Promoting Asthma Management Guidelines With Technology-Based Intervention and Care Coordination in Clinics and Schools

Part of paid clinical trials in The Bronx, New York.

Sponsor
Montefiore Medical Center
Study ID
NCT07224061
Status
Recruiting
Apply to this trial

Conditions

  • Asthma in Children

Eligibility Criteria

Sex
ALL
Age
4 Years - 12 Years
Healthy Volunteers
Not accepted

Interventions

  • PRAGMATIC-S — BEHAVIORAL
    Intervention combines EHR-based guideline prompts, electronic MAF submission, school-based directly observed therapy (DOT), and Asthma Outreach Workers (AOWs) providing care coordination, adherence support, and communication between families, schools, and providers.

Study Details

The overall goal of this research study is to evaluate a multi-level program called PRAGMATIC-S to improve the delivery of guideline-based asthma care through a unique partnership between clinical practices and schools. PRAGMATIC-S represents a novel approach that addresses multiple barriers to adherence by bridging primary care and schools, ensuring delivery of guideline-based asthma care to urban children across these settings thereby improving adherence to therapy and clinical outcomes.

Key Dates

Start date
Feb 12, 2026
Status verified
Apr 2026
Primary completion
Jun 30, 2031
Completion
Jun 30, 2033

Study Design

Enrollment
420 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: PRAGMATIC-S
    Primary Care Providers (PCPs) will use guideline-based prompts within EHR; PCPs and caregivers will complete medication administration forms electronically with forms routed directly to schools to receive asthma medications at the school, and asthma outreach workers will serve as liaison between families, PCPs, schools and provide care coordination and support.
  • No Intervention: Enhanced Usual Care
    Standard of care EHR clinician prompts for guideline-based asthma care

Primary Outcome Measure

Asthma Control - continuous [ Time Frame: Baseline, 4 months, 8 months, and 12 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Children's Hospital at Montefiore, Albert Einstein College of MedicineThe BronxNew York10467
Marina Reznik, MD, MS
[email protected]
718-741-2494

Find similar trials in The Bronx, NY

By research site
Children's Hospital at Montefiore, Albert Einstein College of Medicine· The Bronx, NY

Related Studies