Project ASTHMA - Aligning With Schools To Help Manage Asthma and Improve Outcomes

Conditions studied

Asthma in Children, Directly Observed Therapy

About this study

Children with asthma from communities that experience health inequities frequently do not receive guideline-based asthma care, and as a result, account for a disproportionate percentage of asthma exacerbations, emergency department visits, and hospitalizations. Project ASTHMA (Aligning with Schools To Help Manage Asthma) tests the effectiveness of school-based health centers as a delivery model to improve health outcomes by providing children with guideline-based asthma assessments and preventive medication management, directly observed therapy of their preventive medication to support adherence, and self-management support. If successful, this multicomponent intervention will represent a cost effective and sustainable model to reduce asthma morbidity in historically marginalized communities, and has the potential to impact communities throughout the United States where over 2,500 school-based health centers operate.

Interventions

• Other: APP assessment and management of asthma — APPs will be trained to follow NIH guidelines for assessment and management of asthma, and to apply their knowledge to the care of the students. Students will also receive DOT of the morning dose of their controller medication.

Primary outcomes

• Asthma exacerbations (from 1 month after enrollment to the end of the school year for 1 school year; to be assessed after the end of the school year.)

Eligibility information

Study locations

• University at Buffalo, Department of Pediatrics, Buffalo, New York 14203 United States