Family Approach to Managing Asthma in Early Teens
- Conditions
- Lung DiseasesAsthma
- Interventions
- Behavioral: Asthma and Stress Comparator
- Registration Number
- NCT00241852
- Lead Sponsor
- NYU Langone Health
- Brief Summary
The purpose of this study is to test two asthma management programs: (a) a school-based curriculum to empower middle school students to manage their asthma and (b) a parent training curriculum to teach childrearing skills that support the youths' growing autonomy and need to self-manage their disease.
- Detailed Description
BACKGROUND:
Asthma is a public health problem with its prevalence and morbidity being significant in 11- to 14-year olds, particularly among ethnic minorities. Despite this, little has been done to intervene with this age group. This is surprising considering the success of asthma education programs for younger children. In addition, there are no reports of parenting training to help families manage asthma despite the significant influence parenting strategies have on the management of chronic illnesses.
DESIGN NARRATIVE:
The overall goal of this study is to test the efficacy of a program with two complementary components: (a) a school-based curriculum to empower middle school students to manage their asthma and (b) a parent training curriculum to teach childrearing skills that support the youths' growing autonomy and need to self-manage their disease. The specific aims are: (1) to implement screening to identify 6th - 8th grade students with persistent asthma; and (2) to provide health education and parent training to help children and parents manage asthma more effectively. The student program is based on Coping with Asthma at Home and at School, a successful program developed in Holland. The parent program is an adaptation of Thriving Teens, an effective parent training program developed by the investigators. Participants in this randomized control trial will be 384 children with asthma and their caregivers from 16 New York City public schools serving low-income, ethnic minorities. It is hypothesized that students randomized to the intervention will have, relative to controls, improvements in three primary outcomes: (1) reduced symptom severity; (2) improved quality of life; and (3) better asthma management skills. Also, when compared to controls, intervention students will show improvement in the following secondary outcomes: (4) urgent health care utilization; (5) days with activity restriction; and (6) parent-child interactions. Caregivers and children will complete comprehensive surveys assessing these outcomes at baseline, and immediately and 6- and 12-months after the intervention.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 392
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Behavioral Control Group Asthma and Stress Comparator Students and parents participate in an education only control group
- Primary Outcome Measures
Name Time Method Symptom severity baseline, immediate post-intervention and every 2 months thereafter up to and including 12-months post-intervention quality of life Baseline, and immediate, 6-months and 12-months post-intervention asthma management skills Baseline, and immediate, 6-months and 12-months post-intervention
- Secondary Outcome Measures
Name Time Method parent-child interactions Baseline, and immediate, 6-months and 12-months post-intervention Urgent health care utilization baseline, immediate post-intervention and every 2 months thereafter up to and including 12-months post-intervention days with activity restriction baseline, immediate post-intervention and every 2 months thereafter up to and including 12-months post-intervention
Trial Locations
- Locations (1)
New York University School of Medicine
🇺🇸New York, New York, United States