Clinical trial NCT03032159: Text2Breathe: Enhance Parent Communication to Reduce Pediatric Asthma Disparities
Official title: Text2Breathe: Enhance Parent Communication to Reduce Pediatric Asthma Disparities
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Asthma
Lead sponsor: Seattle Children's Hospital
Sponsor class: OTHER
Collaborators: name: MultiCare Mary Bridge Children's Hospital & Health Center
First posted: 2017-01-26
Enrollment: 221
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Emergency Department Visits for Asthma Care
timeFrame: 12 months
Secondary outcomes:
measure: Asthma Morbidity
timeFrame: 12 months
Other outcomes:
measure: Number of Scheduled Asthma Care Visits
timeFrame: 12 months
measure: Asthma Self-Management Questionnaire Standardized Score
timeFrame: 12 months
measure: Parental Expectations for Child's Asthma Treatment Average Score
timeFrame: 12 months
measure: Parental Self-efficacy for Communicating With Healthcare Providers Self-competence Scale Summary Score
timeFrame: 12 months
measure: Parental Asthma Management Self-efficacy Scale Summary Score
timeFrame: 12 months
Locations:
city: Seattle
country: United States
facility: Seattle Children's
state: Washington
city: Tacoma
country: United States
facility: Mary Bridge Children's Hospital at Multi Care Health System
state: Washington
Study officials:
affiliation: Seattle Children's Hospital and Research Institute
name: Tumaini Coker, MD, MBA
role: PRINCIPAL_INVESTIGATOR
References: