Pediatric Asthma Alert Intervention for Minority Children With Asthma (PAAL)
Pediatric Asthma Alert Intervention for Minority Children
Young inner-city children with asthma have the highest emergency department (ED) visit rates. Relying on the emergency department for asthma care can be a dangerous sign of poorly controlled asthma. This research will focus on whether having a specialized asthma nurse join the family at a child's doctor visit after an ED visit for asthma to make sure the child and parent keep the follow-up appointment and have the nurse remind the child's doctor to prescribe preventive asthma medicines and an asthma action plan for home (PAAL intervention) will result in young children with asthma having fewer days with wheezing and cough.
The investigators hypothesize that:
- Significantly more children receiving the PAAL intervention will attend greater than 2 non-urgent visits and greater than 6 refills for the child's anti-inflammatory medications over 12 months when compared to children in the control or standard asthma education group.
- Children in the PAAL intervention group will experience less morbidity and caregivers will experience increased quality of life compared to children in the control of standard asthma education group.
研究概览
详细说明
研究类型
注册 (实际的)
阶段
- 阶段2
联系人和位置
学习地点
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Maryland
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Baltimore、Maryland、美国、21287
- Johns Hopkins University
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
All 6 criteria must be met:
- Physician-diagnosed asthma (based on caregiver report with validation from the child's physician)
- > 2 ED visits or > 1 hospitalization for asthma within past 12 months
Mild persistent to severe persistent asthma based on NHLBI guidelines criteria (7-9) having any 1 of the following:
- An average of > 2 days per week of asthma symptoms
- > 2 days per week with rescue medication use (albuterol, xopenex) OR
- > 2 days per month of nighttime symptoms
- Age > 3 and < 10 years
- Reside in Baltimore Metropolitan area
- Not currently participating in another asthma study or sibling enrolled in PAAL study
Exclusion Criteria:
- Inability to speak and understand English
- No access to a working phone or alternate phone for follow-up surveys
- Co-morbid respiratory condition including cystic fibrosis, chronic lung disease (BPD), lung cancer, tracheostomy that could interfere with the assessment of asthma-related outcome measures.
- Children residing in foster care or where consent cannot be obtained from a legal guardian.
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
---|---|
有源比较器:1
Standard asthma education delivered during 2 home visits by a nurse.
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Standard asthma education during 2 home visits.
其他名称:
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实验性的:2 PAAL
PAAL
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Asthma nurse conducts 2 home visits and accompanies the child to primary care provider visit after ED visits
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
Number of primary care appointments kept over 12 months
大体时间:12 months
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12 months
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次要结果测量
结果测量 |
大体时间 |
---|---|
Number of refills for anti-inflammatory medications prescribed over 12 months
大体时间:12 months
|
12 months
|
合作者和调查者
调查人员
- 首席研究员:Arlene M Butz, ScD, RN、Johns Hopkins University
出版物和有用的链接
一般刊物
- Bellin MH, Margolis RH, Whitney L, Osteen P, Thompson A, Butz AM. Violence Exposure, Child Asthma Morbidity, and Maternal Depressive Symptoms: A Longitudinal Analysis of Cumulative Risk. J Health Care Poor Underserved. 2022;33(1):47-66. doi: 10.1353/hpu.2022.0006.
- Bellin MH, Osteen P, Kub J, Bollinger ME, Tsoukleris M, Chaikind L, Butz AM. Stress and Quality of Life in Urban Caregivers of Children With Poorly Controlled Asthma: A Longitudinal Analysis. J Pediatr Health Care. 2015 Nov-Dec;29(6):536-46. doi: 10.1016/j.pedhc.2015.04.018. Epub 2015 May 30.
- Butz AM, Halterman J, Bellin M, Kub J, Tsoukleris M, Frick KD, Thompson RE, Land C, Bollinger ME. Improving preventive care in high risk children with asthma: lessons learned. J Asthma. 2014 Jun;51(5):498-507. doi: 10.3109/02770903.2014.892608. Epub 2014 Feb 27.
- Butz AM, Halterman JS, Bellin M, Kub J, Frick KD, Lewis-Land C, Walker J, Donithan M, Tsoukleris M, Bollinger ME. Factors associated with completion of a behavioral intervention for caregivers of urban children with asthma. J Asthma. 2012 Nov;49(9):977-88. doi: 10.3109/02770903.2012.721435. Epub 2012 Sep 19.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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