Reducing Asthma Attacks in Disadvantaged School Children with Asthma
减少患有哮喘的弱势学童的哮喘发作
基本信息
- 批准号:10723244
- 负责人:
- 金额:$ 103.56万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2020
- 资助国家:美国
- 起止时间:2020-09-10 至 2027-08-31
- 项目状态:未结题
- 来源:
- 关键词:Absenteeism at workAccelerationAddressAdoptionAgeAreaAsthmaAttentionBehaviorCaregiversCaringChildChild CareChildhood AsthmaCitiesClinicColoradoCommunicationCommunitiesDataDisadvantagedDisparityDisparity populationDissemination and ImplementationElementsEligibility DeterminationEmergency department visitEnsureEquityEvaluationEvidence based programExploration, Preparation, Implementation, and SustainmentFamilyFundingFutureGrantGuidelinesHealthHealth Care Quality IndicatorsHospitalizationHot SpotInterventionInvestmentsLearningLow incomeMaintenanceMeasuresMethodsMorbidity - disease rateMultimediaNational Heart, Lung, and Blood InstituteOutcomePatientsPerformancePhasePractical Robust Implementation and Sustainability ModelPrimary CareProcessPublic HealthQuality of lifeRandomizedReach, Effectiveness, Adoption, Implementation, and MaintenanceReduce health disparitiesResearch DesignResearch PersonnelResourcesRisk ReductionRuralSchool NursingSchoolsSiteSymptomsSystemTestingTrainingWorkasthma exacerbationcommunity burdencommunity engaged researchcostdesigndissemination trialeffectiveness outcomeeffectiveness/implementation trialethnic minorityevidence baseexperiencehealth disparityhealth inequalitieshigh risk populationimplementation evaluationimplementation frameworkimplementation outcomesimplementation researchimplementation strategyimprovedimproved outcomelower income familiesmembermetropolitanminority studentneighborhood disadvantagepopulation healthprimary outcomeprogramsracial minorityresponseschool districtschool healthscreeningsecondary outcomeskillssocial health determinantssuccesstrial design
项目摘要
PROJECT SUMMARY/ABSTRACT
Our re-submission proposal, “Reducing Asthma Attacks in Disadvantaged School Children with
Asthma,” seeks broad-scale implementation of our effective school-based approach to improve asthma
disparities for children in low-income communities (ages 5 to 12 years). Using community-based participatory
methods with high risk populations and communities, we will contextualize dissemination and implementation
(D&I) of our Colorado school-based asthma program (Col-SBAP) that reduces asthma exacerbations and
missed school days, while also addressing social determinants of health (SDOH) which our pilot identified as
major drivers of asthma disparities. We will evaluate key metrics identified by diverse stakeholders during a
dissemination trial in rural and small metropolitan areas of Colorado. Our dissemination trial will include two
interventions: our evidence-based Col-SBAP and an evidence-based assessment and management approach
to key SDOH. Our pilot data show both interventions are critical to improve asthma disparities for children from
low income families. This two-step level of intervention, called Stop Asthma Attacks (SAA), will be designed for
sustainable delivery by school asthma navigators and school nurses who coordinate with primary care and
community resources. In partnership with our community stakeholders, the Exploration, Preparation,
Implementation, Sustainment (EPIS) D&I framework will be applied during the UG3 planning phase to
iteratively adapt our current implementation guide to tailored implementation plans that meet local community
and site-specific needs, resources and priorities (EPIS Phases 1 & 2). We will then conduct a UH3
dissemination trial with a randomized stepped-wedge study design in asthma “hot spot” school systems across
five Colorado regions to evaluate implementation strategies across asthma “hot spot” school systems (EPIS
phase 3, UH3 trial) and to apply the work from EPIS phases 1-3 to develop a “dissemination playbook” to
guide future program adoption by other school systems (EPIS Phase 4). The central hypothesis is that SAA will
have broad and equitable Reach (primary outcome), and yield important benefits in reducing asthma attacks
and symptoms, as compared to schools that have not yet implemented SAA. The SAA playbook will be
designed to promote the sustainable adoption of SAA, including training materials and a calculation of return
on investment. Our proposal is responsive to and addresses key elements of NHLBI HL-20-003 by “testing
late-stage (T4) implementation research strategies” and “promoting and improving population health in high-
burden communities” by using a public health approach to target “hot spot” schools with high levels of
uncontrolled asthma and asthma associated burden. This proposal will both include a rigorous stakeholder
engagement process to ensure SAA is disseminated to diverse geopolitical areas of Colorado with attention to
sustainability. Collectively, this evaluation and playbook will accelerate dissemination of SAA nationally to
communities experiencing health inequities in pediatric asthma care.
项目总结/文摘
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Lisa Cicutto其他文献
Lisa Cicutto的其他文献
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{{ truncateString('Lisa Cicutto', 18)}}的其他基金
CTSA Predoctoral T32 at University of Colorado Denver
CTSA 博士前 T32 科罗拉多大学丹佛分校
- 批准号:
10619731 - 财政年份:2023
- 资助金额:
$ 103.56万 - 项目类别:
CTSA Postdoctoral T32 at University of Colorado Denver
CTSA 博士后 T32 科罗拉多大学丹佛分校
- 批准号:
10619719 - 财政年份:2023
- 资助金额:
$ 103.56万 - 项目类别:
Addressing Social Determinants of Health in Disadvantaged Children with Asthma
解决患有哮喘的弱势儿童健康的社会决定因素
- 批准号:
10321174 - 财政年份:2020
- 资助金额:
$ 103.56万 - 项目类别:
Reducing Asthma Attacks in Disadvantaged School Children with Asthma
减少患有哮喘的弱势学童的哮喘发作
- 批准号:
10063661 - 财政年份:2020
- 资助金额:
$ 103.56万 - 项目类别:
Reducing Asthma Attacks in Disadvantaged School Children with Asthma
减少患有哮喘的弱势学童的哮喘发作
- 批准号:
10470434 - 财政年份:2020
- 资助金额:
$ 103.56万 - 项目类别:
Reducing Asthma Attacks in Disadvantaged School Children with Asthma
减少患有哮喘的弱势学童的哮喘发作
- 批准号:
10470858 - 财政年份:2020
- 资助金额:
$ 103.56万 - 项目类别:
Reducing Asthma Attacks in Disadvantaged School Children with Asthma
减少患有哮喘的弱势学童的哮喘发作
- 批准号:
10254414 - 财政年份:2020
- 资助金额:
$ 103.56万 - 项目类别:
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