Evaluation of the Asthma Management Program to Promote Activity for Students in Schools (Asthma-PASS)

  • STATUS
    Recruiting
  • End date
    Sep 25, 2025
  • participants needed
    416
  • sponsor
    Montefiore Medical Center
Updated on 24 March 2022

Summary

Physical activity (PA) is an important component of asthma management in children. Studies show that PA is associated with decreased severity of asthma symptoms, as well as improved disease control and quality of life. However, urban minority children with asthma face barriers to PA on multiple levels.The goal of this research project is to evaluate whether a multifaceted school-based intervention that addresses key barriers to physical activity reduces asthma morbidity among urban schoolchildren with asthma.

Description

Investigators will conduct a cluster-randomized controlled trial with 416 children ages 5-11 years with persistent or uncontrolled asthma from 26 Bronx schools. Schools will be randomly assigned to either (1) the Asthma-PASS intervention or an asthma management (AM) comparison group. Both groups will participate in an existing classroom-based daily activity program. Enrollment will occur over 4 consecutive school years with 6-8 schools joining the study each year. The investigators will assess the effectiveness of Asthma-PASS in reducing asthma morbidity, and improving PA as well as additional clinical and functional outcomes. The investigators will also identify potential mediators and moderators of the intervention effect. They will evaluate the process of intervention implementation by applying the RE-AIM framework.

Details
Condition Asthma in Children
Treatment Asthma-PASS, Basic Asthma Management (AM), Child/Caregiver Education session
Clinical Study IdentifierNCT04576442
SponsorMontefiore Medical Center
Last Modified on24 March 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Physician-diagnosed asthma (based on parent report with validation from the child's physician)
Mild persistent or more severe asthma, or asthma that is uncontrolled despite therapy
Attending kindergarten through 5th grade in Bronx elementary schools
Parent is able to speak and understand either English or Spanish
Consent from the primary caregiver, caregiver permission for child participation as well as assent from the child (for age 7 and above)

Exclusion Criteria

No access to a phone to conduct follow-up surveys
Family plans to leave the school or city in less than 6 months
The child has other significant medical conditions, such as congenital heart disease, cystic fibrosis, or other chronic lung disease
Child is unable to participate in routine PE classes as per physician-completed sports participation form
Children in foster care or other situations in which consent cannot be obtained from a guardian
Child is a participant in a concurrent asthma intervention study
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