Community Health Equity Accelerator (CHEA) Pediatric Asthma Intervention
NCT Number: NCT06507943
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Asthma in Children
Interventions: BEHAVIORAL: Promotora Home Visit
Sponsor: Yale University
Collaborators: Hispanic Federation, Inc.
Sex: ALL
Age: CHILD
Enrollment: 50
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-08
Completion Date: 2027-06
Locations: Yale, New Haven, Connecticut, 06519, United States

Summary:
The purpose of this pilot is to initiate an academic-community partnership and launch a multi-level intervention that includes an asthma exposure pathway (an online decision support and resource) and a health Promotora program that will provide culturally responsive asthma support alongside legal and medical services to improve access to asthma care and ultimately improve asthma-related outcomes in the New Haven region.

Primary Outcome Measures: Percentage of Referrals Resulting in Home Visit, to Assess Feasibility of Promotora Visits, Percent of referred participants (from all referrals placed) to the newly-established asthma home visiting Promotora Program that resulted in a home visit (in-person or virtual), One Year|Percent of clinicians who use pathway, to assess feasibility of asthma pathway use, Percent of clinicians at participating practices who have accessed the asthma intervention pathway (using data from pathway utilization metrics), One Year|Percent of patients for whom the pathway is used, to assess feasibility of asthma pathway use, Percent of patients for whom a clinician accessed the asthma pathway (using pathway utilization metrics) out of total potential children for whom it could be used (using deidentified electronic health (EHR) record data tool), One Year|Count of use of individual asthma pathway component use, Count of use of individual asthma pathway components (using pathway utilization metrics), One Year
Secondary Outcome Measures: Mean Asthma Control Test (ACT) for 4-11 years scores, The ACT (for 4-11 years) is a seven-item survey with likert scales for caregivers (3 questions, scores 0-5) and children (5 questions, scores 0-3) together. It is used to evaluate asthma control with total score range of 0 (poorly controlled) to 27 (well-controlled), Baseline and 6-8 weeks later|Mean Pediatric Quality of Life (Peds-QL) scores, The Peds-QL is a 15 item survey with likert scales (0-4), with transformed scores out of 100, with a score range of 0 (poor quality of life) to 100 (high quality life)., Baseline and 6-8 weeks later|Mean number of hospital admissions for asthma, Total number of hospital admissions for asthma, evaluated via manual count via chart review., Two years (year before and year after intervention)|Mean number of emergency department (ED) visits for asthma, Total number of ED visits for asthma, evaluated via manual count via chart review., Two years (year before and year after intervention)|Mean number of urgent visits for asthma, Total number of urgent visits for asthma, evaluated via manual count via chart review., Two years (year before and year after intervention)|Mean number of oral steroid prescriptions for asthma, Total number of oral steroid prescriptions for asthma, evaluated via manual count via chart review., Two years (year before and year after intervention)