Promoting Partnership and Improving Self-Management for Children With Persistent Asthma

Summary

The goal of this study is to evaluate a pilot of clinic-based intervention of asthma education. After a scheduled outpatient encounter for well-child care or asthma care has concluded, a pediatric nurse will teach participants (children and their caregivers) about asthma, provide clearly written information about how to manage asthma, and discuss how to manage asthma at home with cooperation between caregivers and children. Families will also receive current asthma prescriptions in clinic, and colored labels will be attached to medications in order to match the color scheme of asthma action plans (green labels for controller medications, red labels for rescue medications). Families will be followed for 3 months after the first clinic visit, including a follow-up visit in clinic 1 month later and a follow-up telephone call 3 months after starting. The nurse will reinforce key educational points and review medication use at the follow-up clinic visit. Families will also be invited to complete an additional in-depth interview following the 1 month clinic follow-up. The investigator hypothesizes that knowledge, self-efficacy, and reported adherence with asthma medications will increase for both caregivers and children/adolescents following the intervention and labeling of delivered medications. In addition, the investigator hypothesizes that children/adolescents will have more symptom free days and improved control following the intervention.

Conditions

• Asthma in Children

Interventions

OTHER

Nurse-delivered education

The nurse will: 1. Give the caregiver and child an overview of asthma, and discuss asthma control, triggers, and medications. 2. Give caregivers information about asthma management written at or below 6th grade reading levels. 3. Provide colored medication labels to distinguish controller from rescue medications following the action plan color scheme (green for controller medications, red for rescue medications). Teach-back methods will be used to elicit understanding of correct indications of use. 4. Demonstrate MDI/spacer technique with teach-back. 5. Discuss age-appropriate caregiver and child responsibility for asthma management within the family, with an overview of transitioning responsibility. 6. Ask patients to make a 1 month follow-up appointment for asthma care.

Sponsors & Collaborators

• New York State Department of Health

  collaborator OTHER_GOV

• University of Rochester

  lead OTHER

Principal Investigators

• Sean M Frey, MD, MPH · University of Rochester

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

7 Years

Max Age

14 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-06-07

Primary Completion

2019-05-31

Completion

2019-06-30

Countries

• United States

Study Locations