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Randomized Controlled Trial
. 2012 May;49(4):395-400.
doi: 10.3109/02770903.2012.669441. Epub 2012 Mar 28.

Working toward a sustainable system of asthma care: development of the School-Based Preventive Asthma Care Technology (SB-PACT) trial

Jill S Halterman  1 , Joseph Sauer, Maria Fagnano, Guillermo Montes, Susan Fisher, Paul Tremblay, Reynaldo Tajon, Arlene Butz
Affiliations
Randomized Controlled Trial

Working toward a sustainable system of asthma care: development of the School-Based Preventive Asthma Care Technology (SB-PACT) trial

Jill S Halterman et al. J Asthma. 2012 May.

Abstract

Objective: We previously conducted the School-Based Asthma Therapy trial to improve adherence to national asthma guidelines for urban children through directly observed administration of preventive asthma medications in school. The trial successfully improved outcomes among these children; however, several factors limit its potential for dissemination. To enhance sustainability, we subsequently developed a new model of care using web-based guides for efficient communications and integration within school and community systems. This article describes the development of the School-Based Preventive Asthma Care Technology (SB-PACT) trial.

Method: We developed the SB-PACT web-based system based on stakeholder feedback, and conducted a pilot randomized trial with 100 children to establish its feasibility in facilitating preventive asthma care for high-risk children. The SB-PACT system represents a new model of care using web-based guides for asthma symptom screening, follow-up control assessments, and electronic communications with providers.

Result: We enrolled and successfully screened all children using the web-based system. Most providers used the electronic communication system without difficulty, and the majority of children in the intervention group received preventive medications through school as planned and dose adjustments as needed. Several challenges to implementation also were encountered.

Conclusions: This program is designed to promote sustainability of school-based asthma care, reduce program costs, and ultimately succeed in a real-world setting. With further refinements, it has the potential to be implemented nationally in schools.

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Conflict of interest statement

DECLARATION OF INTEREST

This work was funded by a grant from the National Heart, Lung and Blood Institute of the National Institutes of Health (RC1HL099432).

Figures

Figure 1
Figure 1
SB-PACT Flow Diagra
See this image and copyright information in PMC

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