Case Management and Environmental Control in Asthma

The Washington University

Status and phase: Completed; Phase 3

Conditions: Asthma

Treatments: Behavioral: Asthma coaching

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00514436

ES 08711

Details and patient eligibility

About

Asthma among low-income, minority children remains a prime example of health disparities that are resistant to change. Controlled demonstrations of reductions in disproportionate hospital or emergency care are limited. We performed a controlled clinical trial of an "Asthma Coach" to reduce hospitalizations among low-income, African American children.

Enrollment: 189 patients

Sex: All

Ages: 2 to 8 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 2-8 years of age
• Admitted to hospital for acute asthma
• African American ethnicity
• Medicaid coverage

Exclusion criteria

• Parent refusal to sign consent
• Living outside service area

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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189 participants in 2 patient groups

Usual care

No Intervention group

Description:

Usual care consisted of referral back to primary care provider after index hospitalization

Behavioral

Experimental group

Description:

Asthma coaching, inperson contact followed by telephone contact

Treatment:

Behavioral: Asthma coaching