CHEST: A Collaboration With Community HEalth Centers to Implement SmarT for Asthma

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age12+
SponsorWashington University School of Medicine

About this trial

Purpose: This study aims to improve asthma care by helping clinicians at community health centers prescribe a guideline-recommended treatment called SMART (Single Maintenance and Reliever Therapy).

The investigators will provide training and resources to clinicians, give feedback on prescribing patterns, and offer educational tools for patients and providers. The investigators will roll out these resources in stages across clinics. The study will measure how well the program helps clinicians prescribe SMART therapy and whether it reduces asthma exacerbations in patients.

Eligibility criteria

Qualifiers

Active participation in the St. Louis Integrated Health Center Network for Community Academic Partnerships.

Employment of at least 3 clinicians who commonly manage adult asthma (defined as managing asthma for at least one adult asthma patient, on average, on a weekly basis).

Data provided to Azara for data queries, and

Willing and able to receive all components of the SMART implementation bundle (i.e., initial educational outreach visit, ongoing practice facilitation/supervision, audit & feedback, and provision of education of patient-level education aides and SMART asthma action plans and monthly operations committee meetings).

Disqualifiers

None

Trial design

Treatments tested in this trial

  • Implementation bundle

Treatment groups

2,000 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Washington University School of Medicine

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Doris Duke Charitable Foundation

Collaborator

Affinia Healthcare

Collaborator

Family Care Health Centers

Collaborator