A Patient Advocate to Improve Real-world Asthma Management for Inner City Adults
NCT01972308 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 312
Last updated 2022-09-13
Summary
Few interventions to improve asthma management have targeted low-income minority asthmatic adults and even fewer have focused on the real-world practice where care is provided for these patients. This project tests the effectiveness of a Patient Advocate as a practical and sustainable method of facilitating and maintaining communication between patient and provider and access to chronic care for adults with moderate or severe asthma recruited from clinics serving low-income urban neighborhoods. We compare the use of a Patient Advocate to current asthma care and test the Patient Advocate's cost-effectiveness.
Conditions
- Asthma
- Communication
Interventions
- BEHAVIORAL
-
Patient Advocate
Subject works with a Patient Advocate who coaches, models, and assists with preparations for a visit with the asthma doctor; attends the visit with permission of participant and provider; and confirms understanding. The PA facilitates scheduling, obtaining insurance coverage, overcoming patients' unique social and administrative barriers to accomplishing medical advice, and transfer of information between provider and patient.
- BEHAVIORAL
-
Usual Care
Subjects receive asthma care from their proivders in the participating practices which generally follow asthma guidelines
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Andrea J Apter, MD · University of Pennsylvania
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-12-12
- Primary Completion
- 2017-03-16
- Completion
- 2022-04-30
Countries
- United States
Study Locations
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