Trial Outcomes & Findings for School-Based Preventive Asthma Care Technology: A Trial Using a Novel Technology to Improve Adherence (NCT NCT01175434)

NCT ID: NCT01175434

Last Updated: 2014-02-17

Results Overview

The primary outcome is asthma morbidity between groups. We will measure asthma morbidity by looking at the average number of symptom-free days, over 2 weeks, at each bi-monthly follow-up time point over the school year. Number of days without asthma symptoms will be reported by the child's caregiver.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

99 participants

Primary outcome timeframe

Average number of days, over 2 weeks, throughout the school year

Results posted on

2014-02-17

Participant Flow

Participant milestones

Participant milestones
Measure
School-Based Medication Group
For children assigned to the School-Based Medication group, an asthma coordinator will send the child's primary care physician a report indicating the child's asthma symptoms, and will recommend that the child receive a preventive asthma medication at school. If the child's doctor agrees, the preventive asthma medication will be delivered to the child's school and to his/her home by a local pharmacy. The child's school nurse will begin directly observed therapy of the preventive asthma medication at school, and will routinely assess the child's asthma symptoms throughout the school year.
Usual Care Group
Children in the Usual Care group will not receive preventive medications delivered at school. These children will continue to receive all of their asthma care from their parents and primary care physicians.
Overall Study
STARTED
48
51
Overall Study
COMPLETED
48
51
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

School-Based Preventive Asthma Care Technology: A Trial Using a Novel Technology to Improve Adherence

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
School-Based Medication Group
n=48 Participants
For children assigned to the School-Based Medication group, an asthma coordinator will send the child's primary care physician a report indicating the child's asthma symptoms, and will recommend that the child receive a preventive asthma medication at school. If the child's doctor agrees, the preventive asthma medication will be delivered to the child's school and to his/her home by a local pharmacy. The child's school nurse will begin directly observed therapy of the preventive asthma medication at school, and will routinely assess the child's asthma symptoms throughout the school year.
Usual Care Group
n=51 Participants
Children in the Usual Care group will not receive preventive medications delivered at school. These children will continue to receive all of their asthma care from their parents and primary care physicians.
Total
n=99 Participants
Total of all reporting groups
Age, Categorical
<=18 years
48 Participants
n=99 Participants
51 Participants
n=107 Participants
99 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Continuous
7.48 years
STANDARD_DEVIATION 1.7 • n=99 Participants
6.98 years
STANDARD_DEVIATION 1.8 • n=107 Participants
7.2 years
STANDARD_DEVIATION 1.8 • n=206 Participants
Sex: Female, Male
Female
23 Participants
n=99 Participants
19 Participants
n=107 Participants
42 Participants
n=206 Participants
Sex: Female, Male
Male
25 Participants
n=99 Participants
32 Participants
n=107 Participants
57 Participants
n=206 Participants
Region of Enrollment
United States
48 participants
n=99 Participants
51 participants
n=107 Participants
99 participants
n=206 Participants

PRIMARY outcome

Timeframe: Average number of days, over 2 weeks, throughout the school year

The primary outcome is asthma morbidity between groups. We will measure asthma morbidity by looking at the average number of symptom-free days, over 2 weeks, at each bi-monthly follow-up time point over the school year. Number of days without asthma symptoms will be reported by the child's caregiver.

Outcome measures

Outcome measures
Measure
School-Based Medication Group
n=48 Participants
For children assigned to the School-Based Medication group, an asthma coordinator will send the child's primary care physician a report indicating the child's asthma symptoms, and will recommend that the child receive a preventive asthma medication at school. If the child's doctor agrees, the preventive asthma medication will be delivered to the child's school and to his/her home by a local pharmacy. The child's school nurse will begin directly observed therapy of the preventive asthma medication at school, and will routinely assess the child's asthma symptoms throughout the school year.
Usual Care Group
n=51 Participants
Children in the Usual Care group will not receive preventive medications delivered at school. These children will continue to receive all of their asthma care from their parents and primary care physicians.
Average Number of Symptom-free Days Over 14 Days; (Symptom-free Days Are Averaged Over 4 Bi-monthly Follow-ups)
11.33 Days
Standard Deviation 2.6
10.40 Days
Standard Deviation 3.4

SECONDARY outcome

Timeframe: one year

We will evaluate the cost effectiveness to implement and sustain the web-based system in schools. We will review the cost of the intervention using three main categories of costs; programmatic costs (costs of initiating and running the program), productivity costs, and medical costs estimated at the individual child level.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: one year

We will conduct interviews with parents and school nurses to evaluate whether this new program is feasible and acceptable among this population.

Outcome measures

Outcome data not reported

Adverse Events

School-Based Medication Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Usual Care Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jill Halterman

University of Rochester

Phone: 5852755798

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place