Improving Asthma Outcomes in an Urban Pediatric Population
NCT00140439 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 488
Last updated 2015-08-25
Summary
Little is known about how ED-based programs can help to reduce pediatric ED visits for asthma. The current study evaluated a novel intervention in which the ED itself became the site of highly individualized, comprehensive follow-up asthma care. It sought to determine if such an intervention could decrease subsequent unscheduled visits for asthma while improving asthma quality of life.
Conditions
Interventions
- BEHAVIORAL
-
Emergency Department based asthma follow-up clinic
The clinical activities of the intervention followed a fully specified protocol and provided education and care in three domains: 1. Asthma self-monitoring and management: Educators first reviewed the basic physiology of asthma with emphasis on its chronicity. After evaluating asthma severity and treatment history, the physician completed an individualized medical action plan (MAP) and provided any necessary device teaching. 2. Environmental modification and trigger control: After evaluation of potential environmental triggers in the home, each family was educated on their control. Each child was provided hypoallergenic bed encasings. 3. Linkages and referrals to ongoing primary care: Clinic staff stressed the importance of longitudinal asthma care by a PCP. A full report of the clinic visit was mailed to each child's PCP. In addition, the asthma educator scheduled a follow-up appointment with the PCP within 4 weeks
Sponsors & Collaborators
-
American Academy of Allergy, Asthma, and Immunology
collaborator OTHER -
Robert Wood Johnson Foundation
collaborator OTHER -
Stephen J. Teach, MD, MPH
lead OTHER
Principal Investigators
-
Stephen J Teach, MD · Children's National Research Institute
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 12 Months
- Max Age
- 17 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2002-04-30
- Primary Completion
- 2005-06-30
- Completion
- 2005-06-30
Countries
- United States
Study Locations
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