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SMART Implementation-Effectiveness Trial 2
Sponsor: Children's Hospital of Philadelphia
Summary
While single maintenance and reliever therapy (SMART) has been the preferred management strategy for Step 3 and 4 (moderate/severe) asthma management since the 2020 NIH asthma guideline updates, adoption of SMART has not been rigorously assessed. This study will test population health management (PHM; asthma community health worker, asthma nurse care manager) implementation strategies building on electronic medical record clinical decision support and education implementation strategies (CDS+), to increase adoption of SMART. This is the second of two related records.
Official title: Single Maintenance And Reliever Therapy Strategies for IMPLementation and Effectiveness (SMART & SIMPLE) Trial
Key Details
Gender
All
Age Range
5 Years - 18 Years
Study Type
INTERVENTIONAL
Enrollment
18
Start Date
2025-09-03
Completion Date
2028-02-29
Last Updated
2025-09-17
Healthy Volunteers
No
Conditions
Interventions
Clinical decision support + education (CDS+) and population health management (PHM)
In Interval 1, intervention clinic providers will experience nudges in the electronic medical record to encourage prescribing SMART where clinically-appropriate and intervention clinic providers, families/patients, and nurses will receive education (collectively CDS+). In Interval 2, intervention clinics will have CDS+ and population health management (PHM) strategies, including an asthma community health worker and an asthma nurse care manager.
Control
Clinics in Arm 2 will not be exposed to the interventions.
Locations (1)
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States