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Scaling up the Integrated Care Pathway for Acute Asthma to All Osakidetza Pediatric Services Through a Cluster-randomized SMART Design
Sponsor: Basque Health Service
Summary
The main goal of this study is to evaluate the effectiveness of adaptive sequential implementation strategies based on facilitation in promoting the sustainable and widespread adoption and scaling up of the Integrated Care Pathway for Acute Asthma - ASMAbat across all Primary Care and Hospital Pediatric Services of Osakidetza - Basque Health Service.
Official title: Scaling up the Integrated Care Pathway for Acute Asthma to All Osakidetza Pediatric Services Through a Cluster-randomized Sequential, Multiple Assignment, Randomized Trial (SMART) Design
Key Details
Gender
All
Age Range
2 Years - 14 Years
Study Type
INTERVENTIONAL
Enrollment
4680
Start Date
2026-07-01
Completion Date
2029-02-28
Last Updated
2026-06-11
Healthy Volunteers
No
Conditions
Interventions
Internal + External Facilitation
Non-responding sites randomized to receive both internal and external facilitation focused on addressing determinants (barriers) of low adoption
Internal + External Facilitation
Responding sites randomized to receive both internal and external facilitation focused on consolidate factors required for sustained adoption
Internal Facilitation
Both responding and non-responding randomized to receive the standard scaling
Locations (1)
Primary Care Research Unit of Bizkaia
Barakaldo, Bizkaia, Spain