# West Philadelphia Asthma Care Implementation Plan

> **NIH NIH U01** · CHILDREN'S HOSP OF PHILADELPHIA · 2022 · $1,067,973

## Abstract

Project Summary/Abstract:
 The Community Asthma Prevention Program (CAPP) has a two-decade history of utilizing CHWs to
improve asthma outcomes of children in Philadelphia. Building on this foundation, we established a network of
stakeholders, The West Philadelphia Asthma Care Collaborative (WEPACC), with representation from public
housing, healthcare, community, and schools. As a result of assessment of local needs, resource mapping, and
months of planning, we designed an asthma care implementation program with the broad objective of
integrating home, school, healthcare system, and community for school-aged asthmatic children in West
Philadelphia. We will accomplish this goal using CHWs to deliver sustainable patient-centered evidence-
based interventions. The evidence-based interventions include (1) a primary care-based Yes We Can
intervention with home visitation and (2) a comprehensive and rigorously evaluated school-based intervention,
Open Airways for schools and School Based Asthma Therapy. CHWs will function as the hub of each
interventions, serving either as primary care CHWs or school CHWs to provide a network of education, care
coordination support, and to facilitate communication for families of children with asthma between the four
sectors. This project is innovative in that it seeks to integrate interventions in a comprehensive and sustainable
manner to reduce asthma disparities in poor, minority children.
 Using a factorial design, we will recruit and randomize 600 asthmatic children (ages 6-12 years) from
three inner-city primary care clinics who attend one of 23 West Philadelphia schools to one of four study
conditions: both interventions (both primary care and school CHWs intervention), primary care CHW or school-
CHW alone, or control and follow for one year. We will accomplish the following objectives:
Specific Aim 1. Compare effectiveness of the primary care and school interventions to improve asthma
control and reduce symptom days using main and simple effects from the factorial design.
Specific Aim 2. Explore moderators and mechanisms of effectiveness and sustainability of the
interventions.
Specific Aim 3. Use mixed methods to explore implementation determinants and outcomes of school
intervention that promote effectiveness, fidelity and sustainability
Specific Aim 4. Examine the costs, savings, and cost effectiveness associated with the intervention and
implementation strategies to promote sustainability
1

## Key facts

- **NIH application ID:** 10463624
- **Project number:** 5U01HL138687-06
- **Recipient organization:** CHILDREN'S HOSP OF PHILADELPHIA
- **Principal Investigator:** Tyra C Bryant-Stephens
- **Activity code:** U01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $1,067,973
- **Award type:** 5
- **Project period:** 2017-08-15 → 2025-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10463624

## Citation

> US National Institutes of Health, RePORTER application 10463624, West Philadelphia Asthma Care Implementation Plan (5U01HL138687-06). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10463624. Licensed CC0.

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