Coordinated Healthcare Interventions for Childhood Asthma Gaps in Outcomes

Summary

Chicago is an epicenter for asthma health disparities in the U.S., with African-American children 5-11 yrs bearing a disproportionate share of the burden. Among the most visible of these disparities is the high rate of visits to the Emergency Department (ED) for uncontrolled asthma. Clinical uncertainties regarding the real-world effectiveness of guideline recommendations for ED discharge and strategies to reduce environmental triggers at home contribute to practice variation and poor adherence to guidelines. The CHICAGO Plan tests both ED- and home-level interventions to improve clinically meaningful outcomes in a minority pediatric ED population with uncontrolled asthma.

Conditions

• Asthma

Interventions

BEHAVIORAL

CAPE

Decision support and communication tool to promote guideline-recommended care by providers and use of such care by children/caregivers

BEHAVIORAL

CHW home visits

Home visits by community health workers (CHW) to assist children and their caregivers to implement the CAPE and other guideline-recommended competencies.

Sponsors & Collaborators

• Sinai Health System

  collaborator OTHER

• Cook County Health & Hospitals System

  collaborator OTHER

• Rush University Medical Center

  collaborator OTHER

• Ann & Robert H Lurie Children's Hospital of Chicago

  collaborator OTHER

• University of Chicago

  collaborator OTHER

• Chicago Department of Public Health

  collaborator OTHER_GOV

• Respiratory Health Association

  collaborator UNKNOWN

• Chicago Asthma Consortium

  collaborator UNKNOWN

• Illinois Institute of Technology

  collaborator OTHER

• Illinois Emergency Department Asthma Surveillance Project

  collaborator UNKNOWN

• Patient-Centered Outcomes Research Institute

  collaborator OTHER

• University of Illinois at Chicago

  lead OTHER

Principal Investigators

• Jerry A Krishnan, MD, PhD · University of Illinois at Chicago

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

5 Years

Max Age

11 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2015-03-31

Primary Completion

2017-03-31

Completion

2017-03-31

Countries

• United States

Study Locations