Implementation of Asthma Community Home and School Management Program (Asthma CHAMPS)

实施哮喘社区家庭和学校管理计划（哮喘 CHAMPS）

基本信息

批准号：
10206706
负责人：
Michelle Nuttall Eakin
金额：
$ 79.5万
依托单位：
JOHNS HOPKINS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-07-15 至 2023-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10206706
关键词：
Absenteeism Administrator Adoption Adrenal Cortex Hormones Advisory Committees Asthma Baltimore Caring Centers for Disease Control and Prevention (U.S.)Child Childhood Cities Communities Community Health Aides Community Healthcare Control Groups Directly Observed Therapy Education Effectiveness Emergency department visit Enrollment Ensure Family Feedback Foundations Goals Health Health Personnel Home Hospitalization Human Resources Intervention Interview Knowledge Learning Link Location Low income Medicaid Medical Modeling Morbidity - disease rate Needs Assessment Oral Outcome Parents Penetration Play Policies Population Prevalence Qualitative Methods Recording of previous events Risk Schools Structure Trust United States Urban Community Waiting Lists asthma inhaler base care systems community setting design effective intervention effectiveness evaluation elementary school evidence base health care service utilization health disparity high risk implementation strategy improved intervention mapping intervention program literacy member minority children multidisciplinary organizational readiness pragmatic trial programs satisfaction school health success successful intervention teacher urban children

项目摘要

Despite a strong evidence-base for the efficacy of asthma care programs in reducing asthma morbidity among low-income minority children, little progress has been made implementing and sustaining interventions in at–risk communities. Effective interventions require a multi-level approach and reducing asthma disparities requires engaging community stakeholders in implementing and sustaining systems of care that reach high-risk children. Schools are an ideal location for reaching children given the strong connection to families and trust from communities. Our multi-disciplinary asthma health disparities collaborative group has a long and successful history of developing and evaluating multi-level community based interventions for asthma management tailored for urban pediatric populations. We have established a strong partnership with Baltimore City Public schools and Health Department to identify potential contributors to poor asthma control. The long-term goal is to implement an evidence-based asthma intervention based on the CDC recommended framework (EXHALE) within Baltimore City Schools. To provide the foundation for success, we will seek to identify and engage local key stakeholders, conduct a community needs assessment to inform necessary refinement and adaptations of the interventions, and build on strong partnerships with collaborative strategies to ensure successful implementation of an asthma intervention program. Results for this multi-phase project will inform the implementation of a tailored multi-level asthma intervention program (Asthma CHAMPS: Community and Home Asthma Management Program in Schools). Implementation of the Asthma CHAMPS Program will be evaluated in a pragmatic trial applying a stepped-wedge design among 32 elementary schools in Baltimore City. The conduct of this project has high potential to demonstrate a successful program that reduces asthma morbidity among Baltimore City children as well as effective implementation strategies for urban communities.

尽管有强有力的证据证明哮喘护理计划在减少哮喘病中的疗效低收入的少数族裔儿童，在Atersk中进行的HASS HASS HASS饮食和维持干预措施很少社区。使社区利益相关者参与实施和维持危险儿童的护理系统。学校是接触儿童与家庭的牢固联系并信任的理想地方地点社区。制定和评估基于国际委员会针对哮喘管理量身定制的基于国际委员会的历史对于城市小儿人口，我们与巴尔的摩市公立学校建立了牢固的合作卫生部门确定哮喘控制不佳的潜在贡献者。基于CDC推荐的框架（呼气）的基于证据的 - 浸水干预措施城市学校。进行社区需求评估，以告知必要的细化和改编干预措施，并以协作策略为基础建立强大的合作伙伴关系，以确保成功实施哮喘干预计划。多级哮喘干预计划（哮喘冠军：社区和家庭管理学校的计划）。在巴尔的摩市的32所小学之间采用跨越的设计。具有很高的潜力来展示一项成功的计划，该计划降低了巴尔的摩城市的哮喘发病率儿童以及为城市社区的有效实施策略。