Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence

Asthma in Children Clinical Trial

— CASCADE  

Official title:

Chicago Asthma School-Directed Child-Centered Assessment and Dissemination of Evidence

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06320210
• Other study ID #: IRB19-1308
• Status: Recruiting
• Phase: N/A
• Start date: August 31, 2023
• Est. completion date: December 30, 2025

Study information

• Verified date: May 2024
• Source: University of Chicago
• Contact: Anna Volerman, MD
• Phone: 773-702-5905
• Email: avbeaser[@]bsd.uchicago.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Research has shown that adherence to evidence-based asthma guidelines leads to improved outcomes, yet critical gaps remain in the implementation of these guidelines, particularly among minority and low-income youth. Schools represent a crucial point of intervention, as demonstrated by school-based asthma programs that have addressed individual components of the guidelines with promising results. This project aims to develop, implement, and evaluate a pragmatic, multi-component asthma program that builds upon existing targeted interventions to fully implement the asthma guidelines and integrate them in school practices to foster sustainability. The investigator seeks to understand whether this type of program will improve asthma outcomes at the child and school level.

Description:

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, this project aims to bridge the gap in the implementation of asthma guidelines and policies by developing and evaluating a pragmatic, multicomponent 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. A multi-level program will be put in place for all students and families within the school. Intervention components will include: in-depth training for current school staff who are critical in asthma care, restructured processes to identify students with asthma, technological adaptations to create integrated tracking systems for asthma care and absenteeism, strategies to enhance communication about asthma within school and between school and home, protocols for routine care (e.g., participation in gym/recess) and emergencies, and education for all students about asthma.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 400
• Est. completion date: December 30, 2025
• Est. primary completion date: August 31, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 4 Years and older

Eligibility

Participants will be included in the study if:

1. The participant either works at, attends, or is the legal guardian of a child who attends one of the two elementary schools included in the study from the University of Chicago Charter Schools - North Kenwood Oakland and Donoghue.

2. The child participant has a diagnosis of asthma OR the parent participant is legal guardian of a child with asthma.

3. The adult stakeholder is 18 years or older.

Participants will be excluded from the study if:

1. The participant declines or is unable to provide consent/assent

2. The participant does not speak or read English

3. The participant has already enrolled in the study

Related Conditions & MeSH terms

• Asthma
• Asthma in Children

Intervention

Behavioral:
• Multicomponent program
The intervention is a multi-component program that includes in-depth training for current school teachers/staff who are critical in asthma care, restructured processes to identify students with asthma, technological adaptations to support integrated systems for asthma care and absenteeism, strategies to enhance communication about asthma within school and between school and home, protocols for routine care (e.g., participation in gym/recess) and emergencies, and education for all students about asthma.

Locations

Country	Name	City	State
United States	University of Chicago Charter Schools	Chicago	Illinois

Sponsors (1)

Lead Sponsor	Collaborator
University of Chicago

Country where clinical trial is conducted

United States, 

References & Publications (37)

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* Note: There are 37 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Asthma control	Childhood Asthma Control Test	Years 1 and 2
Secondary	Missed work days in parents	Parent reports, logs	Years 1 and 2
Secondary	Asthma knowledge - parents	Asthma Knowledge Scale	Years 1 and 2
Secondary	Asthma knowledge - child	Asthma Knowledge Scale	Years 1 and 2
Secondary	Asthma quality of life - child	Pediatric Asthma Quality of Life Questionnaire	Years 1 and 2
Secondary	Caregiver quality of life	Pediatric Asthma Caregiver's Quality of Life Questionnaire	Years 1 and 2
Secondary	Asthma impact - parent	Parent Proxy Asthma Impact Scale	Years 1 and 2
Secondary	Missed school days	School records, parent report, logs	Years 1 and 2
Secondary	Healthcare utilization	Parent report and logs of ambulatory visits, emergency department visits, hospitalizations	Years 1 and 2
Secondary	Asthma impact - child	Pediatric Asthma Impact Scale	Years 1 and 2