An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo Nation
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 300
- 试验地点
- 2
- 主要终点
- Rate of pediatric asthma exacerbations in Year 1
研究概览
简要总结
National Jewish Health and The University of Arizona worked with Navajo Nation organizations to develop this program to improve the health of children with asthma. The Navajo Community Asthma Program will have two main parts. One will train doctors and health care professionals to improve the diagnosis and treatment of asthma. The second part will work with area schools to provide education to school nurses, teachers, and children to help them better understand asthma. The project also works with families to help them know how to best take care of their child's asthma. A major project aim is to make sure that doctors, teachers, and families work together to manage asthma.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The project will involve three Navajo Nation Agencies: Tuba City, Chinle, and Fort Defiance. Project interventions will run for one year in each Agency. Interventions are population-level interventions. No intervention will be administered at the individual level.
- •Inclusion Criteria:
- •The study will be conducted within three agencies on the Navajo Nation, each of which has its own IHS service unit. The three agencies are Chinle, Tuba City, and Fort Defiance.
排除标准
- •This protocol pertains only to the three agencies listed above.
- •Community interviewees will be interested candidates who meet the following eligibility criteria:
- •Inclusion Criteria:
- •Able and willing to provide informed consent
- •Greater than or equal to 18 years of age
- •Guardianship of a child younger than 18 years of age who has been diagnosed with asthma
- •Able to read and/or understand English or Navajo
- •Exclusion Criteria:
- •Unable or unwilling to provide informed consent
- •Younger than 18 years of age, without presence of guardian
- •Unable to read and/or understand English or Navajo
研究组 & 干预措施
Year two intervention
Both interventions will occur in the Tuba City Agency during year two.
干预措施: Asthma Care Provider Training (Behavioral)
Year two intervention
Both interventions will occur in the Tuba City Agency during year two.
干预措施: School Staff Asthma Education (Behavioral)
Year three intervention
Both interventions will occur in the Chinle Agency during year three.
干预措施: Asthma Care Provider Training (Behavioral)
Year three intervention
Both interventions will occur in the Chinle Agency during year three.
干预措施: School Staff Asthma Education (Behavioral)
Year four intervention
Both interventions will occur in the Fort Defiance during year four.
干预措施: Asthma Care Provider Training (Behavioral)
Year four intervention
Both interventions will occur in the Fort Defiance during year four.
干预措施: School Staff Asthma Education (Behavioral)
结局指标
主要结局
Rate of pediatric asthma exacerbations in Year 1
时间窗: Data will be collected once during Year 1 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 1 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
Rate of pediatric asthma exacerbations in Year 2
时间窗: Data will be collected once during Year 2 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 2 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
Rate of pediatric asthma exacerbations in Year 6
时间窗: Data will be collected once during Year 6 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 6 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
Rate of pediatric asthma exacerbations in Year 3
时间窗: Data will be collected once during Year 3 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 3 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
Rate of pediatric asthma exacerbation in Year 4
时间窗: Data will be collected once during Year 4 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 4 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
Rate of pediatric asthma exacerbations in Year 5
时间窗: Data will be collected once during Year 5 of the project.
The rate of asthma exacerbations among children living on the Navajo Nation during Year 5 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.
次要结局
- Community reports of asthma-related events Year 4(In-person interviews will be conducted with families during year four of the project.)
- Community reports of asthma-related events Year 5(In-person interviews will be conducted with families during year five of the project.)
- Community reports of asthma-related events Year 1(In-person interviews will be conducted with families during year one of the project.)
- Community reports of asthma-related events Year 2(In-person interviews will be conducted with families during year two of the project.)
- Community reports of asthma-related events Year 3(In-person interviews will be conducted with families during year three of the project.)