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)628-0235ksheridan@lungchicago.org