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Technology-Enhanced Asthma Care in Children at Clinic and Home (TEACCCH) Study

Award Number: K23HL157615
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 03/01/2022
PERIOD OF PERFORMANCE END DATE: 01/31/2027

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Technology-Enhanced Asthma Care in Children at Clinic and Home (TEACCCH) Study - PROJECT SUMMARY/ABSTRACT Candidate: Kristin Kan, MD MPH MSc is a pediatric physician and clinical investigator focused on designing and implementing evidence-based, health-system interventions to support children with asthma. Dr. Kan’s long-term goal is to be an independent physician-investigator and leading expert in implementation science and health system interventions that improve the outcomes and quality of care for children with asthma. Research Context: Of the 5.5 million US children with pediatric asthma, over half have uncontrolled symptoms due in part to poor asthma self-management, leading to high rates of acute unscheduled care and activity limitations. Supporting guideline-based preventive asthma care, especially adherence to medications, is a critical step in reducing uncontrolled symptoms among high-risk asthma populations. There is evidence suggesting that mobile health (mHealth) technologies can be part of an effective intervention to improve adherence and symptom control. However, data from our previous mHealth asthma trial and other studies suggest that limitations in mHealth use in real-world health care are partly attributable to the lack of optimizing health system integration of the mHealth tool and the implementation strategy. Specific Aims: (1) Optimize a mHealth pediatric asthma intervention and implementation plan with caregivers and health system stakeholders through user-centered design workshops and interviews. (2) Conduct a feasibility study of an adaptive, mHealth asthma intervention and multi-stakeholder implementation plan to improve asthma symptom control and medication adherence. Research Plan: To accomplish these aims, Dr. Kan will engage caregivers of children with asthma, clinical staff, and health system administrators to refine the design of an existing mHealth asthma intervention, identify health care services to integrate the intervention in health care delivery, and design an implementation strategy. Dr. Kan will then conduct a feasibility trial with caregiver-child dyads, whom will be randomized to an adaptive mHealth asthma intervention. Findings will help prepare for a future, full-scale hybrid implementation- effectiveness trial. Career Development Plan: Dr. Kan’s training goals include: (1) acquire experience in user-centered design (UCD) methods, (2) develop expertise in clinical trial design & evaluation in health care settings, (3) increase competencies in implementation science research methods, and (4) learn statistical techniques for analyzing longitudinal data. Dr. Kan’s career development goals will be well-supported by an interdisciplinary mentorship team, a planned series of didactic learning, and implementation of her research plan. Environment: Dr. Kan has a NIH-funded core mentorship and advisory team, who are dedicated to mentoring her to independence, and is also supported by Northwestern University and Lurie Children’s Hospital, both with outstanding research infrastructures and commitments to supporting junior investigators.


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: 2026 ( Subtotal = $179,139 )
2026	2026	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	000	5	6/3/2026	NON-COMPETING CONTINUATION	$179,139
														Subtotal = $179,139

Issue Date FY: 2025 ( Subtotal = $183,624 )
2025	2025	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	001	4	3/20/2025	NON-COMPETING CONTINUATION	$0
2025	2025	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	000	4	2/27/2025	NON-COMPETING CONTINUATION	$183,624
														Subtotal = $183,624

Issue Date FY: 2024 ( Subtotal = $189,690 )
2024	2024	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	001	3	9/25/2024	NON-COMPETING CONTINUATION	$0
2024	2024	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	000	3	3/14/2024	NON-COMPETING CONTINUATION	$189,690
														Subtotal = $189,690

Issue Date FY: 2023 ( Subtotal = $189,824 )
2023	2023	ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	000	2	3/13/2023	NON-COMPETING CONTINUATION	$189,824
														Subtotal = $189,824

Issue Date FY: 2022 ( Subtotal = $184,268 )
2022	2022	ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO	225 E CHICAGO AVE	CHICAGO	IL	60611	COOK	USA	Lung Diseases Research	000	1	2/28/2022	NEW	$184,268
														Subtotal = $184,268

Grand Total All Awards = $926,545

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Technology-Enhanced Asthma Care in Children at Clinic and Home (TEACCCH) Study

Award Number: K23HL157615

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 03/01/2022

PERIOD OF PERFORMANCE END DATE: 01/31/2027

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