A Randomized Controlled Trial of a Community Health Worker Home-Based Asthma Intervention
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 188
- 试验地点
- 1
- 主要终点
- mean number of asthma symptom days
研究概览
简要总结
The investigators propose to test the hypothesis that a home-based asthma intervention, the Wee Wheezers program, delivered by the Community Health Workers and tailored to the needs of the investigators community, will improve anti-inflammatory medication adherence, parental asthma knowledge and management behaviors, which in turn will reduce asthma morbidity (defined as days with asthma symptoms) and health care utilization (defined as asthma-related Emergency Department visits) among low-income, minority children with persistent asthma in the Bronx.
详细描述
Asthma disproportionately burdens low-income inner city and minority children residing in inner cities. Daily use of inhaled corticosteroids (ICS) control symptoms and reduce asthma morbidity. Less then 50% of children with persistent asthma adhere to such therapy. Poor adherence to ICS medications is one of the major contributors to asthma morbidity. One way to reduce asthma disparities is to work in partnership with communities. Community Health Workers (CHWs) share the ethnic, cultural, social, and environmental experiences of the people in the community. Although, CHW home interventions have been successful in reducing asthma allergens, no studies using CHWs to deliver a previously identified evidence-based home intervention to improve ICS adherence and health outcomes in a population of inner-city, minority children with persistent asthma have been found. Objective: To evaluate the effectiveness of an evidence-based asthma home intervention, the Wee Wheezers program, tailored to the needs of the community and delivered by CHWs, in improving medication adherence, health outcomes and parental management behaviors among low-income, minority children with persistent asthma in the Bronx.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 9 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children 2-9 years of age with persistent asthma
- •children being currently prescribed ICS in the Metered Dose Inhaler (MDI) form
- •if the child is 2 years of age at the time of the recruitment, he/she must have at least two prior episodes of wheezing treated and reversible with beta-agonists
- •primary caregiver speaks English or Spanish
- •family has a phone.
排除标准
- •children with other chronic pulmonary diseases (e.g, cystic fibrosis, bronchopulmonary dysplasia) or presence of tracheostomy
研究组 & 干预措施
Wee Wheezers asthma education
6 lesson asthma education delivered at home by Community Health Workers
干预措施: Wee Wheezers (Behavioral)
结局指标
主要结局
mean number of asthma symptom days
时间窗: baseline and every 8 weeks during the 12-months study period
average of asthma symptom days
次要结局
- parental asthma knowledge and management behaviors(baseline, 3-, 6- and 12-months follow-up)
- asthma-related Emergency Department visits(baseline, 3-, 6- and 12-months follow-up)
- adherence to Inhaled Corticosteroid(baseline, 4 weeks, 8 weeks, and 12 weeks after beginning of intervention)
研究者
Marina Reznik
principal investigator
Montefiore Medical Center