Breathing Counts: Evaluating Adherence in the Presence of Asthma Navigation Support

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: Asthma

Treatments: Device: Propeller Health device + asthma navigator

Study type: Interventional

Funder types: Other

Identifiers

NCT03065205

16-1845

Details and patient eligibility

About

To determine if an asthma navigator is helpful in improving communication between care providers and improving patient adherence to asthma medications after an asthma exacerbation.

Full description

This study will aim to use technology to evaluate the effectiveness of a patient navigator for childhood asthma. The Investigators will place adherence monitoring devices on patient inhalers, and track use of patient asthma medicines. The Investigators will also utilize an asthma navigator who will discuss adherence with families and help to address any barriers to adherence that families identify. Additionally, the navigator will communicate patient specific adherence information to the patient's primary care physician (PCP) and school nurse. The adherence monitor will monitor communications between these providers.

Enrollment: 65 patients

Sex: All

Ages: 6 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 6-17 years old,
• Admission to Children's Hospital Colorado with an asthma exacerbation between Jan 1 2017 and Dec 31 2017.

Exclusion criteria

• Language other than English or Spanish (application for monitoring adherence is only available in these languages)

• Presence of other complex medical problems including:

  • Cystic Fibrosis,
  • Tracheostomy/ventilator dependence,
  • other severe chronic lung disease, and
  • significant developmental delays.

• Home schooled or not in school

• Following up with an allergy or pulmonary provider outside the CHCO system after hospital discharge.

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

65 participants in 1 patient group

Single Arm

Experimental group

Description:

Patients will have adherence monitoring devices placed on their asthma inhalers (both daily and rescue medication). Adherence information will be sent to their PCP, specialist and school nurse monthly. Additionally, the navigator will speak with families every 2 months to discuss adherence data and address barriers.

Treatment:

Device: Propeller Health device + asthma navigator