# Rhode Island Asthma Integrated Response Program (RI-AIR)

> **NIH NIH U01** · RHODE ISLAND HOSPITAL · 2021 · $581,252

## Abstract

Project Summary/Abstract:
Greater Providence, Rhode Island is comprised of several urban “core” cities of high poverty and significant
pediatric asthma disparity. The RI-Asthma Integrated Response (RI-AIR) Asthma Care Implementation
Program (ACIP) is a comprehensive system of identification, screening and intervention for pediatric
asthma. Core components include: a 1) state of the art technology platform (the RI-AIR information data
system, or RI-AIR IDS) to integrate data from LifeChart (EHR), REDCap (research data system), and KIDSNet
(state-based database of child health information), 2) algorithm for stratification of asthma management
services based on level of asthma control/risk, 3) multilevel school-based education (CASE) to
family/child/school system for children whose asthma is not well-controlled, 4) intensive home-based
intervention (HARP) for children with poorly controlled asthma, and 5) enhanced coordination between
caregiver, school nurse, and health care provider to promote integration across sectors of care. The first aim
of the proposed work is to evaluate the effectiveness of the RI-AIR ACIP using a randomized, stepped
wedge design. During Years 2-4, we will provide our intervention sequentially to sixteen high-risk communities
involving approximately 1500 urban, ethnically diverse children (aged 2-12) with asthma and their families. We
will evaluate both individual-level (e.g., asthma control) and community-specific outcomes (i.e., rates of ED
a multi-level process
evaluation of the RI-AIR ACIP during implementation (Years 2-5). We will assess penetration within identified
communities and school districts, and evaluate characteristics of families that accept and complete the
intervention vs. those who do not. We will determine fidelity of the RI-AIR IDS technology platform in assigning
interventions according to asthma control/risk, and treatment fidelity and dose delivered of the HARP and
CASE programs. We will use focus groups and provider surveys to determine facilitators of and barriers to
visits) for children with asthma. The second aim of this application involves conducting
effective implementation. The third aim involves conducting a mixed-methods evaluation of the sustainability
of the RI-AIR ACIP, with ongoing input from our community stakeholders during Years 5-6. We define
sustainability as continued capacity, continued activities, and continued benefits. We expect over 1 year,
participants receiving the RI-AIR ACIP will have improved asthma control and fewer symptom free days
relative to baseline. We expect over 1 year, relative to baseline, caregivers will have improved asthma
knowledge, self-efficacy, asthma QOL, and indicators of effective disease management. We expect over 1
year, communities receiving the RI-AIR ACIP will have reduced ED visits and hospitalizations relative to their
baseline year, and relative to targeted communities that have not yet received RI-AIR. We plan to demonstrate
that RI-AIR ACIP...

## Key facts

- **NIH application ID:** 10242697
- **Project number:** 5U01HL138677-05
- **Recipient organization:** RHODE ISLAND HOSPITAL
- **Principal Investigator:** Daphne Koinis Mitchell
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $581,252
- **Award type:** 5
- **Project period:** 2017-08-15 → 2023-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10242697

## Citation

> US National Institutes of Health, RePORTER application 10242697, Rhode Island Asthma Integrated Response Program (RI-AIR) (5U01HL138677-05). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10242697. Licensed CC0.

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