PCORI Asthma projects focus on engagement webinar July 31, 2014 Kate Sheridan, MPH

1. The Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes (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 Project period: March 1, 2014 – Feb 28, 2017

2. SPECIFIC AIMS Aim 1 Complete 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 2 Conduct 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 aim Identify barriers and facilitators of successfully implementing the interventions to inform subsequent implementation studies

3. CHICAGO Trial Working Groups • Steering Committee • Regulatory/IRB • Patient and Stakeholder Engagement • Asthma guidelines • Emergency medicine • CHW coordinating center • Data coordinating center

4. Patient and Stakeholder Engagement Working Group

5. 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 asthma • Improve asthma care by promoting evidence-based care, research, and policy • Link patients, caregivers and the broader community to asthma research, education and other resources

6. 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.

7. Patient and Stakeholder Engagement Working Group Responsibilities • Select patient-centered outcome • Inform study design and implementation • Finalize intervention content • Disseminate results

8. 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

9. CHICAGO Trial Formative Research Outline Focus Groups Caregivers and CHWs Domains: Patient perspective on interventions, inform study outcome Key Informant Interviews ED providers, ED administrators, outpatient providers Domains: Provider perspective on interventions 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 Tours and Observations EDs, Ambulatory centers, call centers Domains: Ecological look at provider care and processes User-Centered Interveiews Caregivers Domains: Patient perspective on interventions, from the home setting CHICAGO Trial Patient/Stakeholder Working Group

10. Patient and Stakeholder Engagement 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)

11. Questions Kate Sheridan, MPH Respiratory Health Association (312)628-0235 ksheridan@lungchicago.org