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Breathing Easier in Schools: Enhancing Adoption, Fidelity, and Effectiveness of the SAFE School Program through Innovation Implementation Strategies

Award Number: R01HL174599
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2024
PERIOD OF PERFORMANCE END DATE: 06/30/2029

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Breathing Easier in Schools: Enhancing Adoption, Fidelity, and Effectiveness of the SAFE School Program through Innovation Implementation Strategies - PROJECT SUMMARY Asthma contributes to chronic absenteeism and learning loss in U.S. school children and respiratory distress is the leading cause of 9-1-1 calls from schools. When students with asthma experience respiratory distress, an essential aspect of symptom management is the administration of albuterol sulfate, a short-acting beta agonist. Despite laws allowing students to self-carry albuterol inhalers in all 50 U.S. states, access to life-saving medications for emergency respiratory distress during school hours remains limited. This issue has far- reaching consequences, contributing to chronic absenteeism and increased healthcare utilization. However, a stock inhaler program that allows schools to maintain a single inhaler for use by any student who experiences respiratory distress is a low-cost solution. The Stock Albuterol for Every “SAFE” School Program is a school- based stock albuterol program in the state of Arizona. Although the program has shown effectiveness, challenges in its implementation persist, particularly in rural areas. The innovation here lies in exploring three implementation strategies that vary in their intensity and resource requirements to support program adoption, maintenance potential, implementation fidelity, student reach and effectiveness. The first two of these implementation strategies (toolkit, toolkit+nurse coach) have been widely used in Arizona schools and the third (toolkit+practice facilitation+nurse coach), which includes practice facilitation, is hypothesized to increase program adoption and implementation maintenance. We aim to adapt the nursing principles of practice facilitation to a school-based stock albuterol program. By conducting a Hybrid Effectiveness Implementation (HEI) Type 3 Design, this research aims to provide evidence-based recommendations, including relative cost-effectiveness of the individual and combined strategies that can be applied in the other 17 additional U.S. states with stock inhaler laws. The proposed research represents a significant opportunity to empower policymakers, healthcare providers, and educators to improve student health and safety, ultimately bridging the gap in access to life-saving medications and safeguarding the well-being of our youth.


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 = $666,720 )
2026	2026	UNIVERSITY OF ARIZONA	845 N PARK AVE RM 538	TUCSON	AZ	85721	PIMA	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	3	8/20/2026	NON-COMPETING CONTINUATION	$666,720
														Subtotal = $666,720

Issue Date FY: 2025 ( Subtotal = $686,962 )
2025	2025	UNIVERSITY OF ARIZONA	845 N PARK AVE RM 538	TUCSON	AZ	85721	PIMA	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	2	7/17/2025	NON-COMPETING CONTINUATION	$686,962
														Subtotal = $686,962

Issue Date FY: 2024 ( Subtotal = $714,586 )
2024	2024	UNIVERSITY OF ARIZONA	845 N PARK AVE RM 538	TUCSON	AZ	85721	PIMA	USA	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	1	9/16/2024	NEW	$714,586
														Subtotal = $714,586

Grand Total All Awards = $2,068,268

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Breathing Easier in Schools: Enhancing Adoption, Fidelity, and Effectiveness of the SAFE School Program through Innovation Implementation Strategies

Award Number: R01HL174599

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2024

PERIOD OF PERFORMANCE END DATE: 06/30/2029

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