Comparing Asthma Action Plans for Pediatric Asthma

Study Overview
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Brief Summary
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The purpose of this study is to evaluate and compare the relative effectiveness of two asthma action plans (pictorial versus written) in terms of asthma action plan knowledge, medication use, and family satisfaction with asthma education.

Detailed Description
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Asthma medical regimens are complex for families, requiring changes in the types and amounts of medication based on the frequency and intensity of symptoms. Written asthma action plans (AAP's) are commonly used to provide a set of instructions to help parents and children implement these complicated regimens. However, written AAP's require substantial literacy levels, so for younger children, low-literacy families, or non-English speaking families, a pictorial version of the AAP may be more understandable and useful. The study aims to validate a newly developed, fully pictorial AAP in terms of its relative impact on parent- and child-reported knowledge of the action plan, medication use, and parent- and child-reported satisfaction, when compared to a standard-care written AAP.

Official Title
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Relative Effectiveness of Pictorial and Written Asthma Action Plans for Pediatric Asthma

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: Pictorial asthma action plan
* Behavioral: Written asthma action plan


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children who are new patients Receive a diagnosis of persistent asthma Are in need of an asthma action plan Exclusion Criteria: Diagnosed with intermittent asthma An established patient who already has an asthma action plan Not English or Spanish speaking

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pictorial Asthma Action Plan<br> | Behavioral: Pictorial asthma action plan<br> <br> |
| Active Comparator: Written Asthma Action Plan<br> | Behavioral: Written asthma action plan<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Scores on the Asthma Action Plan Knowledge Interview | Measures recall of asthma treatment plan | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence to Controller Medication | Mean daily adherence to medication measured via electronic monitoring | 1 month | 
| Rescue Medication Use | Number of puffs of inhaled rescue medication | 1 month | 
| Family satisfaction survey scores | Family ratings of satisfaction with asthma action plan | 1 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric asthma, asthma action plans, patient education, medication adherence