A Community Health Worker Home Intervention to Improve Pediatric Asthma Outcomes
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 2 - 9 |
| Updated: | 2/17/2018 |
| Start Date: | July 2009 |
| End Date: | December 2013 |
A Randomized Controlled Trial of a Community Health Worker Home-Based Asthma Intervention
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.
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.
Asthma disproportionately burdens low-income inner city and minority children residing in
inner cities. Daily use of inhaled corticosteroids (ICS) control symptoms and reduce asthma
morbidity. Less then 50% of children with persistent asthma adhere to such therapy. Poor
adherence to ICS medications is one of the major contributors to asthma morbidity. One way to
reduce asthma disparities is to work in partnership with communities. Community Health
Workers (CHWs) share the ethnic, cultural, social, and environmental experiences of the
people in the community. Although, CHW home interventions have been successful in reducing
asthma allergens, no studies using CHWs to deliver a previously identified evidence-based
home intervention to improve ICS adherence and health outcomes in a population of inner-city,
minority children with persistent asthma have been found. Objective: To evaluate the
effectiveness of an evidence-based asthma home intervention, the Wee Wheezers program,
tailored to the needs of the community and delivered by CHWs, in improving medication
adherence, health outcomes and parental management behaviors among low-income, minority
children with persistent asthma in the Bronx.
inner cities. Daily use of inhaled corticosteroids (ICS) control symptoms and reduce asthma
morbidity. Less then 50% of children with persistent asthma adhere to such therapy. Poor
adherence to ICS medications is one of the major contributors to asthma morbidity. One way to
reduce asthma disparities is to work in partnership with communities. Community Health
Workers (CHWs) share the ethnic, cultural, social, and environmental experiences of the
people in the community. Although, CHW home interventions have been successful in reducing
asthma allergens, no studies using CHWs to deliver a previously identified evidence-based
home intervention to improve ICS adherence and health outcomes in a population of inner-city,
minority children with persistent asthma have been found. Objective: To evaluate the
effectiveness of an evidence-based asthma home intervention, the Wee Wheezers program,
tailored to the needs of the community and delivered by CHWs, in improving medication
adherence, health outcomes and parental management behaviors among low-income, minority
children with persistent asthma in the Bronx.
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
We found this trial at
1
site
Click here to add this to my saved trials
