Improving Asthma Communication in Minority Families

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
National Institute of Nursing Research (NINR)
ClinicalTrials.gov Identifier:
NCT00133666
First received: August 19, 2005
Last updated: July 16, 2008
Last verified: July 2008

August 19, 2005
July 16, 2008
September 2004
May 2008   (final data collection date for primary outcome measure)
Reduce the cost of asthma health care. [ Time Frame: 18 Months ] [ Designated as safety issue: No ]
Less symptoms and missed school days, fewer emergency room visits and reduce the cost of asthma health care.
Complete list of historical versions of study NCT00133666 on ClinicalTrials.gov Archive Site
  • Fewer emergency room visits [ Time Frame: 18 Months ] [ Designated as safety issue: No ]
  • Less symptoms [ Time Frame: 18 Months ] [ Designated as safety issue: No ]
  • Fewer missed school days [ Time Frame: 18 Months ] [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Improving Asthma Communication in Minority Families
Improving Asthma Communication in Minority Families

The purpose of this study is to determine if teaching children with asthma how to talk to their doctor about controlling their asthma including symptom frequency in an asthma diary and medication use techniques, will result in less symptom and missed school days, fewer emergency room visits and reduce the cost of asthma health care.

Children with persistent asthma are often not receiving regular preventive asthma care despite experiencing frequent asthma symptoms. When linked to timely and appropriate asthma medication use, good physician-parent-child communication is associated with a decrease in asthma morbidity and mortality. Removing obstacles to preventive asthma care and improving communication between the parent-children and PCP are two necessary prerequisites to improving asthma outcomes in low-income minority children.

We, the researchers at Johns Hopkins University, hypothesize that a culturally-tailored parent and child asthma communication intervention (ACI) designed to teach parent and child communication skills for use with their health care provider regarding asthma symptom severity, medication use, personal goal of treatment and quality of life issues will significantly reduce emergency room utilization for asthma care. We propose to compare this parent/child asthma communication intervention (ACI) to a developed standard asthma education intervention (SAE) designed to increase basic asthma self-management.

This study will advance nursing science by improving asthma self-management for school age children, who may be self-administering their asthma medications, yet not participate in receiving information or making their own medical decisions regarding their asthma. The proposed study is targeted at low-income minority school-aged children with evidence of poorly controlled, high-risk asthma. If successful, this intervention could have significant practical applications as a component of asthma nurse-case management, to practice currently being employed by many managed care groups across the country as an intervention for their high-risk/high ED use asthma patients. Because of the high prevalence and enormous health impact of asthma and the disproportionate asthma burden experienced by minority children, the outcome of the proposed study will have significant pediatric nursing applicability.

Interventional
Phase 2
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Asthma
  • Behavioral: Asthma Communication Education
  • Behavioral: Standard Asthma Education
  • Experimental: 1
    Intervention: Behavioral: Asthma Communication Education
  • Active Comparator: 2
    Intervention: Behavioral: Standard Asthma Education

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
231
May 2008
May 2008   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age 6-12 years
  • Physician diagnosis of asthma
  • Reside in metropolitan Baltimore
  • English speaking
  • Able to read 80% of parent educational brochure in English
  • Emergency Department (ED) visit within the past 12 months and can identify a primary care provider
  • No other co-morbid pulmonary disease

Exclusion Criteria:

  • Enrolled in another asthma study
Both
6 Years to 12 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00133666
03-11-11-05
Not Provided
Arlene Butz, ScD, RN, Johns Hopkins University, Department of Pediatrics
National Institute of Nursing Research (NINR)
National Institutes of Health (NIH)
Principal Investigator: Arlene Butz, SCD,MSN,BSN Johns Hopkins University
National Institute of Nursing Research (NINR)
July 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP