- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03446365
Peer-Administered Asthma Self-Management Intervention in Urban Middle Schools (PeerASMAS)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The goal of this study is to evaluate a 4-session, peer-facilitated asthma self-management intervention for Latino, middle school (6th-8th) youth in urban public school settings. The intervention, ASMAS (Asthma Self-Management in Schools) is administered by trained and supervised High School juniors and seniors of Latino descent with asthma to middle school peers with asthma. This study is a partnership with a second research group in San Juan, Puerto Rico, since there is also a high rate of asthma in children there.
There are 2 goals in this study. The first goal is to evaluate the effects of ASMAS on asthma health outcomes (for example, asthma control, symptom free days, school absences and lung function) and on asthma self-management (skills, knowledge and self-efficacy, availability of rescue inhaler and action plan at school) in a sample of 432 Latino middle school children with asthma in Providence, Rhode Island and San Juan, Puerto Rico.
Middle schoolers and a primary caregiver will complete a baseline research session, as well as, immediately post intervention and 4-month, 8-month and 12-month post intervention follow-up research home visits during which they will complete study questionnaires about the child's asthma. Students will be randomly assigned to one of three study groups. Assignment is random (like a coin toss), and what each student does in school depends on what group each student is assigned to. The ASMAS group and the Asthma + Health Education groups will learn about asthma and about other selected health topics during their in-school intervention sessions (1 per week for 4 weeks). The "no treatment" study group will not attend in-school group sessions at all.
The second goal in the study is to evaluate the intervention in preparation for using it on a wider scale in other places. Students, caregivers, High School Peers, school administrators and additional community members will be invited to participate in group discussions about the intervention.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Daphne Koinis-Mitchell, PhD
- Phone Number: (401) 793-3682
- Email: dkoinismitchell@lifespan.org
Study Contact Backup
- Name: Maria T Coutinho, PhD
- Phone Number: (401) 793-8860
- Email: mcoutinho@lifespan.org
Study Locations
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Recruiting
- Rhode Island Hospital
-
Contact:
- daphne Koinis-Mitchell, PhD
- Phone Number: 401-793-3682
- Email: dkoinismitchell@lifespan.org
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria specify that students must:
- Be 11-14 years old
- Attend 6th, 7th or 8th grade
- attend a targeted public school
- have physician-diagnosed asthma according to caregiver and provider report
- meet criteria for current persistent asthma either by a) having a current prescription for an asthma controller medicine, or b) having any of the following in the previous 4 weeks:
I. daytime asthma symptoms > 2 days/week,
II. nighttime awakenings due to asthma at least 3-4 times/month,
III. short-acting beta agonist use at least 2 days/week,
IV. activity limitation, or
V. oral steroid use at least 2 times/year
- children must have recent active asthma activity in the previous 4 weeks through endorsement of any of criteria I-V above
- In Rhode Island, children's primary caregiver must identify as Latino
- In Rhode Island, children must speak English
Exclusion criteria:
- active immunotherapy,
- other pulmonary disease,
- receiving special education services in a self-contained classroom,
- any severe psychiatric or medical conditions
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: ASMAS
ASMAS is an asthma self-management program based on NHLBI clinical guidelines for optimal school-based asthma management.
It involves 4, 1½ hour sessions delivered in group format in the urban, middle school setting by a Latino High School Peer who has asthma.
ASMAS focuses on asthma pathophysiology, symptom management, asthma medications, and trigger control.
|
A high school peer led group intervention for middles school students targeting asthma education and asthma management practices.
|
Active Comparator: Asthma education plus child health
Asthma Education plus Child Health control condition will be delivered by an adult Health Educator , and includes 4 sessions (1 1/2 hrs long) of our existing asthma education ("Asthma's Magic Number") with added general health topics (nutrition, physical activity, safety).
|
Health educator led intervention focused on asthma education and other child health topics.
|
No Intervention: No Treatment Control
Students randomly assigned to this arm , will receive standard of care, which is no treatment, and will not participate in any group intervention sessions.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in asthma control
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Assessed by child and parent report through the 7-item Child Asthma Control Test (C-ACT)
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in symptom free days
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
By parent report using standard questionnaire of symptom-free days/nights in prior 30 days
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in asthma related school absence ratio
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Asthma related school absence ratio will be calculated from school attendance data and caregiver report of school absences due to asthma
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in lung function
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
The Asthma Monitor 2 (AM2, ERT, USA) is a hand-held, computerized spirometer that collects pulmonary function indexes (Forced Expiratory Volume at one second, FEV1 ).
Children will use AM2 during one week using standard procedures, 2x/day (before medications AM/PM).
FEV1 predicted will be obtained.
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in child asthma knowledge
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Child report through the valid and reliable Asthma Knowledge Questionnaire
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in child asthma self-efficacy
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Child report through valid and reliable children's Asthma Self-Efficacy Scale (Cronbach alpha .87;
Bursch, et al, 1999).
The scale includes 14 items with responses ranging from 1 to 6, and higher scores indicate more self-efficacy to care for asthma.
An asthma self-efficacy score is calculated using the average of the 14 items.
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in asthma self-management
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
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Through a well-validated and reliable measure; child and caregiver versions
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Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Change in asthma Action plan/Inhaler availability
Time Frame: Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
School Nurse report of Availability of rescue inhaler at school and asthma action plan with school nurse
|
Assessed at baseline, immediately post intervention, and 4 months post intervention , 8 months post intervention, and 12-months post intervention
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Daphne Koinis-Mitchell, PhD, Rhode Island Hospital
- Study Director: Maria T Coutinho, PhD, Rhode Island Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1R01MD012225-01 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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