A Pilot Study to Improve Preventive Asthma Care for Urban Adolescents
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Rochester
- Enrollment
- 30
- Locations
- 2
- Primary Endpoint
- Number of Symptom-free Days Over Two Weeks
Study Overview
Brief Summary
The goal of this pilot study is to implement directly observed therapy with preventive asthma medications through a partnership with the school nurse (with input and direction from the primary care provider) to assure that the teen receives guideline based preventive medications, and provide a motivational interviewing intervention to help the teen transition to independence with their medical treatment plan. We hypothesize that this community-based pilot intervention will; 1) be feasible and acceptable among this population and among school personnel, and 2) yield reduced asthma morbidity (symptom-free days, absenteeism, and emergency room / urgent care use for asthma care). We anticipate that enhancing preventive healthcare for urban teens with asthma through partnerships with schools will yield improved health, prevention of suffering, decreased absenteeism from school, and reduced healthcare costs. This new method of preventive care delivery could be sustained within the school nursing system, and could be implemented in schools nationwide. Further, it could be applied to other chronic illnesses affecting disadvantaged populations.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 12 Years to 15 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Physician-diagnosed asthma
- •Persistent asthma (criteria based on NHLBI guidelines).
- •Age >12 and <15 years.
- •Attending school in the Rochester City School District.
- •Signed physician permission to enroll the child.
- •Current prescription of a daily preventive asthma medication
- •Parent or caregiver and the adolescent must consent to the intervention.
Exclusion Criteria
- •Inability to speak and understand English.
- •No access to a working phone for follow-up surveys
- •The family planning to leave the school district within fewer than 6 months.
- •The teen having other significant medical conditions
- •The teen having a diagnosed developmental condition per parent report.
- •Adolescents in foster care or other situations in which consent cannot be obtained from a guardian.
- •Adolescents that were previously enrolled in our School-Based Asthma Study
Outcomes
Primary Outcomes
Number of Symptom-free Days Over Two Weeks
Time Frame: 2 and 4 month follow-up assessments
We will measure number of symptom-free days at 2-months (at the end of the directly observed therapy phase) and 4-months (after their transition to independence with preventive medications). We anticipate that teens will experience more symptom-free days compared to baseline assessment.
Secondary Outcomes
- Additional Asthma Morbidity Measures(2 month, 4 month, final follow-up assessments)
Investigators
Jill Halterman
Associate Professor
University of Rochester