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Sponsored by: |
Children's Research Institute |
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Information provided by: | Children's Research Institute |
ClinicalTrials.gov Identifier: | NCT00832923 |
The overall aim of this study will be to perform a prospective randomized clinical trial of an enhanced version of the IMPACT DC intervention involving short-term case management to facilitate PCP follow-up appointments and to provide education for parents about how to communicate more effectively with their children's PCPs as a means
(1) to improve the rate of utilization of primary care services for ongoing asthma care and (2) to enhance the self-efficacy of parents in their interactions with their children's provider regarding the child's asthma care needs in 150 parents of high risk children referred within the IMPACT DC Asthma Clinic.
Condition | Intervention |
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Asthma |
Behavioral: PEPAC |
Study Type: | Interventional |
Study Design: | Health Services Research, Randomized, Single Blind (Caregiver), Parallel Assignment |
Official Title: | Improving Asthma Care Through Parental Empowerment: Effect on Healthcare Utilization and Parent Self-Efficacy |
Estimated Enrollment: | 150 |
Study Start Date: | January 2009 |
Estimated Primary Completion Date: | July 2010 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Routine IMPACT DC care: No Intervention
Participants receive standard asthma education as routine for IMPACT DC
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Enhanced care PEPAC Intervention: Experimental |
Behavioral: PEPAC
The proposed enhancement of the IMPACT DC intervention will consist of three key components: (1) an enhanced IMPACT DC Asthma Clinic visit; (2) short-term case management to increase the rate of primary care follow-up visits in the first month after the IMPACT DC Asthma Clinic visit; and (3) training in an "asthma care toolkit" to improve communication around asthma care with the child's primary care provider.
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Asthma is the most common chronic disease of childhood, and it disproportionately affects urban, minority, and disadvantaged children. When implemented correctly, existing evidence-based guidelines from the National Heart, Lung, and Blood Institute (NHLBI) improve pediatric asthma care and outcomes. One key component of these guidelines is the importance of longitudinal care as part of a partnership among patient, parents, and a healthcare provider. Such a partnership depends on effective communication of healthcare status by parents to providers. Improving the communication skills of inner-city parents may improve their ability to obtain more effective longitudinal asthma care within their primary care homes and thereby to improve their child's asthma health outcomes. IMPACT DC ("Improving Pediatric Asthma Care in the District of Columbia") is a locally validated emergency department (ED) based intervention that improves multiple measures of asthma care and outcomes through an intensive short-term program of asthma education, medical care, and care coordination. In spite of these successes, achieving increased subsequent contact and partnership with primary care providers (PCPs) for asthma care after the intervention has not been successful. Therefore, for the current study, we propose to assess the effectiveness of an enhanced version of the existing IMPACT DC intervention consisting of short-term case management by trained asthma educators.
Ages Eligible for Study: | 12 Months to 12 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Kanya Shabazz | 202-476-6266 | kshabazz@cnmc.org |
Contact: Debbie Quint, MPH | 202-476-5514 | dquint@cnmc.org |
United States, District of Columbia | |
Children's Research Institute | Recruiting |
Washington, District of Columbia, United States, 20010 | |
Contact: Kanya Shabazz 202-476-6266 kshabazz@cnmc.org | |
Principal Investigator: Ivor B Horn, MD, MPH | |
Sub-Investigator: Stephen J Teach, MD, MPH | |
Sub-Investigator: Jill G Joseph, MD. PhD |
Responsible Party: | Children's Research Institute ( Ivor B. Horn, MD, MPH ) |
Study ID Numbers: | RAC #207 |
Study First Received: | January 29, 2009 |
Last Updated: | August 4, 2009 |
ClinicalTrials.gov Identifier: | NCT00832923 History of Changes |
Health Authority: | United States: Institutional Review Board |
parental empowerment parent self-efficacy |
Hypersensitivity Lung Diseases, Obstructive Respiratory Tract Diseases Bronchial Diseases |
Lung Diseases Hypersensitivity, Immediate Asthma Respiratory Hypersensitivity |
Hypersensitivity Lung Diseases, Obstructive Immune System Diseases Respiratory Tract Diseases Bronchial Diseases |
Lung Diseases Hypersensitivity, Immediate Asthma Respiratory Hypersensitivity |