No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
5 – 18
Sex
Any
Study type
Interventional
Purpose
Health Services Research
Participants needed
18 (estimated)
Sponsor
Children's Hospital of Philadelphia · Other
Who this trial is looking for
This trial is looking for children aged 5 to 18 with asthma who are receiving care at a specific clinic. Participants will help test new ways to improve asthma treatment using a method called SMART.
Are You a Good Fit for This Trial?
You may be able to join if
I am between 5 and 18 years old.
I have been to the participating clinic for a visit.
I have been prescribed an inhaled corticosteroid or a combination inhaler in the past year.
I have uncontrolled asthma based on specific assessments.
You may not be able to join if
I have transferred clinics or left the CHOP Pediatric Care Network.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer three quick questions written from this study's own rules to see if you may qualify. No account needed to find out.
While single maintenance and reliever therapy (SMART) has been the preferred management strategy for Step 3 and 4 (moderate/severe) asthma management since the 2020 NIH asthma guideline updates, adoption of SMART has not been rigorously assessed. This study will test population health management (PHM; asthma community health worker, asthma nurse care manager) implementation strategies building on …
While single maintenance and reliever therapy (SMART) has been the preferred management strategy for Step 3 and 4 (moderate/severe) asthma management since the 2020 NIH asthma guideline updates, adoption of SMART has not been rigorously assessed. This study will test population health management (PHM; asthma community health worker, asthma nurse care manager) implementation strategies building on electronic medical record clinical decision support and education implementation strategies (CDS+), to increase adoption of SMART. This is the second of two related records.
Trial Locations
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Facility
City
State
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Status
Eligibility Criteria
Clinic Inclusion Criteria:
* The clinic is a pediatric primary care clinic that is part of the Children's Hospital of Philadelphia (CHOP) Pediatric Research Consortium (PeRC).
* The clinic agrees to participate in SMART \& SIMPLE study.
Patient Inclusion Criteria:
* Ages 5-18 years;
* Has clinic …
Clinic Inclusion Criteria:
* The clinic is a pediatric primary care clinic that is part of the Children's Hospital of Philadelphia (CHOP) Pediatric Research Consortium (PeRC).
* The clinic agrees to participate in SMART \& SIMPLE study.
Patient Inclusion Criteria:
* Ages 5-18 years;
* Has clinic visit at participating practice during study interval (sick, well, or follow-up)
* Prescribed at least one prescription for an inhaled corticosteroid (ICS) or ICS-long-acting beta agonist (ICS-LABA) for maintenance asthma therapy in the past year;
* Evidence of uncontrolled asthma as determined by: (1) uncontrolled Asthma Control Tool score in the past 6 months OR (2) two or more systemic corticosteroids prescribed for an asthma exacerbation in the past 12 months (one occurring in the past 6 months)
Clinic Exclusion Criteria:
\- The clinic is not willing to participate in SMART \& SIMPLE study interventions.
Patient Exclusion Criteria:
\- Transferred clinics or left the CHOP Pediatric Care Network.
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