NCT07819747NARecruiting

Resources and Education for Addressing Chronic Health (REACH)

Washington University School of Medicine

Start Date

6/9/2026

Completion Date

6/1/2030

Summary

This study pilots REACH, Resources and Education for Addressing Chronic Health, a service model to facilitate care coordination and communication across medical, school, and home settings. REACH seeks to address barriers to school-based asthma management, improving health and educational outcomes and reducing negative impacts for children with asthma.

Detailed Description

This study develops and tests the REACH intervention which includes (a) a strategic communication or messaging and dissemination strategy to build school and family relationships and trust, (b) capacity building activities to improve asthma knowledge and awareness through asthma education and resources, and (c) a tool/hub that allows record and communication sharing across healthcare and educational systems to facilitate care coordination. Using a Single-Arm Non-Randomized Pre-Post Cluster Trial design, this study tests the hypothesis that use of a care coordination hub will improve school-based asthma management.

Eligibility Criteria

Age Range: 3 years to 18 years

Parents (N=200)/Children (N=200) Inclusion criteria for recruited parents/children: * parents/caregivers with at least one child with asthma or present to the nurse with asthma symptoms in the partner school district, * child with asthma must have a diagnosis of asthma or suspected asthma due to asthma symptom-related healthcare utilization and/or multiple visits to the school nurse (\>1) * attend a school in one of the partner school districts * have access to email and a computer or other mobile device * receive care within the BJH/ WUSM system (an indicator of participation in the electronic health record system). Exclusion Criteria for recruited families: * Child does not have asthma and do not present to school nurse with asthma symptoms * Child does not attend one of the identified schools in a partner school district * Children in foster care or wards of the state School Nurses (Implementers) (N=15) Inclusion Criteria for school nurses: * Employed by partner school district and work in an identified building * Provide care to students with asthma or present with asthma symptoms Exclusion Criteria for school nurses: \- Do not work for partner school district or for an identified building Providers (N =15) Inclusion Criteria for Providers: \- Provide care to a child participant on the study Exclusion Criteria for Providers: \- Do not provide care to a child participant on the study

Interventions

OTHER

REACH

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Conditions

Asthma (Diagnosis)

Locations

WashU School of Medicine

St Louis, Missouri 63110

United States