SBAT for Health Equity
- Sponsor
- University of Rochester
- Study ID
- NCT05744869
- Status
- Not Yet Recruiting
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Conditions
- Asthma in Children
Eligibility Criteria
- Sex
- ALL
- Age
- 4 Years - 12 Years
- Healthy Volunteers
- Not accepted
Interventions
- SBAT Implementation — BEHAVIORALImplementation of the SBAT Program
- Usual Care — BEHAVIORALUsual Care for children with asthma
Study Details
The goal of this research trial is to: 1) Solidify a population health SBAT implementation strategy with our longstanding community collaborators, 2) Perform a district-wide hybrid type 3, stepped-wedge, cluster randomized trial, and 3) Assess the supportive resource utilization and essential features of SBAT to extend sustainability and fidelity in a cost-effective manner.
Key Dates
- First listed
- Feb 27, 2023
- Start date
- Aug 1, 2026
- Status verified
- Mar 2026
- Primary completion
- Jul 31, 2030
- Completion
- Dec 31, 2030
Study Design
- Enrollment
- 300 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: SBAT ImplementationFor schools randomized to implementing SBAT, the program will include the components already available in comparison (usual care) schools (asthma symptom screening forms, access to telemedicine visits, and protocol for initiating DOT), as well as the following elements that will be facilitated with the support of an implementation team: 1. telemedicine asthma visits through school with primary care and/or specialist providers to prescribe needed initial medication as well as medication step-ups for DOT 2. school-based DOT of preventive asthma medications 3. follow-up telemedicine asthma control assessments 4. centralized case management support and care coordination
- Active Comparator: Usual CareDuring student health services orientation, the SBAT team will recommend school-based DOT for all children with persistent or poorly controlled asthma, and will provide a simple asthma screening survey to assess symptoms and a written protocol for initiating DOT. Telemedicine visits and DOT are available for all children in the school district, but the implementation team will not help to facilitate these components within the usual care schools.
Primary Outcome Measure
Percentage of children on DOT [ Time Frame: 3 month follow-up ]
Central Contacts
- Jill S Halterman, MD, MPH5852755798
- Maria Fagnano, MPH, MS5852758220
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