Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) Program
芝加哥哮喘学校主导的以儿童为中心的评估和证据传播 (CASCADE) 计划
基本信息
- 批准号:10625828
- 负责人:
- 金额:$ 18.4万
- 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:2020-05-05 至 2025-04-30
- 项目状态:未结题
- 来源:
- 关键词:AbsenteeismAddressAdherenceAdministratorAdvisory CommitteesAffectAreaAsthmaAwardAwarenessBlack raceCaringChicagoChildChildhoodChildhood AsthmaChronicChronic DiseaseCommunicationCommunitiesConsolidated Framework for Implementation ResearchCost AnalysisCost Effectiveness AnalysisDataData AnalysesDevelopmentDiagnosisDisparityDissemination and ImplementationEducationEffectivenessEmergency department visitEnsureFaceFosteringFoundationsFundingFutureGoalsGuidelinesHealthHigh PrevalenceHomeIndividualInterventionK-Series Research Career ProgramsKnowledgeLiteratureLow Income PopulationLow incomeMentored Patient-Oriented Research Career Development AwardMentorsMethodsMinorityModelingMorbidity - disease rateNational Heart, Lung, and Blood InstituteOutcomeParentsPatient-Focused OutcomesPatientsPoliciesPopulation HeterogeneityPositioning AttributePrevalencePreventionProcessQuality of lifeRandomized, Controlled TrialsReach, Effectiveness, Adoption, Implementation, and MaintenanceReadinessReportingResearchResearch MethodologyResearch PersonnelRoleSchoolsSelf EfficacySiteStatistical Data InterpretationStudentsSymptomsSystemTrainingTranslatingTranslational ResearchTranslationsWorkYouthcare providerscommunity based participatory researchcommunity engaged researchcostdesigndissemination researchelementary schoolevidence baseevidence based guidelinesexperiencefallsfuture implementationhealth disparityhospitalization ratesimplementation evaluationimplementation researchimplementation scienceimprovedimproved outcomeinnovationmedication administrationmembernovelpatient orientedprogram disseminationprogramsrecruitschool districtsocietal costsstakeholder perspectivesteacherurban school
项目摘要
PROJECT ABSTRACT
Significant health disparities persist in childhood asthma prevalence and morbidity despite existing evidence-
based asthma guidelines that have been shown to improve outcomes. Schools are an integral partner in
asthma management. Prior literature has outlined various targeted school-based interventions with some
positive outcomes; however, these programs focus on individual components of the guidelines and take place
transiently without integration into school processes for sustainability. To more comprehensively impact
asthma care, schools have enacted policies to support guideline-based practices; however, implementation
falls short and thus these policies have not led to effective, systemic practices. Therefore, I aim to bridge the
gap in the implementation of asthma guidelines and policies by developing and evaluating a pragmatic, multi-
component school-directed, child-centered asthma program that builds upon existing targeted interventions
and is integrated in the school to foster sustainability. This innovative project contributes beyond existing
school-based programs by simultaneously and pragmatically implementing multiple components of the asthma
guidelines through school-wide systems and streamlined processes led by lay health workers. I have built a
strong foundation for this novel and important research by developing a strong partnership with a multi-campus
urban school network that serves a minority, low-income population and conducting preliminary research that
highlights the important gaps in asthma care. In this proposal, I will develop and evaluate an innovative multi-
component program in two elementary schools (Aim 1). First, I will pilot guideline-based intervention
components and determine feasibility and efficacy (1A). I will then utilize this data and existing literature about
school-based interventions to implement and evaluate a multi-component program (1B). Key outcomes will
focus on the patient (asthma control), organization (school attendance), and cost. In addition, I will determine
diverse stakeholder perspectives about the program components and the overall program as part of a pre-
implementation assessment to prepare for broader implementation and dissemination in a large, diverse urban
public school district (Aim 2).The results will be used for R01 studies that expand the application of the school-
directed, child-centered model to the large, diverse public school district in Chicago, compare its effectiveness
to other school-based asthma interventions, and conduct a full societal cost-effectiveness analysis. During this
career development award, I will work closely with my mentors and an expert advisory committee of leaders in
health disparities, asthma, community and school-based programs, implementation science, and statistical and
cost analyses. This award will allow me to obtain additional necessary training in advanced research methods
and data analysis, as well as implementation and dissemination research. The proposed research and training
will position me to become an independent investigator and national leader who integrates community-
engaged research with implementation science to advance patient outcomes and reduce asthma disparities.
项目摘要
尽管现有证据表明,儿童哮喘患病率和发病率仍存在显著的健康差异-
基于哮喘指南,已被证明可以改善结果。学校是不可或缺的合作伙伴,
哮喘管理先前的文献概述了各种有针对性的学校干预措施,
积极的成果;然而,这些方案侧重于指导方针的各个组成部分,并采取
暂时没有融入学校的可持续发展进程。为了更全面地影响
哮喘护理,学校已经制定了政策,以支持基于指南的做法;然而,实施
福尔斯不足,因此这些政策没有导致有效的系统性做法。因此,我的目标是弥合
通过制定和评估一个务实的,多方面的,
以现有的有针对性的干预措施为基础,以学校为指导、以儿童为中心的哮喘计划
并融入学校以促进可持续发展。这一创新项目超越了现有的
以学校为基础的计划,同时和务实地实施哮喘的多个组成部分,
通过全校系统和非专业卫生工作者领导的简化流程制定指导方针。我已经建立了一个
通过与多校区建立强有力的合作伙伴关系,为这项新颖而重要的研究奠定了坚实的基础
城市学校网络,服务于少数,低收入人口,并进行初步研究,
突出了哮喘护理的重要差距。在本提案中,我将开发和评估一个创新的多-
在两所小学的组成部分方案(目标1)。首先,我将试行基于指南的干预措施,
成分,并确定可行性和有效性(1A)。然后,我将利用这些数据和现有的文献,
以学校为基础的干预措施,以实施和评估一个多组成部分的计划(1B)。主要成果将
关注患者(哮喘控制)、组织(学校出勤率)和成本。另外,我将决定
不同的利益相关者对计划组成部分和整个计划的看法,
执行情况评估,以便为在一个大的、多样化的城市中更广泛地执行和传播做好准备
公立学区(目标2)。结果将用于R 01研究,扩大学校的应用-
直接的,以儿童为中心的模式,以大型,多样化的公立学区在芝加哥,比较其有效性
其他以学校为基础的哮喘干预措施,并进行全面的社会成本效益分析。在此
职业发展奖,我将与我的导师和专家咨询委员会的领导人密切合作,
健康差距,哮喘,社区和学校为基础的计划,实施科学,统计和
成本分析。这个奖项将使我获得额外的必要培训,在先进的研究方法
和数据分析,以及实施和传播研究。拟议的研究和培训
将使我成为一名独立调查员和国家领导人,
参与实施科学的研究,以提高患者的治疗效果,减少哮喘差异。
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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Anna Volerman其他文献
Anna Volerman的其他文献
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{{ truncateString('Anna Volerman', 18)}}的其他基金
iACTIVATE: Investigators Advancing via Coaching at the Transition to Independence: a Value-Adding Team Experience
iACTIVATE:调查人员在向独立过渡过程中通过辅导取得进步:增值的团队体验
- 批准号:
10508360 - 财政年份:2022
- 资助金额:
$ 18.4万 - 项目类别:
iACTIVATE: Investigators Advancing via Coaching at the Transition to Independence: a Value-Adding Team Experience
iACTIVATE:调查人员在向独立过渡过程中通过辅导取得进步:增值的团队体验
- 批准号:
10705803 - 财政年份:2022
- 资助金额:
$ 18.4万 - 项目类别:
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) Program
芝加哥哮喘学校主导的以儿童为中心的评估和证据传播 (CASCADE) 计划
- 批准号:
10773835 - 财政年份:2020
- 资助金额:
$ 18.4万 - 项目类别:
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) Program
芝加哥哮喘学校主导的以儿童为中心的评估和证据传播 (CASCADE) 计划
- 批准号:
10400234 - 财政年份:2020
- 资助金额:
$ 18.4万 - 项目类别:
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) Program
芝加哥哮喘学校主导的以儿童为中心的评估和证据传播 (CASCADE) 计划
- 批准号:
9892223 - 财政年份:2020
- 资助金额:
$ 18.4万 - 项目类别:
Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence (CASCADE) Program
芝加哥哮喘学校主导的以儿童为中心的评估和证据传播 (CASCADE) 计划
- 批准号:
10159300 - 财政年份:2020
- 资助金额:
$ 18.4万 - 项目类别:
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