RVA Breathes: A Richmond City Collaboration to Reduce Pediatric Asthma Disparities
RVA Breathes:里士满市合作减少小儿哮喘差异
基本信息
- 批准号:10461770
- 负责人:
- 金额:$ 85.47万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-08-15 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:11 year oldAddressAdvocacyAdvocateAftercareAmericasAreaAsthmaCapitalCaregiversCaringChildChild CareChild WelfareChildhoodChildhood AsthmaCitiesCollaborationsCommunitiesCommunity Health AidesControl GroupsCost AnalysisDataDissemination and ImplementationEducationEmergency department visitEnrollmentEnsureEvidence based interventionFamilyFoundationsFundingGoalsHealthHealth systemHomeHospitalizationHypersensitivityInstitutesInterventionManaged CareMeasuresMediator of activation proteinMedicaidMedicalMethodsMorbidity - disease rateNamesNeeds AssessmentNursing EducationOutcomeParentsParticipantPharmaceutical PreparationsPopulationProcessProgram SustainabilityProviderPublic HealthQuality of lifeRandomizedRandomized Clinical TrialsRandomized Controlled TrialsResearchResourcesRiskSchool NursingSchoolsSelf ManagementSymptomsSystemTimeTrainingTranslatingTreatment outcomeUnited States National Institutes of HealthUniversitiesVirginiaWorkbasebudget impactcost effectivenessdepressive symptomseconomic costeffectiveness evaluationelementary schoolevidence baseexperiencefollow up assessmentfollow-upgroup interventionhealth care service utilizationhigh riskimplementation outcomesimprovedinnovationintervention effectnovelpeer supportperceived stressprimary outcomeprogramsrecruitremediationsecondary outcomeskillsstandard of carestress symptomurban area
项目摘要
Project Summary/Abstract.
Despite the existence of several evidence-based asthma treatments, and increased understanding of effective
community-based interventions for high-risk pediatric populations, childhood asthma disparities persist.
Richmond is often cited as the “Asthma Capital” of the U.S. by the Allergy and Asthma Foundation of America,
and is consistently identified as one of the most challenging places to live with asthma. To date, however, there
is no comprehensive, community-engaged asthma care program for those children at highest risk for poor
asthma outcomes. To address this urgent public health concern, our investigative team conducted a year-long,
mixed-methods community needs assessment (U34HL130759). Key priority areas that emerged included peer
support, advocacy, treating the home as a system, increased school nurse education, and coordination with
schools and providers. Our community-engaged team translated the needs assessment findings to a program,
RVA Breathes, that coordinates asthma care across four sectors: the family, home, community, and medical
care. RVA Breathes includes family-based asthma self-management education (delivered by Community
Health Workers [CHWs] with the Institute for Public Health Innovation), home environmental remediation (with
Richmond City Health District’s Healthy Homes Initiative), and a school nurse component (with elementary
schools in the Richmond City Public School System). These interventions capitalize among existing resources
and relationships with stakeholders in Richmond, each of which is committed to RVA Breathes. Three-hundred
children with asthma and their caregivers will participate in a randomized clinical trial of RVA Breathes. After
completing a baseline assessment, families will be randomized to one of three conditions: 1) asthma education
+ home remediation + school intervention, 2) asthma education + home remediation and 3) comparator
condition (Enhanced Standard of Care, E-SOC). Families will participate in the program for 12 months and
complete follow-up assessments (post-treatment and 3-, 6-, and 12-months) to measure changes in healthcare
utilization and the impact of the program on child asthma outcomes. Conditions will be compared on the
primary outcomes of healthcare utilization, including asthma-specific ED visits and hospital admissions, as well
as school absences and medication usage; secondary outcomes include asthma control, symptoms, and
quality of life. We will also evaluate the sustainability of RVA Breathes after 12 months (without active
intervention), including a review of qualitative data from participants and stakeholders in the program. Findings
from this trial will allow for dissemination and implementation of RVA Breathes as a sustainable program in the
Richmond area.
!
项目总结/抽象。
项目成果
期刊论文数量(4)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
A community-based asthma program: Study design and methods of RVA Breathes.
- DOI:10.1016/j.cct.2020.106121
- 发表时间:2020-10
- 期刊:
- 影响因子:2.2
- 作者:Everhart RS;Mazzeo SE;Corona R;Holder RL;Thacker LR 2nd;Schechter MS
- 通讯作者:Schechter MS
Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic.
- DOI:10.1016/j.conctc.2021.100871
- 发表时间:2021-12
- 期刊:
- 影响因子:1.5
- 作者:Everhart RS;Dempster KW;Withers D;Mazzeo SE;Corona R;Thacker LR 2nd;Schechter MS
- 通讯作者:Schechter MS
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Robin S Everhart其他文献
Perceived discrimination and mental health outcomes in college students: the mediating effect of preventive health behaviors and social support.
大学生感知歧视与心理健康结果:预防性健康行为与社会支持的中介作用。
- DOI:
- 发表时间:
2023 - 期刊:
- 影响因子:2.4
- 作者:
Sarah C M Morton;Robin S Everhart;Natalie D Dautovich;A. Chukmaitov - 通讯作者:
A. Chukmaitov
Robin S Everhart的其他文献
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{{ truncateString('Robin S Everhart', 18)}}的其他基金
RVA Breathes: A Richmond City Collaboration to Reduce Pediatric Asthma Disparities
RVA Breathes:里士满市合作减少小儿哮喘差异
- 批准号:
10229522 - 财政年份:2017
- 资助金额:
$ 85.47万 - 项目类别:
A Community-Engaged Approach to Reducing Pediatric Asthma Disparities in Richmond
减少里士满儿童哮喘差异的社区参与方法
- 批准号:
9020318 - 财政年份:2015
- 资助金额:
$ 85.47万 - 项目类别:
Caregiver Quality of Life in Pediatric Asthma: Family and Cultural Predictors
小儿哮喘护理人员的生活质量:家庭和文化预测因素
- 批准号:
8138413 - 财政年份:2010
- 资助金额:
$ 85.47万 - 项目类别:
Caregiver Quality of Life in Pediatric Asthma: Family and Cultural Predictors
小儿哮喘护理人员的生活质量:家庭和文化预测因素
- 批准号:
8000222 - 财政年份:2010
- 资助金额:
$ 85.47万 - 项目类别:
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