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:10470858
- 负责人:
- 金额:$ 101.86万
- 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 2023-08-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdoptionAgeAreaAsthmaAttentionBehaviorCaregiversCaringChildChild CareChildhood AsthmaCitiesClinicColoradoCommunicationCommunitiesDataDisadvantagedDissemination and ImplementationElementsEmergency department visitEnsureEvaluationEvidence based programExploration Preparation Implementation and SustainmentFamilyFundingFutureGrantGuidelinesHealthHealth Care Quality IndicatorsHospitalizationHot SpotInterventionInvestmentsLow incomeMaintenanceMeasuresMethodsMorbidity - disease rateMultimediaNational Heart, Lung, and Blood InstituteOutcomePatientsPerformancePhasePractical Robust Implementation and Sustainability ModelPrimary Health CareProcessPublic HealthQuality of lifeRandomizedReach Effectiveness Adoption Implementation and MaintenanceReduce health disparitiesResearch DesignResearch PersonnelResourcesRiskRuralSchool NursingSchoolsSiteSymptomsSystemTestingTrainingWorkasthma exacerbationbasecommunity burdencommunity engaged researchcostdesigndisadvantaged populationdissemination trialeffectiveness implementation studyeffectiveness outcomeethnic minorityevidence baseexperiencehealth disparityhealth inequalitieshigh risk populationimplementation evaluationimplementation frameworkimplementation outcomesimplementation researchimplementation strategyimprovedimproved outcomelower income familiesmembermetropolitanminority studentpopulation healthprimary outcomeprogramsracial and ethnicresponseschool districtschool healthscreeningsecondary outcomeskillssocial health determinantssuccesssustainability frameworktrial 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.
项目摘要/摘要
我们重新提交的提案《减少贫困学龄儿童哮喘发作》
哮喘,“寻求广泛实施我们有效的以学校为基础的方法来改善哮喘
低收入社区(5至12岁)儿童的差距。使用基于社区的参与式
方法对于高危人群和社区,我们将把传播和实施联系起来
(d&i)我们的科罗拉多州校本哮喘计划(COL-SBAP),可减少哮喘恶化和
错过了上学的日子,同时也解决了健康的社会决定因素(SDOH),我们的试点确定为
哮喘差异的主要驱动因素。我们将评估不同利益相关者在
在科罗拉多州的农村和小城市地区进行传播试验。我们的传播试验将包括两个
干预:我们的循证COL-SBAP和循证评估和管理方法
到密钥SDOH。我们的试点数据显示,这两种干预措施对于改善儿童哮喘差异至关重要。
低收入家庭。这种称为停止哮喘发作(SAA)的两步干预水平将设计用于
由学校哮喘导航员和学校护士可持续分娩,他们与初级保健和
社区资源。与我们的社区利益相关者合作,探索、准备、
实施、可持续发展(EPIS)D&I框架将在UG3规划阶段应用于
反复调整我们当前的实施指南,使其适应符合当地社区的定制实施计划
以及特定地点的需求、资源和优先事项(EPIS阶段1和2)。然后我们将进行一次UH3
在哮喘“热点”学校系统中采用随机阶梯-楔形研究设计的传播试验
科罗拉多州五个地区评估哮喘热点学校系统(EPIS)的实施策略
阶段3,UH3试验),并将EPIS阶段1-3的工作应用到以下方面
指导其他学校系统未来采用计划(EPIS阶段4)。中心假设是SAA将
具有广泛和公平的覆盖范围(主要结果),并在减少哮喘发作方面产生重要好处
与尚未实施SAA的学校相比,这是一种新的学习方式和症状。SAA的行动手册将是
旨在促进可持续地采用SAA,包括培训材料和计算回报
在投资方面。我们的提案响应并解决了NHLBI HL-20-003的关键要素
后期(T4)实施研究战略“和”促进和改善人口健康在高
通过使用公共卫生方法来针对具有较高水平的
不受控制的哮喘和哮喘相关负担。这项提案将包括一个严格的利益相关者
参与进程,以确保将SAA传播到科罗拉多州的不同地缘政治地区,并关注
可持续发展。总体而言,这一评价和行动纲领将加速在全国范围内传播SAA
在儿童哮喘护理中经历健康不平等的社区。
项目成果
期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Applying dissemination and implementation research methods to translate a school-based asthma program.
- DOI:10.1016/j.jaci.2022.04.029
- 发表时间:2022-09
- 期刊:
- 影响因子:14.2
- 作者:Szefler, Stanley J.;Cicutto, Lisa;Brewer, Sarah E.;Gleason, Melanie;McFarlane, Arthur;DeCamp, Lisa Ross;Brinton, John T.;Huebschmann, Amy G.
- 通讯作者:Huebschmann, Amy G.
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Lisa Cicutto其他文献
Lisa Cicutto的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ 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:
$ 101.86万 - 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:
$ 101.86万 - 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:
$ 101.86万 - 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:
$ 101.86万 - 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:
10723244 - 财政年份:2020
- 资助金额:
$ 101.86万 - 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:
$ 101.86万 - 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:
$ 101.86万 - 项目类别:
相似海外基金
Investigating the Adoption, Actual Usage, and Outcomes of Enterprise Collaboration Systems in Remote Work Settings.
调查远程工作环境中企业协作系统的采用、实际使用和结果。
- 批准号:
24K16436 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
WELL-CALF: optimising accuracy for commercial adoption
WELL-CALF:优化商业采用的准确性
- 批准号:
10093543 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
Collaborative R&D
Unraveling the Dynamics of International Accounting: Exploring the Impact of IFRS Adoption on Firms' Financial Reporting and Business Strategies
揭示国际会计的动态:探索采用 IFRS 对公司财务报告和业务战略的影响
- 批准号:
24K16488 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
EU-Funded
Assessing the Coordination of Electric Vehicle Adoption on Urban Energy Transition: A Geospatial Machine Learning Framework
评估电动汽车采用对城市能源转型的协调:地理空间机器学习框架
- 批准号:
24K20973 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
Grant-in-Aid for Early-Career Scientists
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 101.86万 - 项目类别:
EU-Funded
De-Adoption Beta-Blockers in patients with stable ischemic heart disease without REduced LV ejection fraction, ongoing Ischemia, or Arrhythmias: a randomized Trial with blinded Endpoints (ABbreviate)
在没有左心室射血分数降低、持续性缺血或心律失常的稳定型缺血性心脏病患者中停用β受体阻滞剂:一项盲法终点随机试验(ABbreviate)
- 批准号:
481560 - 财政年份:2023
- 资助金额:
$ 101.86万 - 项目类别:
Operating Grants
Our focus for this project is accelerating the development and adoption of resource efficient solutions like fashion rental through technological advancement, addressing longer in use and reuse
我们该项目的重点是通过技术进步加快时装租赁等资源高效解决方案的开发和采用,解决更长的使用和重复使用问题
- 批准号:
10075502 - 财政年份:2023
- 资助金额:
$ 101.86万 - 项目类别:
Grant for R&D
Engage2innovate – Enhancing security solution design, adoption and impact through effective engagement and social innovation (E2i)
Engage2innovate — 通过有效参与和社会创新增强安全解决方案的设计、采用和影响 (E2i)
- 批准号:
10089082 - 财政年份:2023
- 资助金额:
$ 101.86万 - 项目类别:
EU-Funded
Collaborative Research: SCIPE: CyberInfrastructure Professionals InnoVating and brOadening the adoption of advanced Technologies (CI PIVOT)
合作研究:SCIPE:网络基础设施专业人员创新和扩大先进技术的采用 (CI PIVOT)
- 批准号:
2321091 - 财政年份:2023
- 资助金额:
$ 101.86万 - 项目类别:
Standard Grant