Text2Breathe: Enhance Parent Communication to Reduce Pediatric Asthma Disparities

Not Applicable

Completed

• Conditions: Asthma
• Interventions: Behavioral: Text2Breathe Study Group

• Registration Number: NCT03032159
• Lead Sponsor: Seattle Children's Hospital

Brief Summary

Text2Breathe (T2B) is a randomized controlled trial aimed at improving communication between parents and their children's' primary care providers about asthma. The overarching goal of this study is to reduce disparities among a population with high rates of pediatric asthma morbidity. The investigators are testing the efficacy of a short message service (SMS)-enhanced health communication (HC) intervention ("Text2Breathe") designed to equip urban, low-income parents with tools for communicating effectively with their children's primary care provider (PCP).

Detailed Description

Potentially eligible participants are approached and screened in person during an admission of their child to the emergency department for asthma care. Those participants randomized to the intervention will receive additional education on effective communication with their child's primary care provider (PCP). These participants will also receive educational text messages for three months after their initial visit. Text messages will include education on effectively communicating with their child's provider and general asthma information. Both the control group and intervention group will receive text message reminders to schedule regular follow up visits with their PCP and get an annual flu shot. Both groups will be contacted for follow up phone interviews at 3, 6, 12, 18 and 24 months.

Study Timeline

• Study Start: 2015-08
• Study First Submitted: 2016-04-20
• Study First Submitted QC: 2017-01-23
• Study First Posted: 2017-01-26
• Primary Completion: 2020-03
• Study Completion: 2020-03
• Results First Submitted: 2024-01-23
• Results First Submitted QC: 2024-08-16
• Status Verified: 2024-11
• Results First Posted: 2024-11-01
• Last Update Submitted: 2024-11-09
• Last Update Posted: 2024-12-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 221

Inclusion Criteria

• Unlimited text messaging

Is the parent of child who is:

• Receiving asthma related care in the emergency department
• 2-12 years old inclusive
• Medicaid insured (no Private insurance)
• Physician diagnosed asthma for at least 12 months

Exclusion Criteria

Is the parent of child who:

• Has seen a pulmonary or allergy sub-specialist more than once in the last 6 months
• Has seen a sub-specialist (not pulmonary or allergy) more than once in the last 12 months
• Has been hospitalized for more than 30 days
• Is currently enrolled in another asthma program or study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Text2Breathe Study Group	Text2Breathe Study Group	The "study" group spends about 10-20 minutes learning about ways to have better communication with their child's primary care provider about his/her asthma. Additionally this group is enrolled in the Text2Breathe messaging program which sends asthma related educational text messages 2 times a week for 3 months. Participants randomized to the study group will also receive reminder texts to schedule with their child's PCP and to get an annual flu shot. Participants will be surveyed over the phone for 20-30 minutes 3, 6, 12, 18, and 24 months after enrollment.

Primary Outcome Measures

Name	Time	Method
Emergency Department Visits for Asthma Care	12 months	Number of emergency department visits for asthma care

Secondary Outcome Measures

Name	Time	Method
Asthma Morbidity	12 months	Asthma morbidity measured as the number of days (or nights) of impairment.

Trial Locations

Locations (2)

Seattle Children's; 🇺🇸 Seattle, Washington, United States

Mary Bridge Children's Hospital at Multi Care Health System; 🇺🇸 Tacoma, Washington, United States