The C oordinated H ealthcare I nterventions for C hildhood A sthma G aps in O utcomes ( CHICAGO ) trial. PCORI Asthma projects focus on engagement webinar July 31, 2014 Kate Sheridan, MPH Stacy Ignoffo, MSW Molly Martin, MD, MAPP. PCORI Contract# AS-1307-05420 - PowerPoint PPT Presentation
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PCORI Asthma projects focus on engagement webinar
July 31, 2014
Kate Sheridan, MPHStacy Ignoffo, MSWMolly Martin, MD, MAPP
The Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes (CHICAGO) trial
PCORI Contract# AS-1307-05420Project period: March 1, 2014 – Feb 28, 2017
Aim 1Complete planning activities, including qualitative interviews with caregivers, clinicians and community health workers (CHWs), to finalize the study design and protocol, and obtain clearances from all institutional and community partners for the CHICAGO Trial.
Aim 2Conduct a 3-arm multicenter pragmatic trial comparing the effectiveness of a provider-level ED-based intervention (Provider-ED) v. Provider-ED combined with a patient-level CHW-led intervention that includes a focus on reducing environmental triggers at home (Provider-ED plus Patient-Home) v. Usual Care. In secondary analyses, we will also evaluate the potential for heterogeneity of treatment effects
Secondary aimIdentify barriers and facilitators of successfully implementing the interventions to inform subsequent implementation studies
SPECIFIC AIMS
1. Steering Committee
2. Regulatory/IRB
3. Patient and Stakeholder Engagement
4. Asthma guidelines
5. Emergency medicine
6. CHW coordinating center
7. Data coordinating center
CHICAGO Trial Working Groups
Name Role Institution
Stacy Ignoffo Co-Chair Chicago Asthma Consortium
Kate Sheridan Co-Chair Respiratory Health Association
Molly Martin Member University of Illinois
Valerie Press Member University of Chicago
Helen Margellos-Anast Member Sinai Urban Health Institute
Jessica Ramsey Member Sinai Urban Health Institute
Madeleine Shalowitz Member North Shore University Health System
Tom MacTavish Member Illinois Institute of Design
Kim Erwin Member Illinois Institute of Design
Patient and Stakeholder Engagement Working Group
The CAC was formed in 1996 as a response to local data and lack of collaboration among asthma stakeholders.
In 2000, CAC transitioned to an independent 501(c)(3) organization.
CAC Goals
Raise awareness about asthmaImprove asthma care by promoting evidence-based care,
research, and policyLink patients, caregivers and the broader community to asthma
research, education and other resources
Respiratory Health Association has been a public health leader in metropolitan Chicago since 1906.
Today, we address asthma, COPD, lung cancer, tobacco control and air quality with a comprehensive approach involving research, education and advocacy activities.
Responsibilities
1) Select patient-centered outcome2) Inform study design and implementation3) Finalize intervention content4) Disseminate results
Patient and Stakeholder Engagement Working Group
Methods
• Patient focus groups• CHW focus groups• User-centered interviews in homes• ED tours and observations• Key informant interviews with ED-based providers,
ED-administrators, ED-nurses, and ambulatory providers
• Maintain community advisory board• Outreach through listservs, meetings, and networks
Patient and Stakeholder Engagement Working Group
CHICAGO Trial Formative Research Outline
Focus Groups Caregivers and CHWs
Domains: Patient perspective on interventions, inform study outcome
Key Informant InterviewsED providers, ED administrators,
outpatient providers
Domains: Provider perspective on interventions
User-Centered InterveiewsCaregivers
Domains: Patient perspective on interventions, from the home setting
Tours and ObservationsEDs, Ambulatory centers,
call centersDomains: Ecological look at provider care and processes
Analysis aims to inform: - Study primary outcome - Study design (usual care arm) - Content of ED intervention - Process of ED intervention - Recruitment - Content of CHW intervention
CHICAGO Trial Patient/Stakeholder Working Group
Achievements to date
• Convened Community Advisory Board twice
• City-wide meeting conducted on ED asthma interventions, stakeholder input obtained
• ED-provider discharge tool designed
• Focus groups (underway)• Key informants (underway)• User-centered interviews
(underway)
Patient and Stakeholder Engagement Working Group
Questions
Kate Sheridan, MPHRespiratory Health Association(312)[email protected]