Asthma Clinics Helping Expand Cost Conversations

Study Overview
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Brief Summary
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Healthcare costs are a critical barrier to U.S. families' ability to access the preventive care needed to manage their children's asthma. Asthma specialty care teams are uniquely positioned to help families navigate these cost barriers, but lack structured approaches to discussing this sensitive and complex topic. This study will train asthma specialty care teams to identify families at risk for financial burden and engage in conversations about strategies to manage asthma care costs. The study team will evaluate the impact of a health care provider training on the frequency of cost navigation conversations. The investigators hypothesize that the health care provider training will increase the frequency of parent-reported cost conversations in the clinic.

Official Title
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Developing and Evaluating an Intervention to Enhance the Work of Asthma Specialty Care Teams in Helping Families in Cost Navigation

Conditions
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Asthma in Children

Intervention / Treatment
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* Behavioral: Health care provider cost navigation training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible caregivers will: attend a routine asthma care appointment for a 4-17 year old child screen positive for possible financial burden related to the cost of asthma care Eligible healthcare providers will: be members of a pediatric asthma specialty care team Exclusion Criteria: Caregivers will not be eligible if they: attend an appointment for conditions other than routine asthma care do not screen positive for possible financial burden related to the cost of asthma care Healthcare providers will not be eligible if they: are not part of the pediatric asthma specialty care team in the participating clinic

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Interventional Model Description: non-randomized pre-post test
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Cost navigation training intervention<br> | Behavioral: Health care provider cost navigation training<br>* Health care providers and asthma educators in a pediatric asthma clinic will receive an online training about the importance of cost of care conversations, how to start cost of care conversations with families, how to refer families to cost navigation resources, and how to lead asthma specialty care teams in cost navigation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits | Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits | Baseline, 6 weeks post intervention completion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cost of care, patient provider communication, financial burden