Resources and Education for Addressing Chronic Health (REACH)

This study pilots REACH, Resources and Education for Addressing Chronic Health, a service model to facilitate care coordination and communication across medical, school, and home settings. REACH seeks to address barriers to school-based asthma management, improving health and educational outcomes and reducing negative impacts for children with asthma.

Parents (N=200)/Children (N=200) Inclusion criteria for recruited parents/children: * parents/caregivers with at least one child with asthma or present to the nurse with asthma symptoms in the partner school district, * child with asthma must have a diagnosis of asthma or suspected asthma due to asthma symptom-related healthcare utilization and/or multiple visits to the school nurse (\>1) * attend a school in one of the partner school districts * have access to email and a computer or other mobile device * receive care within the BJH/ WUSM system (an indicator of participation in the electronic health record system). Exclusion Criteria for recruited families: * Child does not have asthma and do not present to school nurse with asthma symptoms * Child does not attend one of the identified schools in a partner school district * Children in foster care or wards of the state School Nurses (Implementers) (N=15) Inclusion Criteria for school nurses: * Employed by partner school district and work in an identified building * Provide care to students with asthma or present with asthma symptoms Exclusion Criteria for school nurses: \- Do not work for partner school district or for an identified building Providers (N =15) Inclusion Criteria for Providers: \- Provide care to a child participant on the study Exclusion Criteria for Providers: \- Do not provide care to a child participant on the study