- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05991115
Hospital to Home Study: Trial to Optimize Transitions and Address Disparities in Asthma Care
August 3, 2023 updated by: Kavita Parikh
The Hospital to Home Study: A Pragmatic Trial to Optimize Transitions and Address Disparities in Asthma Care
Caregiver-child dyads will be recruited during child's hospital admission for asthma exacerbation.
Recruitment sites will be mainly Children's National Hospital Sheikh Zayed campus, as well as regional partners: Holy Cross Hospital, and Mary Washington Hospital.
After enrollment, baseline data will be collected from caregiver.
Caregiver-child dyads will be randomized (1:1 ratio) into the control arm or intervention arm.
Control arm will receive the standard of care after hospital discharge.
Intervention arm will receive the SOC plus an asthma navigator support after hospital discharge.
Caregivers in both arms will complete data collection surveys (either in-person or via telehealth) at 3-,6-, 9-, and 12- month post enrollment.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
340
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Kavita Parikh, MD MSHS
- Phone Number: 2024766366
- Email: kparikh@childrensnational.org
Study Contact Backup
- Name: Jordan Carter
- Phone Number: 2024763000
- Email: JCARTER1@childrensnational.org
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- speak English or Spanish
- are at least 18 years old
- live in the District of Columbia, Maryland, or Virginia (DMV)
- have a child aged 4-12 years who is hospitalized due to asthma exacerbation.
Exclusion Criteria:
- . Children ages 4-12 years with chronic medical condition (other than asthma) including but not limited to diabetes, sickle cell disease, heart disease, lung disease or neurological disorder
- . Children ages 4-12 years involved in interventions with behavioral component and/or novel asthma therapeutics will be excluded given overlap with the current intervention
- . Children ages 4-12 years in foster care
- . Families not residing in the DMV
- . Caregivers who do not speak English or Spanish
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Standard of Care
Control arm will receive the standard of care (SOC) after hospital discharge.
|
|
Experimental: Hospital to Home Transition (H2H)
The intervention for this study is a multi-component navigation-supported intervention for children hospitalized with asthma.
Navigators will work with families for 12-months post-discharge.
Trained asthma educator/navigators will work to address challenges with asthma care after discharge; will include maximum 15 contacts/12 months.
The asthma navigators within this study will attempt to maintain direct contact with participants primary care doctors through email, fax, and/or postal mail as means for delivering asthma action plans, prescription updates, and patient appointment scheduling.
The asthma navigators for intervention participants will attempt to maintain contact with the school nurse in efforts to have a line of communication with the school.
Asthma navigators will assist families in all home-based needs pertaining to their child's asthma.
|
The intervention for this study is a multi-component navigation-supported intervention for children hospitalized with asthma.
Navigators will work with families for 12-months post-discharge.
Trained asthma educator/navigators will work to address challenges with asthma care after discharge; will include maximum 15 contacts/12 months.
The asthma navigators within this study will attempt to maintain direct contact with participants primary care doctors through email, fax, and/or postal mail as means for delivering asthma action plans, prescription updates, and patient appointment scheduling.
The asthma navigators for intervention participants will attempt to maintain contact with the school nurse in efforts to have a line of communication with the school.
Asthma navigators will assist families in all home-based needs pertaining to their child's asthma.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Re-admissions
Time Frame: 3, 6, 9, 12 months
|
Asthma-related readmissions over 12-month follow-up period from index hospitalization
|
3, 6, 9, 12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Emergency Department (ED) Visit
Time Frame: 3, 6, 9, 12 months
|
Asthma-related ED visits over 12-month follow-up period from index hospitalization
|
3, 6, 9, 12 months
|
Asthma Control Test (ACT)
Time Frame: 3, 6, 9, 12 months
|
Asthma Control Test (ACT) which is 7 questions with scores ranging from 0 to 27.
Score less than 19 means that asthma is not well-controlled.
|
3, 6, 9, 12 months
|
Number of Household Triggers
Time Frame: 3, 6, 9, 12 months
|
Questionnaire from home visit program.
Includes exposures in the home, specifically: birds, cats, dogs, dust, eats in Bedroom, tobacco smoke, fireplace/wood burning stove/heat source, incense/candles, mice/rats, roaches/waterbugs, mold/mildew smell;water damage, perfume, other.
|
3, 6, 9, 12 months
|
Caregiver quality of life
Time Frame: 3 ,6, 9, 12 months
|
Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ) which includes 13-items; includes feelings about child's asthma symptoms (9 items), level of concern about child's asthma (4 items); uses a 7-point Likert scale.Responses to each item of the PACQLQ are given on a seven-point scale, ranging from 1 to 7, with the higher scores indicating less impairment.
The result will be expressed as a mean score per item for each of the domains, as well as for the overall quality of life.
Higher score means better outcome.
|
3 ,6, 9, 12 months
|
Symptom Free Days (SFD)
Time Frame: 3, 6, 9, 12 months
|
Symptom Free Days (SFD) is measured over the last 14 days, and ranges from 0 to 14. SFD question will be asked at 3,6,9,12 month data collection with a 14 day look-back period.
|
3, 6, 9, 12 months
|
Parent Self-Efficacy
Time Frame: 3, 6, 9, 12 months
|
Parent Asthma Management Self- Efficacy Scale (PAMES) survey includes 13-item questions that measures parent self-efficacy with child's asthma; uses a 5-point scale.
Scores range from 13-65.
Parents rated their responses on a 5-point ordinal scale from 1= not at all sure to 5 = completely sure.
Higher score means better outcome.
|
3, 6, 9, 12 months
|
Caregiver Stress
Time Frame: 3, 6, 9, 12 months
|
Perceived Stress Scale (PSS) is a validated tool with a shorter validated version that can be used for data collection over the phone and uses a 5-point ordinal scale.
Individual scores on the PSS can range from 0 to 40 with higher score indicating higher perceived stress.
Higher score means worse outcome.
|
3, 6, 9, 12 months
|
Parental Resilience
Time Frame: 3, 6, 9, 12 months
|
Brief Resilience Scale (BRS) is 6-item tool to measure resilience or the ability to bounce back or recover from stress that would be valuable in coping with health-related stressors.
Total score will range from 6-30.
Higher score means better outcome.
|
3, 6, 9, 12 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sociodemographic factors
Time Frame: Baseline
|
Age, Gender, Martial Status, Race, Ethnicity, Socioeconomic status, Occupation, Education, Household size, Number of asthma caregivers, English Proficiency, and Health Literacy
|
Baseline
|
Experience with Discrimination (EOD)
Time Frame: Baseline
|
Survey includes experiences with discrimination and situations of unfair treatment asking about frequency as well as the specific situation.
Validated close-format questions used in diverse racial/ethnic groups.
|
Baseline
|
Asthma severity
Time Frame: Baseline
|
Asthma severity will be measured by NIH classification of Intermittent, Persistent mild, Persistent moderate, Persistent severe.
|
Baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kavita Parikh, MD MSHS, Children's National Research Institute
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
January 1, 2024
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
December 1, 2027
Study Registration Dates
First Submitted
July 26, 2023
First Submitted That Met QC Criteria
August 3, 2023
First Posted (Actual)
August 14, 2023
Study Record Updates
Last Update Posted (Actual)
August 14, 2023
Last Update Submitted That Met QC Criteria
August 3, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY0699
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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