August 05, 2016
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NIH awards Montefiore pediatrician $4.2 million for asthma study

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The NIH has awarded a $4.2 million grant to Marina Reznik, MD, MS, of the pediatrics department at Children’s Hospital at Montefiore and associate professor of pediatrics at Albert Einstein College of Medicine, to facilitate an asthma research program designed to improve clinical outcomes, according to a press release.

“Asthma disproportionally affects low-income, minority children living in inner cities such as the Bronx,” Reznik said in the release. “The use of national guidelines by health care providers reduces asthma-related complications by 70%, yet these guidelines are not used consistently. The goal of this effort is to elicit an in-depth conversation between providers and patients/families that will enable us to more effectively manage children’s asthma and curb care inconsistencies.”

Reznik will use the 5-year health grant to lead a 20-center, randomized trial to assess why national asthma management guidelines are not being followed by pediatricians for children aged 2 to 12 years with persistent or uncontrolled asthma. The trial will use Electronic Health Record software to deliver alerts to pediatricians and ask questions to examine asthma severity and control through computer prompts, the release said. The prompts will guide pediatricians in making decisions on how to address and control a patient’s asthma. In patients with severe asthma, caregivers will receive additional education, care coordination and support to transcend the barriers guideline-based care produces.

The trial, which began in July, aims to encourage pediatricians to adopt more efficient and effective asthma care guidelines and to evaluate whether a practical system change might assist children and caregivers in urban areas to maintain the guidelines.