Implementation of Asthma Community Home and School Management Program (Asthma CHAMPS)
Johns Hopkins University
Summary
The long-term goal is to implement an evidence-based asthma intervention based on the Center for Disease Control's recommended framework (EXHALE) within Baltimore City Public Schools (BCPS). As part of a stepped wedge pragmatic trial the investigators will: 1. Evaluate the effectiveness of a tailored implementation plan of Asthma CHAMPS in 32 Baltimore city elementary schools to reduce asthma disparities. 2. Conduct a pragmatic trail using a stepped wedge design to evaluate implementation of a school and home asthma intervention program to reduce asthma-related absences, healthcare utilization and exacerbations and improve asthma control, among children enrolled in 32 Baltimore City elementary schools. 3. Use qualitative methods (observation and semi structured interviews) to obtain stakeholder feedback (parents, community health workers, school personnel and administrators) on impact of Asthma CHAMPS, identify potential refinements in intervention and implementation strategies, and evaluate impact of local adaptation and fidelity on implementation success and sustainability.
Description
Implementation Aim: Evaluate the effectiveness of a tailored implementation plan of Asthma CHAMPS in 32 Baltimore city elementary schools to reduce asthma disparities. Hypothesis: The investigators hypothesize that Baltimore City schools will have greater adoption and penetration of Asthma CHAMPS (e.g. more schools participating, and more staff and family asthma education sessions), greater feasibility/acceptability (e.g. more staff participating in asthma care activities, greater staff confidence in managing asthma) and greater satisfaction and appropriateness with a tailored implementation…
Eligibility
- Age range
- Not specified
- Sex
- All
- Healthy volunteers
- Yes
Adult Inclusion Criteria: * Aged 18 or older * Current caregiver of child with asthma or staff member at a Baltimore City K-8 Public School in Asthma CHAMPS Exclusion Criteria: * Unwilling to consent Children with asthma Inclusion Criteria: * Asthma diagnosis * Currently enrolled in Baltimore City K-8 Public School participating in Asthma CHAMPS Exclusion Criteria: * Unwilling to provide assent
Interventions
- BehavioralAsthma CHAMPS full program
Full program includes (1) education for staff, students, and caregivers (2) environmental education and intervention (3) asthma care coordination (4) resources
- BehavioralAsthma CHAMPS Wait List Control
Stepped wedge design
Location
- Baltimore City Public SchoolsBaltimore, Maryland