An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo Nation
- Conditions
- Asthma in Children
- Interventions
- Behavioral: Asthma Care Provider TrainingBehavioral: School Staff Asthma Education
- Registration Number
- NCT03377647
- Lead Sponsor
- National Jewish Health
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 300
- 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.
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Year two intervention School Staff Asthma Education Both interventions will occur in the Tuba City Agency during year two. Year three intervention Asthma Care Provider Training Both interventions will occur in the Chinle Agency during year three. Year four intervention School Staff Asthma Education Both interventions will occur in the Fort Defiance during year four. Year two intervention Asthma Care Provider Training Both interventions will occur in the Tuba City Agency during year two. Year three intervention School Staff Asthma Education Both interventions will occur in the Chinle Agency during year three. Year four intervention Asthma Care Provider Training Both interventions will occur in the Fort Defiance during year four.
- Primary Outcome Measures
Name Time Method Rate of pediatric asthma exacerbations in Year 1 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 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 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 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 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 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.
- Secondary Outcome Measures
Name Time Method Community reports of asthma-related events Year 1 In-person interviews will be conducted with families during year one of the project. Families will be interviewed to assess child asthma symptom control and related care satisfaction.
Community reports of asthma-related events Year 2 In-person interviews will be conducted with families during year two of the project. Families will be interviewed to assess child asthma symptom control and related care satisfaction.
Community reports of asthma-related events Year 3 In-person interviews will be conducted with families during year three of the project. Families will be interviewed to assess child asthma symptom control and related care satisfaction.
Community reports of asthma-related events Year 4 In-person interviews will be conducted with families during year four of the project. Families will be interviewed to assess child asthma symptom control and related care satisfaction.
Community reports of asthma-related events Year 5 In-person interviews will be conducted with families during year five of the project. Families will be interviewed to assess child asthma symptom control and related care satisfaction.
Trial Locations
- Locations (2)
University of Arizona
🇺🇸Tucson, Arizona, United States
National Jewish Health
🇺🇸Denver, Colorado, United States