Clinical trial NCT00832923: Improving Asthma Care Through Parental Empowerment
Official title: Improving Asthma Care Through Parental Empowerment: Effect on Healthcare Utilization and Parent Self-Efficacy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Asthma
Keywords: parental empowerment
parent self-efficacy
Lead sponsor: Children's National Research Institute
Sponsor class: OTHER
First posted: 2009-01-30
Enrollment: 150
Sex: ALL
Minimum age (years): 12
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The overall aim of this study will be to perform a prospective randomized clinical trial of an enhanced version of the IMPACT DC intervention involving short-term case management to facilitate PCP follow-up appointments and to provide education for parents about how to communicate more effectively with their children's PCPs as a means (1) to improve the rate of utilization of primary care services for ongoing asthma care and (2) to enhance the self-efficacy of parents in their interactions with their children's provider regarding the child's asthma care needs in 150 parents of high risk children referred within the IMPACT DC Asthma Clinic.

Detailed description: Asthma is the most common chronic disease of childhood, and it disproportionately affects urban, minority, and disadvantaged children. When implemented correctly, existing evidence-based guidelines from the National Heart, Lung, and Blood Institute (NHLBI) improve pediatric asthma care and outcomes. One key component of these guidelines is the importance of longitudinal care as part of a partnership among patient, parents, and a healthcare provider. Such a partnership depends on effective communication of healthcare status by parents to providers. Improving the communication skills of inner-city parents may improve their ability to obtain more effective longitudinal asthma care within their primary care homes and thereby to improve their child's asthma health outcomes. IMPACT DC ("Improving Pediatric Asthma Care in the District of Columbia") is a locally validated emergency department (ED) based intervention that improves multiple measures of asthma care and outcomes through an intensive short-term program of asthma education, medical care, and care coordination. In spite of these successes, achieving increased subsequent contact and partnership with primary care providers (PCPs) for asthma care after the intervention has not been successful. Therefore, for the current study, we propose to assess the effectiveness of an enhanced version of the existing IMPACT DC intervention consisting of short-term case management by trained asthma educators.

Eligibility criteria: Inclusion Criteria:

* ages between 12 months and 12 years, inclusive
* prior physician diagnosed asthma
* ability of the parent to identify a specific PCP for their child
* public insurance covering the child
* parent/guardian available for interview

Exclusion Criteria:

* significant medical co-morbidities
* enrollment in another asthma research intervention study
* unavailability for telephone follow-up
* primary language of the caregiver other than English

Primary outcomes:
measure: Utilization of Primary Care Provider
timeFrame: 2 months & 6 months after visit
Secondary outcomes:
measure: Parental Self-efficacy in communicating about Asthma care with child's primary care provider
timeFrame: 2 months & 6 months after visit
Other outcomes:
Locations:
city: Washington
country: United States
facility: Children's Research Institute
state: District of Columbia
Study officials:
References: