Trial Outcomes & Findings for Aligning With Schools To Help Manage Asthma (Project ASTHMA) (NCT NCT03032744)

NCT ID: NCT03032744

Last Updated: 2026-02-09

Results Overview

Total number of days per week, over the previous 4 weeks, of asthma symptoms Minimum: 0 Maximum: 7 Lower number indicates improvement The change in number of days per week of asthma symptoms from baseline to 7-month follow-up

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

29 participants

Primary outcome timeframe

Baseline, 1-month, 3-month, 5-month, 7-month

Results posted on

2026-02-09

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the intervention group will be prescribed the appropriate asthma therapy based on their assessment (i.e. providing 'asthma assessment \& management'), and receive the morning dose of their daily asthma controller medication at school on school days. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications Controller medication at school: Students will receive the morning dose of their daily preventive asthma medication at school on school days.
Usual Care
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the usual care group will be provided with the results of their asthma assessment and be instructed to follow up with their primary care provider. They will continue to receive all of their daily asthma controller medication at home. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications
Overall Study
STARTED
13
16
Overall Study
COMPLETED
12
15
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Aligning With Schools To Help Manage Asthma (Project ASTHMA)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention
n=13 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the intervention group will be prescribed the appropriate asthma therapy based on their assessment (i.e. providing 'asthma assessment \& management'), and receive the morning dose of their daily asthma controller medication at school on school days. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications Controller medication at school: Students will receive the morning dose of their daily preventive asthma medication at school on school days.
Usual Care
n=16 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the usual care group will be provided with the results of their asthma assessment and be instructed to follow up with their primary care provider. They will continue to receive all of their daily asthma controller medication at home. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications
Total
n=29 Participants
Total of all reporting groups
Age, Continuous
8.6 years
n=41 Participants
9.2 years
n=1581 Participants
8.9 years
n=4626 Participants
Sex: Female, Male
Female
2 Participants
n=41 Participants
6 Participants
n=1581 Participants
8 Participants
n=4626 Participants
Sex: Female, Male
Male
11 Participants
n=41 Participants
10 Participants
n=1581 Participants
21 Participants
n=4626 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Asian
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=41 Participants
14 Participants
n=1581 Participants
24 Participants
n=4626 Participants
Race (NIH/OMB)
White
3 Participants
n=41 Participants
2 Participants
n=1581 Participants
5 Participants
n=4626 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=41 Participants
0 Participants
n=1581 Participants
0 Participants
n=4626 Participants
Asthma Control Test (ACT)
14.8 units on a scale
STANDARD_DEVIATION 4.27 • n=41 Participants
14.4 units on a scale
STANDARD_DEVIATION 4.96 • n=1581 Participants
14.6 units on a scale
STANDARD_DEVIATION 4.59 • n=4626 Participants

PRIMARY outcome

Timeframe: Baseline, 1-month, 3-month, 5-month, 7-month

Total number of days per week, over the previous 4 weeks, of asthma symptoms Minimum: 0 Maximum: 7 Lower number indicates improvement The change in number of days per week of asthma symptoms from baseline to 7-month follow-up

Outcome measures

Outcome measures
Measure
Intervention
n=12 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the intervention group will be prescribed the appropriate asthma therapy based on their assessment (i.e. providing 'asthma assessment \& management'), and receive the morning dose of their daily asthma controller medication at school on school days. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications Controller medication at school: Students will receive the morning dose of their daily preventive asthma medication at school on school days.
Usual Care
n=15 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the usual care group will be provided with the results of their asthma assessment and be instructed to follow up with their primary care provider. They will continue to receive all of their daily asthma controller medication at home. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications
Change in Number of Days Per Week, in the Previous 4 Weeks, of Daytime Asthma Symptoms From Baseline to 7-month Follow-up
-3.4 days per week
Interval -4.9 to -1.9
-2.8 days per week
Interval -4.1 to -1.2

SECONDARY outcome

Timeframe: Baseline, 1-month, 3-month, 5-month, 7-month

Improvement in ACT (Asthma Control Test) score, a validated questionnaire for the assessment of asthma symptoms, which is included in the NAEPP-EPR3 guidelines for components of control. Minimum value is 0. Maximum value is 27. Higher scores mean a better outcome. Scores less than 19 suggest not well-controlled asthma. The change in ACT score from baseline to 7-month follow-up

Outcome measures

Outcome measures
Measure
Intervention
n=12 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the intervention group will be prescribed the appropriate asthma therapy based on their assessment (i.e. providing 'asthma assessment \& management'), and receive the morning dose of their daily asthma controller medication at school on school days. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications Controller medication at school: Students will receive the morning dose of their daily preventive asthma medication at school on school days.
Usual Care
n=15 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the usual care group will be provided with the results of their asthma assessment and be instructed to follow up with their primary care provider. They will continue to receive all of their daily asthma controller medication at home. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications
Change in ACT Score From Baseline to 7-month Follow-up
6.4 score on a scale
Interval 3.2 to 9.4
8.3 score on a scale
Interval 5.1 to 10.8

SECONDARY outcome

Timeframe: Baseline, 1-month, 3-month, 5-month, 7-month

Improvement FEV1/FVC ratio on spirometry. Higher number is a better outcome. FEV1/FVC ratio is a calculation used in pulmonary function testing to help diagnose lung conditions, particularly obstructive and restrictive lung diseases. It represents the proportion of air a person can exhale in the first second of a forced expiration (FEV1 - forced expiratory volume in 1 second) compared to the total amount of air they can exhale with maximal effort (FVC - forced vital capacity). The change in FEV1/FVC ratio from baseline to 7-month follow-up.

Outcome measures

Outcome measures
Measure
Intervention
n=12 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the intervention group will be prescribed the appropriate asthma therapy based on their assessment (i.e. providing 'asthma assessment \& management'), and receive the morning dose of their daily asthma controller medication at school on school days. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications Controller medication at school: Students will receive the morning dose of their daily preventive asthma medication at school on school days.
Usual Care
n=15 Participants
All participants will undergo an initial asthma assessment per the NAEPP-EPR3 (National Asthma Education and Prevention Program - Expert Panel Report 3) guidelines, as well as asthma education. Participants randomized to the usual care group will be provided with the results of their asthma assessment and be instructed to follow up with their primary care provider. They will continue to receive all of their daily asthma controller medication at home. Asthma Assessment \& Management: Asthma Assessment \& Management based on NAEPP-EPR3 guidelines Asthma Education: Asthma education on medications
Change in FEV1/FVC Ratio From Baseline to 7-month Follow-up
0 ratio
Interval -0.01 to 0.04
-0.05 ratio
Interval -0.07 to -0.02

Adverse Events

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Usual Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Lucy C Holmes, MD, MPH

University at Buffalo

Phone: 7163230034

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place