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表明哮喘护理计划在降低哮喘发病率方面的功效低收入少数族裔儿童，对高危儿童实施和维持干预措施方面进展甚微有效的干预措施需要采取多层次的方法，并需要减少哮喘差异。让社区利益相关者参与实施和维持覆盖高危儿童的护理系统。鉴于学校与家庭的紧密联系和来自学校的信任，是接触儿童的理想场所我们的多学科哮喘健康差异协作小组有着长期而成功的经验。开发和评估基于社区的多层次哮喘管理干预措施的历史我们与巴尔的摩市公立学校和儿童建立了牢固的合作伙伴关系。卫生部门确定导致哮喘控制不佳的潜在因素并予以实施。巴尔的摩市基于 CDC 推荐框架 (EXHALE) 的循证哮喘干预措施为了为城市学校的成功奠定基础，我们将寻求确定并吸引当地的主要利益相关者，进行社区需求评估，为干预措施的必要改进和调整提供信息，并与协作战略建立强有力的伙伴关系，以确保成功实施哮喘这个多阶段项目的结果将为量身定制的干预计划的实施提供信息。多层次哮喘干预计划（哮喘CHAMPS：社区和家庭哮喘管理哮喘 CHAMPS 计划的实施将通过务实的试验进行评估。在巴尔的摩市的 32 所小学中应用阶梯楔形设计该项目的实施。有很大潜力展示一项降低巴尔的摩市哮喘发病率的成功计划儿童以及城市社区的有效战略实施。