Resources and Education for Addressing Chronic Health (REACH)
Purpose
This study pilots REACH, Resources and Education for Addressing Chronic Health, a service model to facilitate care coordination and communication across medical, school, and home settings. REACH seeks to address barriers to school-based asthma management, improving health and educational outcomes and reducing negative impacts for children with asthma.
Condition
- Asthma (Diagnosis)
Eligibility
- Eligible Ages
- Between 3 Years and 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
for recruited parents/children: - parents/caregivers with at least one child with asthma or present to the nurse with asthma symptoms in the partner school district, - child with asthma must have a diagnosis of asthma or suspected asthma due to asthma symptom-related healthcare utilization and/or multiple visits to the school nurse (>1) - attend a school in one of the partner school districts - have access to email and a computer or other mobile device - receive care within the BJH/ WUSM system (an indicator of participation in the electronic health record system).
Exclusion Criteria
for recruited families: - Child does not have asthma and do not present to school nurse with asthma symptoms - Child does not attend one of the identified schools in a partner school district - Children in foster care or wards of the state School Nurses (Implementers) (N=15) Inclusion Criteria for school nurses: - Employed by partner school district and work in an identified building - Provide care to students with asthma or present with asthma symptoms Exclusion Criteria for school nurses: - Do not work for partner school district or for an identified building Providers (N =15) Inclusion Criteria for Providers: - Provide care to a child participant on the study Exclusion Criteria for Providers: - Do not provide care to a child participant on the study
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental REACH |
Consists of school nurses who serve as both participants and REACH intervention implementers, students and their caregivers, and student providers. Though there are several participant types, there is only 1 experimental group. All participants serve as their own controls. |
|
Recruiting Locations
Washington University in St. Louis and nearby locations
St Louis, Missouri 63110
More Details
- NCT ID
- NCT07819747
- Status
- Recruiting
- Sponsor
- Washington University School of Medicine
Detailed Description
This study develops and tests the REACH intervention which includes (a) a strategic communication or messaging and dissemination strategy to build school and family relationships and trust, (b) capacity building activities to improve asthma knowledge and awareness through asthma education and resources, and (c) a tool/hub that allows record and communication sharing across healthcare and educational systems to facilitate care coordination. Using a Single-Arm Non-Randomized Pre-Post Cluster Trial design, this study tests the hypothesis that use of a care coordination hub will improve school-based asthma management.