• Login
    View Item 
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    •   Home
    • UMass Chan Faculty and Staff Research and Publications
    • UMass Chan Faculty and Researcher Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of eScholarship@UMassChanCommunitiesPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywordsThis CollectionPublication DateAuthorsUMass Chan AffiliationsTitlesDocument TypesKeywords

    My Account

    LoginRegister

    Help

    AboutSubmission GuidelinesData Deposit PolicySearchingAccessibilityTerms of UseWebsite Migration FAQ

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Incorporating systems-level stakeholder perspectives into the clinical trial design of school-supervised asthma therapy

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Publisher version
    View Source
    Access full-text PDFOpen Access
    View Source
    Check access options
    Check access options
    Authors
    Trivedi, Michelle
    Hoque, Shushmita
    Luther, Janki
    Spano, Michelle
    Shillan, Holly
    Pearl, Hallie
    Seay, Hannah L.
    Phipatanakul, Wanda
    Gerald, Lynn B.
    Pbert, Lori
    Faculty Advisor
    Michelle Trivedi, MD, MPH
    UMass Chan Affiliations
    UMass Worcester Prevention Research Center
    Senior Scholars Program
    School of Medicine
    Department of Population and Quantitative Health Sciences
    Division of Pulmonary Medicine, Department of Pediatrics
    Document Type
    Journal Article
    Publication Date
    2021-09-01
    Keywords
    Childhood asthma
    Clinical trial design
    Implementation
    Stakeholder engagement
    UMCCTS funding
    Clinical Trials
    Community-Based Research
    Medical Education
    Pediatrics
    Public Health
    Pulmonology
    Respiratory Tract Diseases
    Show allShow less
    
    Metadata
    Show full item record
    Link to Full Text
    https://doi.org/10.1016/j.cct.2021.106510
    Abstract
    RATIONALE: Few evidence-based public health interventions are adopted in practice, in part due to a disconnect between the outcomes measured in clinical trials and the outcomes important to stakeholders that determine implementation in real-world practice. AsthmaLink is a school-supervised asthma therapy program which partners pediatric providers, school nurses, and families. To inform the design of a cluster randomized controlled trial of AsthmaLink, we elicited systems-level stakeholder input. METHODS: Maximum variation sampling was used to recruit 18 stakeholders to participate in semi-structured interviews that were recorded, transcribed, and open coded: Department of Public Health officials (n = 4), school officials (n = 4), pediatric practice managers (n = 3), health insurance officials (n = 4), and legislators (n = 3). Thematic analysis was used to identify common themes related to stakeholder priorities for clinical trial design and perceived barriers to AsthmaLink adoption. RESULTS: Stakeholder groups identified common priorities for the clinical trial design, including examination of the extent to which AsthmaLink (1) reduces health care utilization, (2) is cost effective (2) addresses health disparities, (3) reduces school absenteeism, and (4) educates families about asthma. Stakeholder groups reported potential barriers to AsthmaLink adoption, including challenges pertaining to (1) securing resources, staffing, and reimbursement, (2) variability across school districts, and (3) standing out amidst multiple programs vying for resources. CONCLUSIONS: Systems-level stakeholder input informed refinements to the clinical trial design of a school-supervised therapy program including outcome and implementation measures and choice of study population. Incorporating systems-level stakeholder perspectives into clinical trial design is critical to achieve adoption of evidence-based interventions into practice.
    Source

    Trivedi M, Hoque S, Luther J, Spano M, Shillan H, Pearl H, Seay H, Phipatanakul W, Gerald LB, Pbert L. Incorporating systems-level stakeholder perspectives into the clinical trial design of school-supervised asthma therapy. Contemp Clin Trials. 2021 Sep;108:106510. doi: 10.1016/j.cct.2021.106510. Epub 2021 Jul 16. PMID: 34280575; PMCID: PMC8453113. Link to article on publisher's site

    DOI
    10.1016/j.cct.2021.106510
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/49366
    PubMed ID
    34280575
    Notes

    Shushmita Hoque participated in this study as a medical student in the Senior Scholars research program at the University of Massachusetts Medical School.

    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.cct.2021.106510
    Scopus Count
    Collections
    UMass Chan Faculty and Researcher Publications
    T.H. Chan School of Medicine Student Publications
    Senior Scholars Program
    Population and Quantitative Health Sciences Publications
    UMass Worcester PRC Publications
    UMass Center for Clinical and Translational Science Supported Publications

    entitlement

    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Lamar Soutter Library, UMass Chan Medical School | 55 Lake Avenue North | Worcester, MA 01655 USA
    Quick Guide | escholarship@umassmed.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.