Scaling up the Integrated Care Pathway for Acute Asthma to All Osakidetza Pediatric Services Through a Cluster-randomized SMART Design
NCT07642388 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 4680
Last updated 2026-06-16
Summary
The main goal of this study is to evaluate the effectiveness of adaptive sequential implementation strategies based on facilitation in promoting the sustainable and widespread adoption and scaling up of the Integrated Care Pathway for Acute Asthma - ASMAbat across all Primary Care and Hospital Pediatric Services of Osakidetza - Basque Health Service.
Conditions
- Asthma in Children
Interventions
- BEHAVIORAL
-
Internal Facilitation
Both responding and non-responding randomized to receive the standard scaling
- BEHAVIORAL
-
Internal + External Facilitation for Implementation
Non-responding sites randomized to receive both internal and external facilitation focused on addressing determinants (barriers) of low adoption
- BEHAVIORAL
-
Internal + External Facilitation for Sustainability
Responding sites randomized to receive both internal and external facilitation focused on consolidate factors required for sustained adoption
Sponsors & Collaborators
-
Basque Government Department of Public Health
collaborator OTHER -
Basque Health Service
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- DOUBLE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 2 Years
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-01
- Primary Completion
- 2029-02-28
- Completion
- 2029-02-28
Countries
- Spain
Study Locations
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