- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00860834
Telephone Coaches to Improve Control of Asthma in Children ( PARTNER) Study) (PARTNER)
Parents, Pediatricians, and Telephone Coaches Partner to Improve Control of Asthma
연구 개요
상세 설명
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.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
-
-
Missouri
-
Saint Louis, Missouri, 미국, 63110
- Washington University School of Medicine
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
실험적: 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.
|
활성 비교기: 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.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
---|---|
Asthma control
기간: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Asthma-related quality of life
기간: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Urgent care events
기간: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
2차 결과 측정
결과 측정 |
기간 |
---|---|
Adherence to guideline-recommended asthma maintenance care behaviors
기간: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
Cost effectiveness
기간: Measured at Months 12 and 24
|
Measured at Months 12 and 24
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Robert Strunk, MD, Washington University School of Medicine
- 수석 연구원: Jane M. Garbutt, MB, ChB, Washington University School of Medicine
간행물 및 유용한 링크
일반 간행물
- 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.
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
Asthma Coaching Program에 대한 임상 시험
-
Children's Hospital Medical Center, CincinnatiNational Institute of Mental Health (NIMH)완전한
-
University of LiverpoolLondon School of Hygiene and Tropical Medicine; National Institute of Mental Health (NIMH)완전한
-
University of Texas Southwestern Medical CenterNational Institute on Minority Health and Health Disparities (NIMHD)초대로 등록
-
KK Women's and Children's HospitalDuke University; Duke-NUS Graduate Medical School; Health Promotion Board, Singapore; Sport...완전한
-
Emory University정지된
-
Microclinic InternationalRoyal Health Awareness Society (RHAS); Jordanian Ministry of Health (MoH)완전한고혈당증 | 고혈압 | 비만 | 제2형 당뇨병 | 진성 당뇨병 | 당뇨병 | 체중 | 체중 감량 | 혈압 | 살찌 다 | 사회적 행동 | 몸무게, 몸 | 포도당, 고지혈증 | 라이프스타일, 건강 | 체중 변화, 신체 | 행동, 건강 | 라이프스타일 위험 감소 | 혈압, 높음 | 고혈당증(당뇨병) | 체중 변화 궤적요르단