Implementation of Asthma Community Home and School Management Program (Asthma CHAMPS)

尽管哮喘护理计划在降低哮喘发病率方面有很强的证据基础， 低收入少数民族儿童，在实施和维持对高危儿童的干预措施方面进展甚微。 社区.有效的干预措施需要多层次的方法，减少哮喘差异需要 让社区利益攸关方参与实施和维持照顾高危儿童的系统。 学校是接触儿童的理想场所，因为学校与家庭有着密切的联系， 社区.我们的多学科哮喘健康差异协作组有一个长期和成功的 制定和评估针对哮喘管理的多层次社区干预措施的历史 for urban城市pediatric儿科populations人口.我们与巴尔的摩市公立学校建立了牢固的合作伙伴关系， 卫生部确定哮喘控制不良的潜在因素。长期目标是实施 在巴尔的摩开展基于CDC推荐框架（EXHALE）的循证哮喘干预 城市学校。为了奠定成功的基础，我们将寻求确定和参与当地的主要利益相关者， 进行社区需求评估，为干预措施的必要完善和调整提供信息， 建立强有力的合作伙伴关系，确保成功实施哮喘 干预方案。这一多阶段项目的结果将为实施量身定制的 多层次哮喘干预计划（哮喘CHAMPS：社区和家庭哮喘管理 学校的计划）。哮喘CHAMPS计划的实施将在一项务实的试验中进行评估 在巴尔的摩市的32所小学中应用阶梯楔形设计。本项目的实施 有很大的潜力证明一个成功的计划，减少哮喘发病率之间的巴尔的摩市 儿童以及城市社区的有效执行战略。

Despite a strong evidence-base for the efficacy of asthma care programs in reducing asthma morbidity among low-income minority children, little progress has been made implementing and sustaining interventions in at–risk communities. Effective interventions require a multi-level approach and reducing asthma disparities requires engaging community stakeholders in implementing and sustaining systems of care that reach high-risk children. Schools are an ideal location for reaching children given the strong connection to families and trust from communities. Our multi-disciplinary asthma health disparities collaborative group has a long and successful history of developing and evaluating multi-level community based interventions for asthma management tailored for urban pediatric populations. We have established a strong partnership with Baltimore City Public schools and Health Department to identify potential contributors to poor asthma control. The long-term goal is to implement an evidence-based asthma intervention based on the CDC recommended framework (EXHALE) within Baltimore City Schools. To provide the foundation for success, we will seek to identify and engage local key stakeholders, conduct a community needs assessment to inform necessary refinement and adaptations of the interventions, and build on strong partnerships with collaborative strategies to ensure successful implementation of an asthma intervention program. Results for this multi-phase project will inform the implementation of a tailored multi-level asthma intervention program (Asthma CHAMPS: Community and Home Asthma Management Program in Schools). Implementation of the Asthma CHAMPS Program will be evaluated in a pragmatic trial applying a stepped-wedge design among 32 elementary schools in Baltimore City. The conduct of this project has high potential to demonstrate a successful program that reduces asthma morbidity among Baltimore City children as well as effective implementation strategies for urban communities.