دورية أكاديمية
أعرض في EDS

Reducing asthma attacks in disadvantaged school children with asthma: study protocol for a type 2 hybrid implementation-effectiveness trial (Better Asthma Control for Kids, BACK).

التفاصيل البيبلوغرافية
العنوان: Reducing asthma attacks in disadvantaged school children with asthma: study protocol for a type 2 hybrid implementation-effectiveness trial (Better Asthma Control for Kids, BACK).
المؤلفون: Huebschmann AG; Anschutz Medical Campus Department of Medicine, Division of General Internal Medicine, University of Colorado, 12631 E. 17th Ave., Mailstop B180, Aurora, CO, USA. amy.huebschmann@ucdenver.edu.; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA. amy.huebschmann@ucdenver.edu.; Ludeman Family Center for Women's Health Research, Aurora, CO, USA. amy.huebschmann@ucdenver.edu., Wagner NM; Anschutz Medical Campus Department of Medicine, Division of General Internal Medicine, University of Colorado, 12631 E. 17th Ave., Mailstop B180, Aurora, CO, USA.; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA., Gleason M; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO.; Breathing Institute, Children's Hospital Colorado, 13123 East 16Th Avenue, Mailstop B395, Aurora, CO, 80045, USA., Brinton JT; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO., Brtnikova M; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO., Brewer SE; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA.; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, USA., Begum A; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA., Armstrong R; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA., DeCamp LR; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO., McFarlane A; Breathing Institute, Children's Hospital Colorado, 13123 East 16Th Avenue, Mailstop B395, Aurora, CO, 80045, USA., DeKeyser H; Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), 1890 Revere Ct, Suite P32-3200, Mailstop F443, Aurora, CO, 80045, USA.; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO.; Breathing Institute, Children's Hospital Colorado, 13123 East 16Th Avenue, Mailstop B395, Aurora, CO, 80045, USA., Coleman H; Trailhead Institute, 1999 Broadway Suite 200, Denver, CO, 80202, USA., Federico MJ; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO.; Breathing Institute, Children's Hospital Colorado, 13123 East 16Th Avenue, Mailstop B395, Aurora, CO, 80045, USA., Szefler SJ; Department of Pediatrics, University of Colorado School of Medicine, Aurora, USA, CO.; Breathing Institute, Children's Hospital Colorado, 13123 East 16Th Avenue, Mailstop B395, Aurora, CO, 80045, USA., Cicutto LC; National Jewish Health and University of Colorado College of Nursing and Clinical Sciences, Aurora, CO, USA.
المصدر: Implementation science : IS [Implement Sci] 2024 Aug 15; Vol. 19 (1), pp. 60. Date of Electronic Publication: 2024 Aug 15.
نوع المنشور: Journal Article; Clinical Trial Protocol
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101258411 Publication Model: Electronic Cited Medium: Internet ISSN: 1748-5908 (Electronic) Linking ISSN: 17485908 NLM ISO Abbreviation: Implement Sci Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Asthma*/therapy , Asthma*/prevention & control , School Health Services*/organization & administration, Humans ; Child ; Colorado ; Adolescent ; Vulnerable Populations ; Implementation Science ; Female
مستخلص: Background: Asthma is a leading cause of children's hospitalizations, emergency department visits, and missed school days. Our school-based asthma intervention has reduced asthma exacerbations for children experiencing health disparities in the Denver Metropolitan Area, due partly to addressing care coordination for asthma and social determinants of health (SDOH), such as access to healthcare and medications. Limited dissemination of school-based asthma programs has occurred in other metropolitan and rural areas of Colorado. We formed and engaged community advisory boards in socioeconomically diverse regions of Colorado to develop two implementation strategy packages for delivering our school-based asthma intervention - now termed "Better Asthma Control for Kids (BACK)" - with tailoring to regional priorities, needs and resources.
Methods: In this proposed type 2 hybrid implementation-effectiveness trial, where the primary goal is equitable reach to families to reduce asthma disparities, we will compare two different packages of implementation strategies to deliver BACK across four Colorado regions. The two implementation packages to be compared are: 1) standard set of implementation strategies including Tailor and Adapt to context, Facilitation and Training termed, BACK-Standard (BACK-S); 2) BACK-S plus an enhanced implementation strategy, that incorporates network weaving with community partners and consumer engagement with school families, termed BACK-Enhanced (BACK-E). Our evaluation will be guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, including its Pragmatic Robust Implementation Sustainability Model (PRISM) determinants of implementation outcomes. Our central hypothesis is that our BACK-E implementation strategy will have significantly greater reach to eligible children/families than BACK-S (primary outcome) and that both BACK-E and BACK-S groups will have significantly reduced asthma exacerbation rates ("attacks") and improved asthma control as compared to usual care.
Discussion: We expect both the BACK-S and BACK-E strategy packages will accelerate dissemination of our BACK program across the state - the comparative impact of BACK-S vs. BACK-E on reach and other RE-AIM outcomes may inform strategy selection for scaling BACK and other effective school-based programs to address chronic illness disparities.
Trial Registration: Clinicaltrials.gov identifier: NCT06003569, registered on August 22, 2023, https://classic.
Clinicaltrials: gov/ct2/show/NCT06003569 .
(© 2024. The Author(s).)
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معلومات مُعتمدة: Expansion 2024*0346 Colorado Department of Public Health and Environment; UH3HL151297 United States HL NHLBI NIH HHS; K23 HL146791 United States HL NHLBI NIH HHS; K01 DA056698 United States DA NIDA NIH HHS; UG3HL151297 United States HL NHLBI NIH HHS; K23HL146791 United States HL NHLBI NIH HHS; K01DA056698 United States DA NIDA NIH HHS
فهرسة مساهمة: Keywords: Asthma; Child health; Health equity; Implementation science; School health services; Social determinants of health
سلسلة جزيئية: ClinicalTrials.gov NCT06003569
تواريخ الأحداث: Date Created: 20240815 Date Completed: 20240815 Latest Revision: 20240923
رمز التحديث: 20240923
مُعرف محوري في PubMed: PMC11325631
DOI: 10.1186/s13012-024-01387-3
PMID: 39148094
قاعدة البيانات: MEDLINE
الوصف
تدمد:1748-5908
DOI:10.1186/s13012-024-01387-3