دورية أكاديمية
أعرض في EDS

Design of a community-based, Hybrid Type II effectiveness-implementation asthma intervention study: The Rhode Island Asthma Integrated Response (RI-AIR) program.

التفاصيل البيبلوغرافية
العنوان: Design of a community-based, Hybrid Type II effectiveness-implementation asthma intervention study: The Rhode Island Asthma Integrated Response (RI-AIR) program.
المؤلفون: Cushman GK; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., Koinis-Mitchell D; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA; Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA., Alsina M; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., Barker D; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., Drew L; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., DeCesare C; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., Yeo AJ; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA; Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA., Durkin K; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA., Elwy AR; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA., Jandasek B; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA; Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA., Pearlman DN; Department of Epidemiology, Brown University School of Public Health, Providence, RI, USA., Vivier P; Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, USA., McQuaid EL; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA; Bradley-Hasbro Children's Research Center, Rhode Island Hospital/Hasbro Children's Hospital, Providence, RI, USA; Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA. Electronic address: Elizabeth_mcquaid@brown.edu.
المصدر: Contemporary clinical trials [Contemp Clin Trials] 2023 Jun; Vol. 129, pp. 107204. Date of Electronic Publication: 2023 Apr 23.
نوع المنشور: Clinical Trial; Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101242342 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1559-2030 (Electronic) Linking ISSN: 15517144 NLM ISO Abbreviation: Contemp Clin Trials Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, N.Y. : Elsevier, c2005-
مواضيع طبية MeSH: Asthma*/therapy, Child ; Humans ; Chronic Disease ; Delivery of Health Care ; Rhode Island ; Schools
مستخلص: Background: Pediatric asthma is among the most common health conditions and disproportionately impacts Black and Latino children. Gaps in asthma care exist and may contribute to racial and ethnic inequities. The Rhode Island Asthma Integrated Response (RI-AIR) program was developed to address current limitations in care. The aims of the RI-AIR Hybrid Type II effectiveness-implementation trial were to: a) simultaneously evaluate the effectiveness of RI-AIR on individual-level and community-level outcomes; b) evaluate implementation strategies used to increase uptake of RI-AIR. In this manuscript, we outline the design and methods used to implement RI-AIR.
Methods: School-based areas (polygons) with the highest asthma-related urgent healthcare utilization in Greater Providence, R.I., were identified using geospatial mapping. Families with eligible children (2-12 years) living in one of the polygons received evidence-based school- and/or home-based asthma management interventions, based on asthma control level. School-based interventions included child and caregiver education programs and school staff trainings. Home-based interventions included individualized asthma education, home-environmental assessments, and strategies and supplies for trigger remediation. Implementation strategies included engaging school nurse teachers as champions, tailoring interventions to school preferences, and engaging families for input.
Results: A total of 6420 children were screened throughout the study period, 811 were identified as eligible, and 433 children were enrolled between November 2018 and December 2021.
Conclusions: Effective implementation of pediatric asthma interventions is essential to decrease health inequities and improve asthma management. The RI-AIR study serves as an example of a multi-level intervention to improve outcomes and reduce disparities in pediatric chronic disease.
Clinical Trials Registration Number: NCT03583814.
Competing Interests: Declaration of Competing Interest No authors have competing interests to disclose.
(Copyright © 2023. Published by Elsevier Inc.)
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معلومات مُعتمدة: T32 HD101392 United States HD NICHD NIH HHS; T32 MH019927 United States MH NIMH NIH HHS; U01 HL138677 United States HL NHLBI NIH HHS; U54 GM115677 United States GM NIGMS NIH HHS
فهرسة مساهمة: Keywords: Community intervention program; Effectiveness and implementation; Home-based intervention; Hybrid Type II; Pediatric asthma; School-based intervention
سلسلة جزيئية: ClinicalTrials.gov NCT03583814
تواريخ الأحداث: Date Created: 20230423 Date Completed: 20230531 Latest Revision: 20240608
رمز التحديث: 20240608
مُعرف محوري في PubMed: PMC11157426
DOI: 10.1016/j.cct.2023.107204
PMID: 37088129
قاعدة البيانات: MEDLINE
الوصف
تدمد:1559-2030
DOI:10.1016/j.cct.2023.107204