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

尽管有强有力的证据表明哮喘护理计划在减少以下人群哮喘发病率方面的有效性 对于低收入少数族裔儿童，在实施和维持高危干预措施方面进展甚微 社区。有效的干预措施需要多层次的方法，减少哮喘差距需要 让社区利益攸关方参与实施和维持惠及高危儿童的照料系统。 学校是接触孩子的理想场所，因为学校与家庭和来自 社区。我们的多学科哮喘健康差异合作小组已经有了一个长期和成功的 为哮喘管理量身定做的多层次社区干预措施的开发和评估历史 适用于城市儿科人群。我们与巴尔的摩市公立学校建立了牢固的合作伙伴关系 卫生部门找出哮喘控制不佳的潜在因素。长期目标是落实 巴尔的摩疾控中心推荐框架(呼气)的循证哮喘干预 城市学校。为了为成功奠定基础，我们将努力确定并吸引当地关键利益攸关方参与， 进行社区需求评估，以便对干预措施进行必要的改进和调整； 并通过协作战略建立强有力的伙伴关系，以确保哮喘的成功实施 干预计划。这一多阶段项目的结果将为实施量身定制的 多层次哮喘干预计划(哮喘冠军：社区和家庭哮喘管理 学校计划)。将在务实的试验中评估哮喘Champs计划的实施情况 在巴尔的摩市的32所小学中采用阶梯式楔形设计。这个项目的实施 有很高的潜力展示一项成功的计划，可以降低巴尔的摩市的哮喘发病率 儿童问题，以及城市社区的有效执行战略。

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.