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Sociomarkers to Predict Asthma Control and Emergency Room Visits (SPACER)

Award Number: K23HL155425
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 01/15/2021
PERIOD OF PERFORMANCE END DATE: 05/31/2026

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Sociomarkers to Predict Asthma Control and Emergency Room Visits (SPACER) - PROJECT ABSTRACT Asthma impacts more than 25 million adults and children in the U.S. with high associated morbidity and socioeconomic disparities in outcomes. Because effective medications are available to treat and prevent exacerbations of asthma and evidence-based interventions exist to mitigate the impact of harmful socioeconomic factors, early identification of those at highest risk is crucial. However, efforts to predict future exacerbations of asthma have yielded modest results with infrequent inclusion of comprehensive information on social hardships, such as food insecurity and housing instability, or financial hardships, such as difficulty affording the costs of controller medications which is particularly relevant for those with private health insurance. Identifying social and financial hardships requires broad-based screenings which are resource intensive, difficult to implement in clinical settings and often incomplete or limited to care seeking populations. Further, few asthma risk prediction modalities incorporate time-variable (temporal) data on important social, clinical, and environmental factors. Machine learning, an advanced computational approach to risk prediction, has great potential to improve upon conventional approaches to risk prediction of asthma exacerbations through indirect estimation of social hardships and inclusion of temporal risk factors. Implementation of enhanced asthma risk-prediction models in a health plan setting offers distinct advantages due to existing investments in asthma care management and access to timely claims data across the full care continuum. Accordingly, the aims of the SPACER study (Sociomarkers to Predict Asthma Control and Emergency Room visits) are 1) To describe social and financial hardships in privately insured adults and children with asthma, and association with medication adherence and exacerbations, 2) To indirectly estimate self-reported social and financial hardships using routinely collected health plan and spatial data, and 3) To develop and validate a machine learning network model, incorporating temporal sociomarker, clinical, and environmental data, to predict asthma exacerbations in a health plan setting. The research leverages the unique research environment of the Department of Population Medicine, an academic research department of Harvard Medical School, situated in a regional non-profit health plan, Harvard Pilgrim Health Care. The mentored career development award will support Dr. Alon Peltz, a physician and health services researcher, in developing expertise in machine learning modeling and use of social data to improve prediction of adverse clinical outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $169,322 )
2025	2025	HARVARD PILGRIM HEALTH CARE INC	1 WELLNESS WAY	CANTON	MA	02021	NORFOLK	USA	Lung Diseases Research	000	5	6/27/2025	NON-COMPETING CONTINUATION	$169,322
														Subtotal = $169,322

Issue Date FY: 2024 ( Subtotal = $169,301 )
2024	2024	HARVARD PILGRIM HEALTH CARE INC	1 WELLNESS WAY	CANTON	MA	02021	NORFOLK	USA	Lung Diseases Research	000	4	5/24/2024	NON-COMPETING CONTINUATION	$169,301
														Subtotal = $169,301

Issue Date FY: 2023 ( Subtotal = $169,344 )
2023	2023	HARVARD PILGRIM HEALTH CARE INC	1 WELLNESS WAY	CANTON	MA	02021	NORFOLK	USA	Lung Diseases Research	002	3	6/10/2023	NON-COMPETING CONTINUATION	$169,344
2023	2022	HARVARD PILGRIM HEALTH CARE INC	1 WELLNESS WAY	CANTON	MA	02021	NORFOLK	USA	Lung Diseases Research	000	2	10/22/2022	NON-COMPETING CONTINUATION	$0
2023	2022	HARVARD PILGRIM HEALTH CARE INC	1 WELLNESS WAY	CANTON	MA	02021	NORFOLK	USA	Lung Diseases Research	001	2	2/6/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $169,344

Issue Date FY: 2022 ( Subtotal = $169,342 )
2022	2022	HARVARD PILGRIM HEALTH CARE INC	93 WORCESTER ST	WELLESLEY	MA	02481	NORFOLK	USA	Lung Diseases Research	000	2	12/4/2021	NON-COMPETING CONTINUATION	$169,342
														Subtotal = $169,342

Issue Date FY: 2021 ( Subtotal = $169,332 )
2021	2021	HARVARD PILGRIM HEALTH CARE INC	93 WORCESTER ST	WELLESLEY	MA	02481	NORFOLK	USA	Lung Diseases Research	000	1	1/14/2021	NEW	$169,332
														Subtotal = $169,332

Grand Total All Awards = $846,641

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Sociomarkers to Predict Asthma Control and Emergency Room Visits (SPACER)

Award Number: K23HL155425

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 01/15/2021

PERIOD OF PERFORMANCE END DATE: 05/31/2026

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