Application of Dissemination and Implementation Research Methods to Translate School Asthma Curriculum
This article was originally published here
J Allergy Clin Immunol. May 12, 2022: S0091-6749(22)00626-1. doi: 10.1016/j.jaci.2022.04.029. Online ahead of print.
Our school-based asthma program has reduced asthma exacerbations among youth with health disparities in the Denver metro area, in part through consideration of social determinants of health (SDOH), such as access to health care and medicines. Science-based approaches to dissemination and implementation (D&I) accelerate the translation of evidence-based programs into routine practice. D&I methods are more commonly applied to improve health equity. The purpose of this publication is to provide an overview of D&I research methods, using our school asthma program as an example. To successfully scale our program across the state of Colorado, we apply a D&I framework that guides the adaptation of our existing implementation approach to better suit the local context of our stakeholders – the Exploration, preparation, implementation and maintenance (EPIS). In a pragmatic trial design, we will assess program implementation outcomes in five Colorado regions with attention to health equity, using a second commonly used D&I framework – reach, effectiveness, uptake, implementation. implementation and maintenance (RE-AIM). Our central hypothesis is that our program will have a broad and equitable reach for eligible students (primary outcome) and will reduce asthma attacks and symptoms. This D&I approach accelerates the spread of our program and is an applicable process for translating other effective allergy/asthma programs to address asthma and allergy-related disparities.