Resources and Education for Addressing Chronic Health (REACH)

NCT07819747 | Recruiting

• 2 other identifiers: 202605145SCH205081
• Study Type: interventional
• Target: 430
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Asthma (Diagnosis)

Keywords

Asthma; child health; patient care management; nursing; health services research

Outcome Measures

Primary Outcomes (2)

• Asthma knowledge and awareness

  Measured via survey. Data collected from student caregivers and school nurse implementers.

  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.

  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

Secondary Outcomes (4)

• Asthma guideline adherence

  Measured at baseline and at study completion (average of 1 year)

• School connectedness

  Measured at baseline and at study completion (average of 1 year)

• Healthcare utilization

  24 months prior to intervention, during intervention, and 12 months following intervention completion

• School Attendance/Absence

  24 months prior to intervention, during intervention, and 12 months following intervention completion

Study Arms (1)

REACH

EXPERIMENTAL

Consists of school nurses who serve as both participants and REACH intervention implementers, students and their caregivers, and student providers. Though there are several participant types, there is only 1 experimental group. All participants serve as their own controls.

Other: REACH

Interventions

REACH OTHER

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).

REACH

Eligibility Criteria

• Age: 3 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• 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
• receive care within the BJH/ WUSM system (an indicator of participation in the electronic health record system).

You may not qualify if:

• 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
• School Nurses (Implementers) (N=15)
• Employed by partner school district and work in an identified building
• Provide care to students with asthma or present with asthma symptoms
• \- Do not work for partner school district or for an identified building
• Providers (N =15)
• \- Provide care to a child participant on the study
• \- Do not provide care to a child participant on the study

Sponsors & Collaborators

• Washington University School of Medicine: lead

Study Sites (1)

WashU School of Medicine

St Louis, Missouri, 63110, United States

RECRUITING

MeSH Terms

Conditions

Asthma; Disease

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Dr. Kelly M. Harris, PhD, CCC-SLP

CONTACT

314-273-3242; kmharris@wustl.edu

Madelyn Yoo, MSOT

CONTACT

314-400-8118; m.g.yoo@wustl.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: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 1, 2026
• First Posted: September 15, 2026
• Study Start: June 9, 2026
• Primary Completion (Estimated): June 1, 2030
• Study Completion (Estimated): June 1, 2030
• Last Updated: September 21, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP
• Time Frame: Beginning 1 year after publication with no end date.
• Access Criteria: Any researcher may request access with a description of the planned use and analyses, and a completed and approved data sharing agreement.

Locations

US (1)