RecruitingNot ApplicableNCT07137923

SMART Implementation-Effectiveness Trial 1

Single Maintenance And Reliever Therapy Strategies for IMPLementation and Effectiveness (SMART & SIMPLE) Trial

Sponsor

Children's Hospital of Philadelphia

Enrollment

18 participants

Start Date

Sep 3, 2025

Study Type

INTERVENTIONAL

Conditions

Asthma in Children

Summary

While single maintenance and reliever therapy (SMART) has been the preferred management strategy for Step 3 and 4 (moderate/severe) asthma management since the 2020 NIH asthma guideline updates, adoption of SMART has not been rigorously assessed. This study will test electronic medical record clinical decision support and education implementation strategies (CDS+) to increase adoption of SMART in pediatric primary care. This is the first of two related records.

Eligibility

Min Age: 5 YearsMax Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study (SMART & SIMPLE Trial 1) is testing different strategies for helping pediatric primary care clinics improve asthma care for children with poorly controlled asthma. It focuses on how to best implement inhaler prescriptions and asthma management support within clinic settings. **You may be eligible if...** - You are a child aged 5 to 18 years - You receive care at a participating Children's Hospital of Philadelphia (CHOP) primary care clinic - You have been prescribed an inhaled corticosteroid (a maintenance asthma inhaler) in the past year - Your asthma has been poorly controlled (based on symptom questionnaire or recent oral steroid use) **You may NOT be eligible if...** - Your asthma is currently well-controlled - You do not attend a participating CHOP primary care clinic - You are not on a maintenance asthma medication Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALClinical decision support + education (CDS+)

Intervention clinic providers will experience nudges in the electronic medical record to encourage prescribing SMART where clinically-appropriate and intervention clinic providers, families/patients, and nurses will receive education (collectively CDS+).

OTHERControl

Clinics in Arm 2 will not be exposed to the interventions.