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Applying dissemination and implementation research methods to translate a school-based asthma program.

Stanley J Szefler1, Lisa Cicutto2, Sarah E Brewer3

  • 1Department of Pediatrics, University of Colorado, Anschutz Medical Campus, Aurora, Colo; Children's Hospital Colorado Breathing Institute, Aurora, Colo; Adult and Child Consortium for Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Anschutz Medical Campus, Aurora, Colo.

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PubMed
Summary
This summary is machine-generated.

Our school-based asthma program effectively reduces exacerbations in Denver youth by addressing social determinants of health. Dissemination and implementation science accelerates program scaling and improves health equity for allergy and asthma disparities.

Keywords:
AsthmaEPISPRECIS-2PRISMRE-AIMdissemination and implementation researchhealth disparitiessocial determinants of health

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Area of Science:

  • Public Health
  • Health Disparities
  • Dissemination and Implementation Science

Background:

  • School-based asthma programs can reduce exacerbations in youth with health disparities.
  • Addressing social determinants of health, like healthcare access, is crucial for asthma management.
  • Dissemination and Implementation (D&I) science accelerates the adoption of evidence-based health programs.

Purpose of the Study:

  • To provide an overview of D&I research methods using a school-based asthma program as a case study.
  • To describe the application of D&I frameworks for scaling a program across a state.
  • To highlight the use of D&I to improve health equity in asthma care.

Main Methods:

  • Utilizing the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to adapt the program for local contexts.
  • Employing a pragmatic trial design to evaluate program outcomes across five Colorado regions.
  • Applying the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess implementation and health equity.

Main Results:

  • The school-based asthma program has demonstrated success in reducing asthma exacerbations.
  • D&I science approaches are being used to scale the program and address health equity.
  • The program aims for broad and equitable reach to eligible students, reducing asthma attacks and symptoms.

Conclusions:

  • D&I science is essential for translating effective asthma programs into practice.
  • The described D&I approach facilitates program dissemination and scalability.
  • This methodology is applicable for addressing asthma and allergy-related disparities through other evidence-based programs.