies, and education for all students about asthma.

Children with asthma, parents/guardians of children with asthma, school staff

Eligibility Criteria

• Age: 4 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

Participants will be included in the study if: 1. The participant either works at, attends, or is the legal guardian of a child who attends one of the two elementary schools included in the study from the University of Chicago Charter Schools - North Kenwood Oakland and Donoghue. 2. The child participant has a diagnosis of asthma OR the parent participant is legal guardian of a child with asthma. 3. The adult stakeholder is 18 years or older. Participants will be excluded from the study if: 1. The participant declines or is unable to provide consent/assent 2. The participant does not speak or read English 3. The participant has already enrolled in the study

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

• University of Chicago: lead

Study Sites (1)

University of Chicago Charter Schools

Chicago, Illinois, 60640, United States

RECRUITING

Related Publications (37)

• Bloom B, Jones LI, Freeman G. Summary health statistics for U.S. children: National Health Interview Survey, 2012. Vital Health Stat 10. 2013 Dec;(258):1-81.

  PMID: 24784481 BACKGROUND

• National Surveillance of Asthma: United States, 2001-2010. Hyattsville, MD: U.S. Dept. of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2012.

  BACKGROUND

• Centers for Disease Control and Prevention. Asthma Data, Statistics, and Surveillance. Most Recent Asthma Data. 2017.

  BACKGROUND

• Centers for Disease Control and Prevention. Asthma-Related Missed School Days among Children Aged 5-17 Years.; 2015.

  BACKGROUND

• Quinn K, Shalowitz MU, Berry CA, Mijanovich T, Wolf RL. Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago. Am J Public Health. 2006 Sep;96(9):1599-603. doi: 10.2105/AJPH.2005.071514. Epub 2006 Feb 28.

  PMID: 16507720 BACKGROUND

• Akinbami LJ, Simon AE, Rossen LM. Changing Trends in Asthma Prevalence Among Children. Pediatrics. 2016 Jan;137(1):1-7. doi: 10.1542/peds.2015-2354. Epub 2015 Dec 28.

  PMID: 26712860 BACKGROUND

• Gupta RS, Zhang X, Sharp LK, Shannon JJ, Weiss KB. Geographic variability in childhood asthma prevalence in Chicago. J Allergy Clin Immunol. 2008 Mar;121(3):639-645.e1. doi: 10.1016/j.jaci.2007.11.036. Epub 2008 Feb 4.

  PMID: 18243285 BACKGROUND

• Illinois Department of Public Health. The Burden of Asthma in Illinois, 2000-2011. State of Illinois; 2013.

  BACKGROUND

• Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009 Mar;123 Suppl 3:S131-45. doi: 10.1542/peds.2008-2233C.

  PMID: 19221156 BACKGROUND

• Volerman A, Kan K, Salem E, Prachand N, Warren CM, Sighoko D, Gupta RS. Disparities persist in asthma-related emergency department visits among Chicago children. Ann Allergy Asthma Immunol. 2019 Apr;122(4):417-419.e1. doi: 10.1016/j.anai.2019.01.011. Epub 2019 Jan 24. No abstract available.

  PMID: 30684738 BACKGROUND

• National Heart, Lung, and Blood Institute. Guidelines for the Diagnosis and Management of Asthma: Expert Panel Report 3. Washington, DC: US Department of Health and Human Services; 2007.

  BACKGROUND

• National Heart, Lung, and Blood Institute. Managing Asthma: A Guide for Schools. Washington, DC: US Department of Health and Human Services; 2014.

  BACKGROUND

• Asthma Management Policy. Chicago Public Schools Policy Manual; 2012.

  BACKGROUND

• Cloutier MM, Hall CB, Wakefield DB, Bailit H. Use of asthma guidelines by primary care providers to reduce hospitalizations and emergency department visits in poor, minority, urban children. J Pediatr. 2005 May;146(5):591-7. doi: 10.1016/j.jpeds.2004.12.017.

  PMID: 15870660 BACKGROUND

• Grant EN, Malone A, Lyttle CS, Weiss KB. Asthma morbidity and treatment in the Chicago metropolitan area: one decade after national guidelines. Ann Allergy Asthma Immunol. 2005 Jul;95(1):19-25. doi: 10.1016/S1081-1206(10)61183-0.

  PMID: 16095137 BACKGROUND

• Mattke S, Martorell F, Sharma P, Malveaux F, Lurie N. Quality of care for childhood asthma: estimating impact and implications. Pediatrics. 2009 Mar;123 Suppl 3:S199-204. doi: 10.1542/peds.2008-2233K.

  PMID: 19221164 BACKGROUND

• Wolf RL, Berry CA, O'Connor T, Coover L. Validation of the Brief Pediatric Asthma Screen. Chest. 1999 Oct;116(4 Suppl 1):224S-228S. doi: 10.1378/chest.116.suppl_2.224s.

  PMID: 10532498 BACKGROUND

• Wolf RL, Berry CA, Quinn K. Development and validation of a brief pediatric screen for asthma and allergies among children. Ann Allergy Asthma Immunol. 2003 May;90(5):500-7. doi: 10.1016/S1081-1206(10)61843-1.

  PMID: 12775131 BACKGROUND

• Redline S, Gruchalla RS, Wolf RL, Yawn BP, Cartar L, Gan V, Nelson P, Wollan P. Development and validation of school-based asthma and allergy screening questionnaires in a 4-city study. Ann Allergy Asthma Immunol. 2004 Jul;93(1):36-48. doi: 10.1016/S1081-1206(10)61445-7.

  PMID: 15281470 BACKGROUND

• Gupta RS, Ballesteros J, Springston EE, Smith B, Martin M, Wang E, Damitz M. The state of pediatric asthma in Chicago's Humboldt Park: a community-based study in two local elementary schools. BMC Pediatr. 2010 Jun 24;10:45. doi: 10.1186/1471-2431-10-45.

  PMID: 20576150 BACKGROUND

• Gupta RS, Lau CH, Warren CM, Lelchuk A, Alencar A, Springston EE, Holl JL. The impact of student-directed videos on community asthma knowledge. J Community Health. 2013 Jun;38(3):463-70. doi: 10.1007/s10900-012-9630-4.

  PMID: 23184318 BACKGROUND

• Christiansen SC, Martin SB, Schleicher NC, Koziol JA, Mathews KP, Zuraw BL. Evaluation of a school-based asthma education program for inner-city children. J Allergy Clin Immunol. 1997 Nov;100(5):613-7. doi: 10.1016/s0091-6749(97)70164-7.

  PMID: 9389290 BACKGROUND

• Gerald LB, McClure LA, Mangan JM, Harrington KF, Gibson L, Erwin S, Atchison J, Grad R. Increasing adherence to inhaled steroid therapy among schoolchildren: randomized, controlled trial of school-based supervised asthma therapy. Pediatrics. 2009 Feb;123(2):466-74. doi: 10.1542/peds.2008-0499.

  PMID: 19171611 BACKGROUND

• Halterman JS, Riekert K, Bayer A, Fagnano M, Tremblay P, Blaakman S, Borrelli B. A pilot study to enhance preventive asthma care among urban adolescents with asthma. J Asthma. 2011 Jun;48(5):523-30. doi: 10.3109/02770903.2011.576741.

  PMID: 21599562 BACKGROUND

• Anderson ME, Freas MR, Wallace AS, Kempe A, Gelfand EW, Liu AH. Successful school-based intervention for inner-city children with persistent asthma. J Asthma. 2004 Jun;41(4):445-53. doi: 10.1081/jas-120033987.

  PMID: 15281330 BACKGROUND

• Halterman JS, Szilagyi PG, Fisher SG, Fagnano M, Tremblay P, Conn KM, Wang H, Borrelli B. Randomized controlled trial to improve care for urban children with asthma: results of the School-Based Asthma Therapy trial. Arch Pediatr Adolesc Med. 2011 Mar;165(3):262-8. doi: 10.1001/archpediatrics.2011.1.

  PMID: 21383275 BACKGROUND

• Harris K, Kneale D, Lasserson TJ, McDonald VM, Grigg J, Thomas J. School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review. Cochrane Database Syst Rev. 2019 Jan 28;1(1):CD011651. doi: 10.1002/14651858.CD011651.pub2.

  PMID: 30687940 BACKGROUND

• Bruzzese JM, Evans D, Kattan M. School-based asthma programs. J Allergy Clin Immunol. 2009 Aug;124(2):195-200. doi: 10.1016/j.jaci.2009.05.040. Epub 2009 Jul 16.

  PMID: 19615728 BACKGROUND

• Coffman JM, Cabana MD, Yelin EH. Do school-based asthma education programs improve self-management and health outcomes? Pediatrics. 2009 Aug;124(2):729-42. doi: 10.1542/peds.2008-2085. Epub 2009 Jul 27.

  PMID: 19651589 BACKGROUND

• Coffman JM, Cabana MD, Halpin HA, Yelin EH. Effects of asthma education on children's use of acute care services: a meta-analysis. Pediatrics. 2008 Mar;121(3):575-86. doi: 10.1542/peds.2007-0113.

  PMID: 18310208 BACKGROUND

• Wheeler LS, Merkle SL, Gerald LB, Taggart VS. Managing asthma in schools: lessons learned and recommendations. J Sch Health. 2006 Aug;76(6):340-4. doi: 10.1111/j.1746-1561.2006.00125.x. No abstract available.

  PMID: 16918868 BACKGROUND

• Wheeler L, Buckley R, Gerald LB, Merkle S, Morrison TA. Working With Schools to Improve Pediatric Asthma Management. Pediatric Asthma, Allergy & Immunology. 2009;22(4):197-208.

  BACKGROUND

• Wolf FM, Guevara JP, Grum CM, Clark NM, Cates CJ. Educational interventions for asthma in children. Cochrane Database Syst Rev. 2003;2002(1):CD000326. doi: 10.1002/14651858.CD000326.

  PMID: 12535395 BACKGROUND

• Volerman A, Chin MH, Press VG. Solutions for Asthma Disparities. Pediatrics. 2017 Mar;139(3):e20162546. doi: 10.1542/peds.2016-2546. Epub 2017 Feb 22. No abstract available.

  PMID: 28228500 BACKGROUND

• Volerman A, Ignoffo S, Hull A, McArthur Hanshaw S, Taylor S, Vela M, Press VG. Identification of students with asthma in Chicago schools: Missing the mark. Ann Allergy Asthma Immunol. 2017 Jun;118(6):739-740. doi: 10.1016/j.anai.2017.04.004. Epub 2017 May 4. No abstract available.

  PMID: 28479193 BACKGROUND

• Volerman A, Dennin M, Vela M, Ignoffo S, Press VG. A qualitative study of parent perspectives on barriers, facilitators and expectations for school asthma care among urban, African-American children. J Asthma. 2019 Oct;56(10):1099-1109. doi: 10.1080/02770903.2018.1520861. Epub 2018 Oct 4.

  PMID: 30285497 BACKGROUND

• Naman J, Press VG, Vaughn D, Hull A, Erwin K, Volerman A. Student perspectives on asthma management in schools: a mixed-methods study examining experiences, facilitators, and barriers to care. J Asthma. 2019 Dec;56(12):1294-1305. doi: 10.1080/02770903.2018.1534968. Epub 2018 Oct 30.

  PMID: 30376385 BACKGROUND

Study Officials

• Anna Volerman, MD

  University of Chicago

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Anna Volerman, MD

CONTACT

773-702-5905; avbeaser@bsd.uchicago.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 12, 2024
• First Posted: March 20, 2024
• Study Start: August 31, 2023
• Primary Completion: August 31, 2025
• Study Completion: December 30, 2025
• Last Updated: May 10, 2024

Record last verified: 2024-05

Locations

US (1)