Asthma Care Implementation Program for the District of Columbia (ACIP-DC)

哥伦比亚特区哮喘护理实施计划 (ACIP-DC)

基本信息

  • 批准号:
    9018607
  • 负责人:
  • 金额:
    $ 38.7万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2015
  • 资助国家:
    美国
  • 起止时间:
    2015-09-09 至 2016-10-31
  • 项目状态:
    已结题

项目摘要

 DESCRIPTION (Provided By Applicant): Asthma is the most common chronic disease of childhood, and despite evidence-based guidelines from the National Institutes of Health, overall morbidity from the disease has decreased only modestly. In addition, striking and unacceptable disparities in care and outcomes persist that disproportionately affect poor, urban, and minority children and adolescents. Addressing these disparities is a central priority for multiple federal agencies, local communities, parents and patients, and investigators. There are notable examples of evidence- based interventions that do reduce pediatric asthma morbidity and disparities. The validated IMPACT DC intervention, for example, has improved multiple measures of pediatric asthma care and outcomes in Washington, DC. Nevertheless, pediatric asthma morbidity in DC remains high, and further improving pediatric asthma care and outcomes in DC and elsewhere will require moving beyond the largely medical model of interventions and incorporating additional evidence-based interventions from the domains of medical care, family, home, and community. The overall goal of our proposed project is therefore to use a community driven process to integrate such interventions into a highly patient and family-centered program ready for rigorous subsequent validation as a reproducible means to improve asthma outcomes among vulnerable urban youth. The Asthma Care Implementation Program for the District of Columbia (ACIP-DC) will incorporate the existing IMPACT DC intervention, but will expand it by adding a Community Asthma Navigator (based on a Community Health Worker model) to coordinate multiple other ongoing patient services and by using an electronic care coordination platform to integrate those services. The ACIP-DC proposal is highly significant in that it will create a new and highly collaborative program ready for rigorous evaluation in a randomized trial. If efficacious in Washington DC, the program will then be ready for dissemination elsewhere as a means to address disparities in similar communities burdened with high pediatric asthma morbidity. In order to achieve our overall goal, we will pursue three specific aims: (1) we will partner with our Child Health Advocacy Institute to conduct a community needs assessment focused on understanding the existing network of care for DC's children at high risk of poor asthma outcomes through an iterative process of engaging a diverse group of local stakeholders; (2) informed by this needs assessment, we will create, pilot test, and modify ACIP-DC by integrating evidence-based interventions from the domains of medical care, family, home, and community; and (3) we will plan and pilot the elements of a rigorous protocol for the evaluation of ACIP-DC in a prospective, randomized, single-blind clinical trial that compares it to the IMPACT DC intervention alone (usual care). In pursuing this goal, the experienced research team will leverage its existing network of local collaborators, and will engage new ones as well. Key elements of ACIP-DC will be pilot tested, and the entire intervention will be scripted with a high fidelity checklist ready to serve as the basis for a clincal trial. (End of Abstract)


项目成果

期刊论文数量(0)
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科研奖励数量(0)
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专利数量(0)

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STEPHEN John TEACH其他文献

STEPHEN John TEACH的其他文献

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{{ truncateString('STEPHEN John TEACH', 18)}}的其他基金

Children’s National Stimulating Access to Research in Residency (CNStARR) Program (NHLBI)
儿童国家激励住院医师研究机会 (CNStARR) 计划 (NHLBI)
  • 批准号:
    10593715
  • 财政年份:
    2023
  • 资助金额:
    $ 38.7万
  • 项目类别:
District of Columbia Childhood Asthma in Urban Settings - Clinical Research Center
哥伦比亚特区城市环境中的儿童哮喘 - 临床研究中心
  • 批准号:
    10210851
  • 财政年份:
    2021
  • 资助金额:
    $ 38.7万
  • 项目类别:
District of Columbia Childhood Asthma in Urban Settings - Clinical Research Center
哥伦比亚特区城市环境中的儿童哮喘 - 临床研究中心
  • 批准号:
    10393005
  • 财政年份:
    2021
  • 资助金额:
    $ 38.7万
  • 项目类别:
PROSPECTIVE MULTICENTER STUDY OF BRONCHIOLITIS ADMISSIONS: ETIOLOGY AND DISPOSIN
细支气管炎入院的前瞻性多中心研究:病因和处置
  • 批准号:
    8167363
  • 财政年份:
    2010
  • 资助金额:
    $ 38.7万
  • 项目类别:
INNER-CITY ANTI-IGE THERAPY FOR ASTHMA (ICATA)
内城区哮喘抗 ​​IGE 治疗 (ICATA)
  • 批准号:
    8167297
  • 财政年份:
    2010
  • 资助金额:
    $ 38.7万
  • 项目类别:
INNER-CITY ANTI-IGE THERAPY FOR ASTHMA (ICATA)
内城区哮喘抗 ​​IGE 治疗 (ICATA)
  • 批准号:
    7951082
  • 财政年份:
    2008
  • 资助金额:
    $ 38.7万
  • 项目类别:
PROSPECTIVE MULTICENTER STUDY OF BRONCHIOLITIS ADMISSIONS: ETIOLOGY AND DISPOSIN
细支气管炎入院的前瞻性多中心研究:病因和处置
  • 批准号:
    7951136
  • 财政年份:
    2008
  • 资助金额:
    $ 38.7万
  • 项目类别:
INNER-CITY ANTI-IGE THERAPY FOR ASTHMA (ICATA)
内城区哮喘抗 ​​IGE 治疗 (ICATA)
  • 批准号:
    7717146
  • 财政年份:
    2007
  • 资助金额:
    $ 38.7万
  • 项目类别:
INNER CITY ASTHMA CONSORTIUM, ASTHMA CONTROL EVALUATION (ACE)
内城哮喘协会,哮喘控制评估 (ACE)
  • 批准号:
    7717184
  • 财政年份:
    2007
  • 资助金额:
    $ 38.7万
  • 项目类别:
INNER CITY ASTHMA CONSORTIUM, ASTHMA CONTROL EVALUATION (ACE)
内城哮喘协会,哮喘控制评估 (ACE)
  • 批准号:
    7608371
  • 财政年份:
    2006
  • 资助金额:
    $ 38.7万
  • 项目类别:

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