Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic

RVA Breathes, a community program to improve asthma management and care coordination among children living in a low-income, urban area, is being evaluated in a randomized clinical trial. In March 2020, RVA Breathes was converted to a remote program due to the COVID-19 pandemic; this report provides...

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Autores principales:	Robin S. Everhart, Katherine W. Dempster, Devon Withers, Suzanne E. Mazzeo, Rosalie Corona, Leroy R. Thacker, II, Michael S. Schechter
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Asthma Family Community COVID-19 Disparities Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/fd9602481e3c4ca88ac3f7f6bc00f522
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spelling	oai:doaj.org-article:fd9602481e3c4ca88ac3f7f6bc00f5222021-11-30T04:16:44ZAdaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic2451-865410.1016/j.conctc.2021.100871https://doaj.org/article/fd9602481e3c4ca88ac3f7f6bc00f5222021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S245186542100171Xhttps://doaj.org/toc/2451-8654RVA Breathes, a community program to improve asthma management and care coordination among children living in a low-income, urban area, is being evaluated in a randomized clinical trial. In March 2020, RVA Breathes was converted to a remote program due to the COVID-19 pandemic; this report provides an update on the modifications made to the RVA Breathes trial. Additionally, given that families in the program have been disproportionally impacted by both COVID-19 and significant social unrest at both the local and national level, strategies used to enroll and engage families in the trial who bore disproportionately high burdens during this time period are outlined. Remote sessions (telephone or video) for families enrolled in the program prior to the onset of COVID-19 began in April 2020; enrollment of new families began remotely in July 2020 using adapted consent procedures. Baseline, intervention, and follow-up sessions were delivered either via the telephone or video depending upon family preference. Strategies were implemented to engage caregivers and children in completing measures over the telephone or video versus in person. Tangible intervention materials and participant payments were dropped off at family homes using contactless procedures. Our team was able to adapt and safely continue a large, community-based clinical trial, despite the increased health risks and social isolation mandates from the pandemic, by transitioning to a remote format. Challenges remain in determining whether RVA Breathes as a remote program has had the same impact on child asthma as the face-to-face interventions that comprised its original format.Robin S. EverhartKatherine W. DempsterDevon WithersSuzanne E. MazzeoRosalie CoronaLeroy R. Thacker, IIMichael S. SchechterElsevierarticleAsthmaFamilyCommunityCOVID-19DisparitiesMedicine (General)R5-920ENContemporary Clinical Trials Communications, Vol 24, Iss , Pp 100871- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Asthma Family Community COVID-19 Disparities Medicine (General) R5-920
spellingShingle	Asthma Family Community COVID-19 Disparities Medicine (General) R5-920 Robin S. Everhart Katherine W. Dempster Devon Withers Suzanne E. Mazzeo Rosalie Corona Leroy R. Thacker, II Michael S. Schechter Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
description	RVA Breathes, a community program to improve asthma management and care coordination among children living in a low-income, urban area, is being evaluated in a randomized clinical trial. In March 2020, RVA Breathes was converted to a remote program due to the COVID-19 pandemic; this report provides an update on the modifications made to the RVA Breathes trial. Additionally, given that families in the program have been disproportionally impacted by both COVID-19 and significant social unrest at both the local and national level, strategies used to enroll and engage families in the trial who bore disproportionately high burdens during this time period are outlined. Remote sessions (telephone or video) for families enrolled in the program prior to the onset of COVID-19 began in April 2020; enrollment of new families began remotely in July 2020 using adapted consent procedures. Baseline, intervention, and follow-up sessions were delivered either via the telephone or video depending upon family preference. Strategies were implemented to engage caregivers and children in completing measures over the telephone or video versus in person. Tangible intervention materials and participant payments were dropped off at family homes using contactless procedures. Our team was able to adapt and safely continue a large, community-based clinical trial, despite the increased health risks and social isolation mandates from the pandemic, by transitioning to a remote format. Challenges remain in determining whether RVA Breathes as a remote program has had the same impact on child asthma as the face-to-face interventions that comprised its original format.
format	article
author	Robin S. Everhart Katherine W. Dempster Devon Withers Suzanne E. Mazzeo Rosalie Corona Leroy R. Thacker, II Michael S. Schechter
author_facet	Robin S. Everhart Katherine W. Dempster Devon Withers Suzanne E. Mazzeo Rosalie Corona Leroy R. Thacker, II Michael S. Schechter
author_sort	Robin S. Everhart
title	Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
title_short	Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
title_full	Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
title_fullStr	Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
title_full_unstemmed	Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic
title_sort	adaptations to the rva breathes clinical trial due to the covid-19 pandemic
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/fd9602481e3c4ca88ac3f7f6bc00f522
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Adaptations to the RVA Breathes clinical trial due to the COVID-19 pandemic

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