Kansas City Community Environmental Remediation And Training (KC CERT)
Recruitment status was Active, not recruiting
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Purpose
Objective: Our overall objective is to test the hypothesis that the health of children with chronic respiratory symptoms or chronic exposures to environmental hazards can be improved through a combination of standard home maintenance interventions and a set of interim controls and targeted repair interventions.
I. Background:
The Bi-State Kansas City Enhanced Enterprise Community (KCEEC) is one of pervasive poverty, unemployment and general distress. This same area is also an area of poor environmental health with a disproportionate number of children with lead poisoning, asthma, and home injuries.
In May 2001, the Metropolitan (Kansas City) Health Council released a report urging the implementation of strategies to address this growing concern. They stated, “Environmental assessments and interventions in homes, schools, and workplaces are needed to promote indoor air quality and thereby help prevent asthma and asthma flare-ups,” in combination with the need for, “trained community-based peer educators needed to work with families/communities in areas of high asthma incidence,”. The need for major rehabilitation is echoed in the 1999 Consolidated Plan, as well as by most community development and housing officials.
The KC CERT project responds to these concerns by demonstrating low-cost, replicable intervention strategies that can have an impact on the health and safety of children and their families. By providing training and employment opportunities to residents in high-risk areas to assess, prevent and remediate environmental hazards, this project promotes sustained systematic change within the KCEEC.
| Condition | Intervention |
|---|---|
|
Asthma Rhinitis Allergy |
Behavioral: Basic home repair Behavioral: Asthma Trigger Education |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Educational/Counseling/Training |
| Official Title: | Kansas City Community Environmental Remediation And Training (KC CERT) |
- Reduction in home airborne fungal spore levels.
- Reduction in home allergen exposure.
- Reduction in healthy care utilization
- Improvement in quality of life
| Estimated Enrollment: | 200 |
| Study Start Date: | March 2003 |
| Estimated Study Completion Date: | May 2005 |
Show Detailed Description
Eligibility| Ages Eligible for Study: | 2 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Participants that qualify for the study will have one of the following health conditions:
- Persistent asthma as defined by NHLBI guidelines
- Chronic respiratory symptoms,
- And/or have lead levels equal to or above 15 micrograms per deciliter.
- They must be between the ages of 2 and 17 years of age
- Stay in the home a minimum of 4 nights per week
- They should reside in the KCEEC (Defined as the city limits of Kansas City Kansas or Kansas City Missouri).
- They will also have lived in the same housing, either rental or self-owned, for at least 6 months and have a reasonable expectation of remaining in this housing for at least one additional year.
To qualify for the intervention phase of the study done by HHN,
- The home must have no more than $2000 estimated intervention costs. Examples of houses that would not qualify include: A house that needs a new roof, a house with extensive amounts of flaking lead paint, a house with significant structural problems.
Exclusion Criteria:
- Any children who do not meet the age and residency requirements.
- Any home with more than $2000 worth of maintenance and repair problems. - Any home with emergent, life threatening conditions.
- Children with other chronic diseases (leukemia, diabetes etc) will be referred through the HHN and CMH to appropriate medical services, agencies, organizations and other community resources.
Contacts and Locations| United States, Missouri | |
| Children's Mercy Hospital | |
| Kansas City, Missouri, United States, 64108 | |
| Principal Investigator: | Charles S Barnes, Ph.D. | Children's Mercy Hospital |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00144443 History of Changes |
| Other Study ID Numbers: | RG00002078, GL01.3714 |
| Study First Received: | September 2, 2005 |
| Last Updated: | December 8, 2005 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Children's Mercy Hospital Kansas City:
|
Aerobiology Asthma Indoor Fungi Allergen Home Remediation |
Additional relevant MeSH terms:
|
Asthma Rhinitis Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases Respiratory Hypersensitivity |
Hypersensitivity, Immediate Hypersensitivity Immune System Diseases Nose Diseases Respiratory Tract Infections Otorhinolaryngologic Diseases |
ClinicalTrials.gov processed this record on May 21, 2013