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SUHI Project: CHICAGO Collaboration II



CHICAGO Collaboration II


Asthma can be controlled and children with asthma can lead normal lives with appropriate medical care, caregiver support, and trigger avoidance. However, morbidity from asthma remains stubbornly high for urban minority children, and Chicago is an epicenter for such asthma health disparities, especially within African American communities.

The Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes Collaboration II (CHICAGO Collaboration II) is a one-year National Institutes of Health-funded grant to develop a comprehensive asthma care program  to improve the care of Chicago children with asthma where they live, learn, play, and receive medical care.

The project is led by an investigative team that includes the Sinai Urban Health Institute (SUHI), the University of Illinois at Chicago, the Respiratory Health Association, and the Chicago Asthma Consortium. Other participating institutions include: University of Colorado; University of Arizona; Propeller Health; Illinois Institute of Technology; Institute of Design; University of Chicago ; Mile Square Health Center; Sinai Health System; Rush University Medical Center; John H. Stroger Jr. Hospital; Ann & Robert H. Lurie Children's Hospital of Chicago; Illinois Emergency Department Asthma Surveillance Program; Illinois Medical District Commissioners; Chicago Public Schools; Chicago Department of Public Health; Chicago Housing Authority; Metropolitan Tenants Association; and Alliance of Chicago Community Health Services.

This vital initiative, part of continuous efforts to drive down disparities in childhood asthma exacerbation, employs evidence-based approaches to understanding and addressing barriers to asthma knowledge, management, care, and treatment.

The CHICAGO Collaboration II has four objectives:

  1. Engage a diverse group of stakeholders to align activities with the needs of communities disproportionately affected by asthma.
  2. Conduct a community-based needs assessment (CNA) to identify resources, gaps in resources, and specific barriers to implementing evidence-based care.
  3. Update and finalize an Asthma Care Implementation Program (ACIP) for children across the following sectors: medical care, family, home and community.
  4. Update and finalize the design of a clinical trial to evaluate the four-sector CHICAGO Collaboration II ACIP.

Following the planning period, the CHICAGO Collaboration II team will be prepared to apply for the companion grant, which will support the clinical trial, assess sustainability, and define best practices for implementation. 

Project Plan:

SUHI leads grant objective 2, the community-based needs assessment, which aims to understand the fit, feasibility, and likelihood of the asthma program (ACIP) having a positive impact on high-risk children aged 5-14 with uncontrolled asthma on the city’s South and Westside.

The CNA will include the following activities:

  1. In-person key informant interviews
  2. Focus groups
  3. User-centered observations
  4. Epidemiologic data from recently completed or on-going studies
  5. Healthcare utilization data (e.g., from healthcare systems serving as partners)
  6. Town hall-style meetings in communities (e.g., in schools or churches)

Findings from the CNA will be vital in updating and finalizing the asthma program to ensure best practices in asthma care for Chicago children.

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