- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00860834
Telephone Coaches to Improve Control of Asthma in Children ( PARTNER) Study) (PARTNER)
Parents, Pediatricians, and Telephone Coaches Partner to Improve Control of Asthma
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Asthma is the most common long-term disease among children. Each year, most children with asthma will have at least one asthma exacerbation, experience asthma symptoms on approximately 100 days, and miss 4 days of school because of asthma. Surveys of primary care physicians (PCPs) and asthma patients have indicated that asthma care is episodic, effective asthma controller medications are underused, and few PCPs provide self-management education or support for parents of children with asthma. Previous research showed that when an asthma coach worked with parents of children from low-income, urban neighborhoods, there were multiple benefits: improved self-management behaviors, reduced asthma hospitalizations, and improved rates of follow-up with a PCP after an emergency department visit for asthma symptoms. In this study, researchers will evaluate the effectiveness of an asthma coach program in a larger, general asthma population. Trained asthma coaches will work with parents of children with asthma to provide education about the goals of asthma care, and they will encourage and facilitate an active partnership between the family and PCP to enhance asthma care and improve self-management behaviors. Study researchers will then evaluate the effectiveness of this program at improving asthma control and quality of life among children with asthma. The cost effectiveness of the program will also be analyzed.
This study will enroll pediatricians and parents of children between 5 and 12 years old who have persistent asthma. Pediatricians will be randomly assigned to either the asthma coach program or usual care. All pediatricians will receive access to the Education in Quality Improvement for Pediatric Practice (eQIPP) module for asthma care provided by the American Academy of Pediatrics. They will also receive articles about effective doctor-parent communication on asthma and asthma billing practices. In addition, pediatricians taking part in the asthma coach program will attend two meetings to learn about asthma coaching and how the program can be implemented into their practice. For 12 months, an asthma coach will work directly with the parents of children who see doctors participating in the asthma coaching group. Telephone calls with the asthma coach will be arranged at times convenient for the parent and will occur anywhere between once a week to once a month. At Months 12 and 24, about 40 parents of children in each pediatrician's practice will participate in telephone interviews and their children's medical charts will be reviewed to assess asthma control, asthma-related quality of life factors, and urgent care events.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Missouri
-
Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria for Pediatricians:
- Affiliated with St. Louis Children's Hospital and/or Washington University in St. Louis
- Provides asthma care for at least 40 asthmatic children from the target population
Inclusion Criteria for Parents:
- Has a child who is between 3 and 12 years old with persistent asthma and who is cared for by a study pediatrician
Exclusion Criteria for Pediatricians:
- Spends less than 50% of their time in general pediatrics
- Is an asthma specialist (allergist or pulmonary specialist)
- Another physician in their practice is participating in the study
Exclusion Criteria for Parents:
- Their asthmatic child is less than 3 years old or is 13 years or older at the time of study entry
- Their child has not had a physician diagnosis of asthma before study entry
- Their child has a significant comorbid condition
- Cannot speak English
- Does not have a phone
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
Pediatricians and parents of children with asthma will participate in the asthma coaching program.
|
Parents will have access to an asthma coach for 12 months.
Telephone calls between parents and coaches will occur anywhere from once a week to once a month.
|
Active Comparator: 2
Children of parents enrolled in the study will receive usual asthma care from their pediatrician.
|
Children of parents enrolled in the study will receive the normal asthma care that their pediatricians usually provide.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Asthma control
Time Frame: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Asthma-related quality of life
Time Frame: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Urgent care events
Time Frame: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Adherence to guideline-recommended asthma maintenance care behaviors
Time Frame: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Cost effectiveness
Time Frame: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Robert Strunk, MD, Washington University School of Medicine
- Principal Investigator: Jane M. Garbutt, MB, ChB, Washington University School of Medicine
Publications and helpful links
General Publications
- Garbutt JM, Highstein G, Yan Y, Strunk RC. Partner randomized controlled trial: study protocol and coaching intervention. BMC Pediatr. 2012 Apr 2;12:42. doi: 10.1186/1471-2431-12-42.
- Garbutt JM, Yan Y, Highstein G, Strunk RC. A cluster-randomized trial shows telephone peer coaching for parents reduces children's asthma morbidity. J Allergy Clin Immunol. 2015 May;135(5):1163-70.e1-2. doi: 10.1016/j.jaci.2014.09.033. Epub 2014 Oct 30.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 634
- R01HL072919 (U.S. NIH Grant/Contract)
- R01HL072919-06 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Asthma
-
Vanderbilt University Medical CenterNot yet recruitingAsthma in Children | Asthma Attack | Asthma Acute | Acute Asthma Exacerbation | Asthma; StatusUnited States
-
University of California, San FranciscoCompletedAsthma in Children | Asthma Attack | Asthma Acute | Asthma ChronicUnited States
-
SingHealth PolyclinicsNot yet recruitingAsthma | Asthma in Children | Asthma Attack | Asthma Acute | Asthma Chronic
-
Johann Wolfgang Goethe University HospitalCompleted
-
Parc de Salut MarActive, not recruitingAsthma in Children | Persistent Asthma | Asthma ExacerbationSpain
-
Universita di VeronaCompleted
-
Forest LaboratoriesCompleted
-
Brunel UniversityKarolinska InstitutetUnknown
-
Value Outcomes Ltd.AstraZenecaCompletedAsthma, Bronchial | Bronchial Asthma | Asthma Chronic | Asthma; EosinophilicCzechia
Clinical Trials on Asthma Coaching Program
-
Washington University School of MedicineNational Institute of Environmental Health Sciences (NIEHS)Completed
-
CHU de ReimsCompletedSubjects Aged 75 Years or More Living at HomeFrance
-
University of CalgaryCompleted
-
Shanghai Children's Medical CenterUnknown
-
Hasselt UniversityJessa Hospital; University Hospital, Ghent; University GhentRecruitingNon-small Cell Lung Cancer | Non-small Cell CarcinomaBelgium
-
Agency for Healthcare Research and Quality (AHRQ)Completed
-
University of California, San FranciscoNational Heart, Lung, and Blood Institute (NHLBI)CompletedAsthma | Education, MedicalUnited States
-
Johns Hopkins UniversityNational Heart, Lung, and Blood Institute (NHLBI); Baltimore City Health Department and other collaboratorsRecruitingAsthma in ChildrenUnited States
-
KU LeuvenUniversity of Zurich; University Medical Center Groningen; University of Athens; University of Edinburgh and other collaboratorsCompletedPulmonary Disease, Chronic ObstructiveNetherlands, United Kingdom, Belgium, Greece, Switzerland