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NCT Number: NCT07819747

Resources and Education for Addressing Chronic Health (REACH)

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.

Recruiting

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Key information

Conditions

Asthma (Diagnosis) Asthma Bronchial Diseases Disease Hypersensitivity Hypersensitivity, Immediate Immune System Diseases Lung Diseases Lung Diseases, Obstructive Pathologic Processes Pathological Conditions, Signs and Symptoms Respiratory Hypersensitivity Respiratory Tract Diseases

Age range

3 year–18 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

WashU School of Medicine

St Louis, Missouri, 63110, United States

Location status: Recruiting

Location contact

Madelyn Yoo, MSOT

CONTACT

[email protected]

314-400-8118

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

REACH

Other

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 resource provided both digitally and in-person, and (c) a tool or dashboard that allows records and communication sharing across healthcare and educational systems to facilitate care coordination (REACH tool).

Primary outcomes

  1. Asthma knowledge and awareness

    Time frame: Measured at baseline and at study completion (average of 1 year)

    Measured via survey. Data collected from student caregivers and school nurse implementers.

  2. Implementation

    Time frame: Measured at trial mid-point (approximately 6 months following enrollment) for school nurses only, and at study completion (average of 1 year) for all noted groups

    Measured via surveys and post-trial semi-structured focus group/interview. Data collected from student caregivers, school nurse implementers, and providers.

Secondary outcomes

  1. Asthma guideline adherence

    Time frame: Measured at baseline and at study completion (average of 1 year)

    Measured via survey. Data collected from student caregivers and school nurse implementers.

  2. School connectedness

    Time frame: Measured at baseline and at study completion (average of 1 year)

    Measured via survey. Data collected from student caregivers.

  3. Healthcare utilization

    Time frame: 24 months prior to intervention, during intervention, and 12 months following intervention completion

    Number of asthma related emergency department visits, hospitalizations, and clinic/office visits collected from the electronic medical record.

  4. School Attendance/Absence

    Time frame: 24 months prior to intervention, during intervention, and 12 months following intervention completion

    Number of days student is attends school, and number of school absence days. Data provided by the school.

Study contacts

Contact information is provided by the study sponsor or research team.

Dr. Kelly M. Harris, PhD, CCC-SLP

CONTACT

[email protected]

314-273-3242

Madelyn Yoo, MSOT

CONTACT

[email protected]

314-400-8118

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Registry information

Official study title

Piloting REACH - a School-Based Care Coordination Service Model to Support Youth With Asthma: A Systems Approach

Acronym: REACH

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
Sep 15, 2026
Registry last updated
Sep 21, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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