Pediatric Asthma Alert Intervention for Minority Children With Asthma

Completed · Phase 2

Conditions studied: Asthma

In brief

Young inner-city children with asthma have the highest emergency department (ED) visit rates. Relying on the emergency department for asthma care can be a dangerous sign of poorly controlled asthma. This research will focus on whether having a specialized asthma nurse join the family at a child's doctor visit after an ED visit for asthma to make sure the child and parent keep the follow-up appointment and have the nurse remind the child's doctor to prescribe preventive asthma medicines and an asthma action plan for home (PAAL intervention) will result in young children with asthma having fewer days with wheezing and cough. The investigators hypothesize that: 1. Significantly more children receiving the PAAL intervention will attend greater than 2 non-urgent visits and greater than 6 refills for the child's anti-inflammatory medications over 12 months when compared to children in the control or standard asthma education group. 2. Children in the PAAL intervention group will experience less morbidity and caregivers will experience increased quality of life compared to children in the control of standard asthma education group.

Key facts

Study ID

NCT00860418

Run by

Johns Hopkins University

People needed

350

Starts

2008-09-01

Expected to finish

2013-06-01

Last updated by the study team

2015-09-02

Who can join

Age: 3 and older, up to 10. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• All 6 criteria must be met:
• Physician-diagnosed asthma (based on caregiver report with validation from the child's physician)
• > 2 ED visits or > 1 hospitalization for asthma within past 12 months
• Mild persistent to severe persistent asthma based on NHLBI guidelines criteria (7-9) having any 1 of the following:
• An average of > 2 days per week of asthma symptoms
• > 2 days per week with rescue medication use (albuterol, xopenex) OR
• > 2 days per month of nighttime symptoms
• Age > 3 and < 10 years
• Reside in Baltimore Metropolitan area
• Not currently participating in another asthma study or sibling enrolled in PAAL study

You may not qualify if…

• Inability to speak and understand English
• No access to a working phone or alternate phone for follow-up surveys
• Co-morbid respiratory condition including cystic fibrosis, chronic lung disease (BPD), lung cancer, tracheostomy that could interfere with the assessment of asthma-related outcome measures.
• Children residing in foster care or where consent cannot be obtained from a legal guardian.

Where it is running

• Johns Hopkins University — Baltimore, Maryland, United States

Full record on ClinicalTrials.gov

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