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Asthma | A Community Health Worker Home Intervention to Improve Pediatric Asthma Outcomes

Asthma research study

What is the primary objective of this study?

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.

Who is eligible to participate?

Inclusion Criteria: - 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. Exclusion Criteria: - children with other chronic pulmonary diseases (e.g, cystic fibrosis, bronchopulmonary dysplasia) or presence of tracheostomy

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Asthma

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Behavioral:Wee WheezersThe intervention, Wee Wheezers, modified to the needs of the targeted population will include 6 bi-weekly 1 hour educational home visits conducted by Community Health Workers at homes of children with persistent asthma

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Wee Wheezers asthma education6 lesson asthma education delivered at home by Community Health Workers

Study Status

Completed

Start Date: July 2009

Completed Date: December 2013

Phase: N/A

Type: Interventional

Design:

Primary Outcome: mean number of asthma symptom days

Secondary Outcome: adherence to Inhaled Corticosteroid

Study sponsors, principal investigator, and references

Principal Investigator: Marina Reznik, MD, MS

Lead Sponsor: Montefiore Medical Center

Collaborator: American Lung Association

More information:https://clinicaltrials.gov/show/NCT01003340

Reznik M, Ozuah PO. Measurement of inhaled corticosteroid adherence in inner-city, minority children with persistent asthma by parental report and integrated dose counter. J Allergy (Cairo). 2012;2012:570850. doi: 10.1155/2012/570850. Epub 2012 Mar 15.

Reznik M, Silver EJ, Cao Y. Evaluation of MDI-spacer utilization and technique in caregivers of urban minority children with persistent asthma. J Asthma. 2014 Mar;51(2):149-54. doi: 10.3109/02770903.2013.854379. Epub 2013 Oct 22.

Reznik M, Jaramillo Y, Wylie-Rosett J. Demonstrating and assessing metered-dose inhaler-spacer technique: pediatric care providers' self-reported practices and perceived barriers. Clin Pediatr (Phila). 2014 Mar;53(3):270-6. doi: 10.1177/0009922813512521. Epub 2013 Dec 12.

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