Improving Asthma Care Through Parental Empowerment
| Status: | Archived |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 7/1/2011 |
| Start Date: | January 2009 |
| End Date: | June 2011 |
Improving Asthma Care Through Parental Empowerment: Effect on Healthcare Utilization and Parent Self-Efficacy
The overall aim of this study will be to perform a prospective randomized clinical trial of
an enhanced version of the IMPACT DC intervention involving short-term case management to
facilitate PCP follow-up appointments and to provide education for parents about how to
communicate more effectively with their children's PCPs as a means (1) to improve the rate
of utilization of primary care services for ongoing asthma care and (2) to enhance the
self-efficacy of parents in their interactions with their children's provider regarding the
child's asthma care needs in 150 parents of high risk children referred within the IMPACT DC
Asthma Clinic.
Asthma is the most common chronic disease of childhood, and it disproportionately affects
urban, minority, and disadvantaged children. When implemented correctly, existing
evidence-based guidelines from the National Heart, Lung, and Blood Institute (NHLBI) improve
pediatric asthma care and outcomes. One key component of these guidelines is the importance
of longitudinal care as part of a partnership among patient, parents, and a healthcare
provider. Such a partnership depends on effective communication of healthcare status by
parents to providers. Improving the communication skills of inner-city parents may improve
their ability to obtain more effective longitudinal asthma care within their primary care
homes and thereby to improve their child's asthma health outcomes. IMPACT DC ("Improving
Pediatric Asthma Care in the District of Columbia") is a locally validated emergency
department (ED) based intervention that improves multiple measures of asthma care and
outcomes through an intensive short-term program of asthma education, medical care, and care
coordination. In spite of these successes, achieving increased subsequent contact and
partnership with primary care providers (PCPs) for asthma care after the intervention has
not been successful. Therefore, for the current study, we propose to assess the
effectiveness of an enhanced version of the existing IMPACT DC intervention consisting of
short-term case management by trained asthma educators.
We found this trial at
1
site
Click here to add this to my saved trials
