Educational Video for Improving Follow-up After an Emergency Department Visit for Asthma
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Purpose
To develop an educational video that will improve primary care follow-up, quality of care, and long term outcomes for asthma patients after a pediatric emergency department (ED) visit.
| Condition | Intervention |
|---|---|
|
Asthma Lung Diseases |
Behavioral: Educational Video |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Improving Follow-up After an Emergency Visit for Asthma |
- Measured within 4 weeks: Follow-up with an asthma care provider
- Measured at Month 6: Return ED asthma visit
- Measured at Week 4 and Month 6: Persistent asthma symptoms
- Measured at Week 4: ED visit Controller prescription by PCP
- Controller medication use
- Days of school/work missed
- Measured at Week 4 and Months 3 and 6: Peak expiratory flow
- Quality of life
| Enrollment: | 440 |
| Study Start Date: | September 2003 |
| Study Completion Date: | June 2006 |
| Primary Completion Date: | June 2006 (Final data collection date for primary outcome measure) |
BACKGROUND:
Inner-city children are particularly at risk for poor asthma treatment outcomes and frequently obtain their asthma care in the ED. Prior studies have had limited success in improving primary care follow-up, quality of care, and long-term outcomes after a pediatric ED visit for asthma. Prior ED-based interventions have been designed to address barriers to follow-up with a primary care provider (PCP) such as an inability to obtain a follow-up appointment or lack of transportation. Focus groups and surveys of inner-city families have found that beliefs about the benefits of follow-up care and the role of preventive asthma medications have a strong impact on adherence to therapy.
DESIGN NARRATIVE:
This study will develop a brief educational video about the benefits of follow-up asthma care using a multi-disciplinary panel of experts at the Children's Hospital of Philadelphia and focus groups of parents of children with asthma. This educational video will then be combined into an intervention along with symptom screening and a reminder phone call that has been demonstrated to improve follow-up rates in a previous study. The combined intervention will be tested using a randomized trial design to determine its efficacy on healthcare utilization, asthma controller medication use, symptoms, and quality of life during the 6 months following an ED visit. The research is conducted as part of a research career development award.
Eligibility| Ages Eligible for Study: | 1 Year to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- At least 2 prior episodes of bronchodilator treatment
- Lives within Philadelphia city limits
- Discharged from ED after treatment for asthma
Exclusion Criteria:
- Prior study enrollment
- Parent unable to speak English
- No telephone to be reachable for follow-up calls
- Underlying cardiac disease
- Any other chronic lung disease
Contacts and Locations| United States, Pennsylvania | |
| Children's Hospital of Philadelphia | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Study Chair: | Joseph J. Zorc | Children's Hospital of Philadelphia |
More Information
No publications provided by National Heart, Lung, and Blood Institute (NHLBI)
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00113633 History of Changes |
| Other Study ID Numbers: | 189, K23 HL74250 |
| Study First Received: | June 9, 2005 |
| Last Updated: | February 1, 2008 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Asthma Emergencies Lung Diseases Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Disease Attributes Pathologic Processes |
ClinicalTrials.gov processed this record on June 17, 2013