RecruitingPhase 4NCT07241117

CHEST: A Collaboration With Community HEalth Centers to Implement SmarT for Asthma

Sponsor

Washington University School of Medicine

Enrollment

2,000 participants

Start Date

Jan 6, 2026

Study Type

INTERVENTIONAL

Conditions

Moderate to Severe Asthma

Summary

Purpose: This study aims to improve asthma care by helping clinicians at community health centers prescribe a guideline-recommended treatment called SMART (Single Maintenance and Reliever Therapy). The investigators will provide training and resources to clinicians, give feedback on prescribing patterns, and offer educational tools for patients and providers. The investigators will roll out these resources in stages across clinics. The study will measure how well the program helps clinicians prescribe SMART therapy and whether it reduces asthma exacerbations in patients.

Eligibility

Min Age: 12 Years

Plain Language Summary

Simplified for easier understanding

This trial tests whether a structured implementation program (SMART) can help community health clinics provide better asthma care to adult patients. You may be eligible if... - Your clinic is part of the St. Louis Integrated Health Center Network and has at least 3 clinicians who regularly treat adult asthma - As a clinician/staff: you are a licensed physician, nurse practitioner, or physician assistant who regularly cares for adult asthma patients and are willing to integrate the SMART bundle - As a patient: you are an adult with asthma being seen at a participating clinic (specific patient criteria determined at clinic level) You may NOT be eligible if... - Your clinic does not meet the participation requirements listed above - As a clinician: you do not regularly treat adult asthma patients or are unwilling to integrate the program 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.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

BEHAVIORALImplementation bundle

The intervention is a SMART implementation bundle delivered in Federally Qualified Health Centers. Unlike drug trials, no medication is supplied; providers prescribe according to guidelines. The bundle includes three components: (1) clinician education with practice facilitation, (2) audit and feedback on prescribing, (3) patient education tools such as a SMART-aligned asthma action plan and videos tailored for low health literacy, and (4) operations committee meetings during the implementation period