[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642714":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":31,"centralContacts":40,"locations":50,"responsibleParty":64,"collaborators":68,"id":72,"slug":73,"hasResults":74,"nctId":75,"briefTitle":76,"officialTitle":77,"acronym":31,"eligibilityCriteria":78,"healthyVolunteers":74,"sex":79,"minAge":80,"maxAge":81,"enrollmentInfo":82,"targetDuration":31,"studyType":85,"phases":86,"briefSummary":88,"conditions":89,"keywords":31,"overallStatus":91,"whyStopped":31,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"Basque Health Service","OTHER_GOV",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Implementation facilitation (IF) strategy","EXPERIMENTAL","Standard scaling up of the clinical pathway augmented with Implementation Facilitation",[13],"Behavioral: Internal + External Facilitation for Implementation",{"label":15,"type":10,"description":16,"interventionNames":17},"Sustainability facilitation (SF) strategy","Standard scaling up of the clinical pathway augmented with Sustainability Facilitation",[18],"Behavioral: Internal + External Facilitation for Sustainability",{"label":20,"type":21,"description":22,"interventionNames":23},"Standard scaling (SS) strategy","ACTIVE_COMPARATOR","Standard scaling up of the clinical pathway",[24],"Behavioral: Internal Facilitation",[26,32,36],{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":31},"BEHAVIORAL","Internal + External Facilitation for Implementation","Non-responding sites randomized to receive both internal and external facilitation focused on addressing determinants (barriers) of low adoption",[9],null,{"type":27,"name":33,"description":34,"armGroupLabels":35,"otherNames":31},"Internal + External Facilitation for Sustainability","Responding sites randomized to receive both internal and external facilitation focused on consolidate factors required for sustained adoption",[15],{"type":27,"name":37,"description":38,"armGroupLabels":39,"otherNames":31},"Internal Facilitation","Both responding and non-responding randomized to receive the standard scaling",[20],[41,46],{"name":42,"role":43,"phone":44,"phoneExt":31,"email":45},"Alvaro Sanchez Perez","CONTACT","(+34)946006673","ALVARO.SANCHEZPEREZ@osakidetza.eus",{"name":47,"role":43,"phone":48,"phoneExt":31,"email":49},"Alvaro Goñi De Francisco","(+34) 946006671","ALVARO.GONIDEFRANCISCO@osakidetza.eus",[51],{"facility":52,"status":31,"city":53,"state":54,"zip":55,"country":56,"countryCode":57,"cosmosGeoPoint":58,"geoPoint":63,"contacts":31},"Primary Care Research Unit of Bizkaia","Barakaldo","Bizkaia","48903","Spain","ES",{"type":59,"coordinates":60},"Point",[61,62],-2.98813,43.29639,{"lat":62,"lon":61},{"type":65,"investigatorFullName":66,"investigatorTitle":67,"investigatorAffiliation":5,"oldNameTitle":31,"oldOrganization":31},"PRINCIPAL_INVESTIGATOR","Marta Montejo Fernandez","Principal Investigator",[69],{"name":70,"class":71},"Basque Government Department of Public Health","OTHER","100642714","scaling-up-the-integrated-care-pathway-for-acute-asthma-to-all-osakidetza-pediatric-services-through-a-cluster-randomized-smart-design-100642714",false,"NCT07642388","Scaling up the Integrated Care Pathway for Acute Asthma to All Osakidetza Pediatric Services Through a Cluster-randomized SMART Design","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","Eligibility for healthcare settings:\n\n\\- All Pediatric Services (Primary Care n=108 and Hospital Care n=9) from 11 of the 13 Osakidetza Integrated Healthcare Organizations that are not currently implementing the ASMAbat Pathway.\n\nEligibility for professionals:\n\n* Primary Care pediatricians and nurses\n* Pediatricians and nurses in the Pediatric Emergency Department\n* Pediatricians and nurses on the inpatient ward\n* Pediatric Intensive Care pediatricians and nurses\n* Pediatric Pneumology pediatricians and nurses\n\nEligibility for patients:\n\nPatients between 2 and 14 years that have being attended between the 1st of July 2026 and the 28th of February 2029, and with an acute episode of asthma, defined as:\n\n* an episode of wheezing and a previous diagnosis of asthma or with a previous episode of wheezing\n* a first episode in a child older than 2 years with a personal\u002Ffamily history of atopy and\u002For with an objective response to bronchodilators as assessed by a severity Score","ALL","2 Years","14 Years",{"count":83,"type":84},4680,"ESTIMATED","INTERVENTIONAL",[87],"NA","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.",[90],"Asthma in Children","NOT_YET_RECRUITING","2026-06-15",{"date":94,"type":95},"2026-06-16","ACTUAL",{"date":97,"type":84},"2026-07-01",{"date":99,"type":84},"2029-02-28",{"name":5,"class":6},1]