An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo Nation

National Jewish Health

Status: Active, not recruiting

Conditions: Asthma in Children

Treatments: Behavioral: School Staff Asthma Education; Behavioral: Asthma Care Provider Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03377647

HS2970

Details and patient eligibility

About

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.

Enrollment: 300 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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.

Exclusion Criteria:

• This protocol pertains only to the three agencies listed above.

Community interviewees will be interested candidates who meet the following eligibility criteria:

Inclusion Criteria:

1. Able and willing to provide informed consent
2. Greater than or equal to 18 years of age
3. Guardianship of a child younger than 18 years of age who has been diagnosed with asthma
4. Able to read and/or understand English or Navajo

Exclusion Criteria:

1. Unable or unwilling to provide informed consent
2. Younger than 18 years of age, without presence of guardian
3. Unable to read and/or understand English or Navajo

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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300 participants in 3 patient groups

Year two intervention

Active Comparator group

Description:

Both interventions will occur in the Tuba City Agency during year two.

Treatment:

Behavioral: Asthma Care Provider Training

Behavioral: School Staff Asthma Education

Year three intervention

Active Comparator group

Description:

Both interventions will occur in the Chinle Agency during year three.

Treatment:

Behavioral: Asthma Care Provider Training

Behavioral: School Staff Asthma Education

Year four intervention

Active Comparator group

Description:

Both interventions will occur in the Fort Defiance during year four.

Treatment:

Behavioral: Asthma Care Provider Training

Behavioral: School Staff Asthma Education