Text2Breathe: Enhance Parent Communication to Reduce Pediatric Asthma Disparities

Study Overview
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Brief Summary
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Text2Breathe (T2B) is a randomized controlled trial aimed at improving communication between parents and their children's' primary care providers about asthma. The overarching goal of this study is to reduce disparities among a population with high rates of pediatric asthma morbidity. The investigators are testing the efficacy of a short message service (SMS)-enhanced health communication (HC) intervention (Text2Breathe) designed to equip urban, low-income parents with tools for communicating effectively with their children's primary care provider (PCP).

Detailed Description
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Potentially eligible participants are approached and screened in person during an admission of their child to the emergency department for asthma care. Those participants randomized to the intervention will receive additional education on effective communication with their child's primary care provider (PCP). These participants will also receive educational text messages for three months after their initial visit. Text messages will include education on effectively communicating with their child's provider and general asthma information. Both the control group and intervention group will receive text message reminders to schedule regular follow up visits with their PCP and get an annual flu shot. Both groups will be contacted for follow up phone interviews at 3, 6, 12, 18 and 24 months.

Official Title
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Text2Breathe: Enhance Parent Communication to Reduce Pediatric Asthma Disparities

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: Text2Breathe Study Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Unlimited text messaging Is the parent of child who is: Receiving asthma related care in the emergency department 2-12 years old inclusive Medicaid insured (no Private insurance) Physician diagnosed asthma for at least 12 months Exclusion Criteria: Is the parent of child who: Has seen a pulmonary or allergy sub-specialist more than once in the last 6 months Has seen a sub-specialist (not pulmonary or allergy) more than once in the last 12 months Has been hospitalized for more than 30 days Is currently enrolled in another asthma program or study

Ages Eligible for Study
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Minimum Age: 2 Years
Maximum Age: 12 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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control Group<br>Participants randomized to the control group will receive their usual asthma care from their provider. Additionally, participants in the control group will receive reminder texts to schedule with their child's PCP and to get an annual flu shot. Participants will be surveyed over the phone for 20-30 minutes 3, 6, 12, 18, and 24 months after enrollment. | |
| Experimental: Text2Breathe Study Group<br>The study group spends about 10-20 minutes learning about ways to have better communication with their child's primary care provider about his/her asthma. Additionally this group is enrolled in the Text2Breathe messaging program which sends asthma related educational text messages 2 times a week for 3 months. Participants randomized to the study group will also receive reminder texts to schedule with their child's PCP and to get an annual flu shot. Participants will be surveyed over the phone for 20-30 minutes 3, 6, 12, 18, and 24 months after enrollment. | Behavioral: Text2Breathe Study Group<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of emergency department visits for asthma care |  | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Asthma morbidity measured as the number of days (or nights) of impairment. |  | 12 months |