Talking Card for Asthma
The Talking Card for Asthma: A Recordable Audio Discharge Instruction Device to Improve Asthma Control
The research goal is to explore the use and effects of a custom-recordable audio discharge instruction card (Talking Card) in the pediatric health care setting. This study will address a primary, experimental research question: can pediatric asthma control be improved through the distribution of a custom-recorded audio asthma instruction card to parents at the health provider's office? Secondary, descriptive objectives will be to evaluate feasibility of Talking Card delivery and to collect and summarize parental reactions to the design and use of the audio discharge instruction card.
The specific aims of this study are:
- To compare the change in mean Childhood Asthma Control Test (C-ACT) scores for children aged 4 through 11 years with uncontrolled asthma receiving a custom-recorded asthma instruction card to the change in mean C-ACT scores for those receiving usual care.
- To measure the use and impressions of a custom-recordable audio asthma discharge instruction card among primary caregivers of children with uncontrolled asthma through quantitative and qualitative survey questions.
The investigators hypothesize that:
1) Asthma control in children 4 through 11 years of age with uncontrolled asthma, as measured by the C-ACT, will improve to a greater extent among those receiving a custom-recordable audio discharge instruction card than among those receiving usual care.
研究概览
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Florida
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Tampa、Florida、美国、33620
- University of South Florida
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Missouri
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Kansas City、Missouri、美国、64108
- Children's Mercy Hospital
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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:
- Child age 4 through 11 years old
- English-speaking primary caregiver
- Enrollment in Medicaid insurance company within 12 months of study recruitment (original Kansas City site criterion, removed on revision)
- Diagnosis of asthma (ICD-9 code 493.0) within 12 months of study recruitment
- Visit to study site clinic for asthma within 12 months of study recruitment
Exclusion Criteria:
- History of premature birth less than 33 weeks gestation or requirement of a significant level of respiratory care including mechanical ventilation as a neonate
- Any major chronic illness including but not limited to non-skin cancer, cystic fibrosis, bronchiectasis, sickle cell anemia, endocrine disease, congenital heart disease, congestive heart failure, stroke, severe hypertension, insulin-dependent diabetes mellitus, renal failure, liver disorders, immunodeficiency states, significant neuro-developmental delay or behavioral disorders (excluding mild attention deficit hyperactivity disorder), or other conditions that would interfere with participation in the study
- Visit to any primary care provider giving asthma action plan advice during the previous month
- Anticipated departure from study area before study period ends (3-month follow-up)
学习计划
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
无干预:No Talking Card
Usual care of asthma by study clinician, including evaluation of asthma using C-ACT and clinical history, treatment using asthma action planning
|
|
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实验性的:Taking Card
Usual care, as in comparison group, plus recordable Talking Card at each visit
|
Recordable greeting card-style discharge instruction card
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Asthma Control (C-ACT)
大体时间:3 months
|
Childhood Asthma Control Test (C-ACT) score, measured repeatedly across 3 visits
|
3 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Parental Card Use and Satisfaction
大体时间:3 months
|
Survey of parental card use and satisfaction with card performance, measured repeatedly across 3 visits
|
3 months
|
合作者和调查者
调查人员
- 首席研究员:John D Cowden, MD,MPH、Children's Mercy Hospital Kansas City
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
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