Reducing Asthma Morbidity In High Risk Minority Preschool Children
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 2 - 6 |
| Updated: | 7/21/2018 |
| Start Date: | September 2011 |
| End Date: | March 2018 |
Reducing Asthma Morbidity In High Risk Minority Preschool Children NA_00046455
Low-income, minority children are disproportionately affected by asthma and can experience
higher rates of asthma attacks, lower lung function, decreased physical activity, increases
in school absenteeism, and higher rates of death. The National Center for Children in Poverty
suggests that effective interventions to improve asthma and reduce harm for high risk groups
(like low-income minority children) must begin in early childhood. Previous research has
shown that asthma education programs can be effective to improve overall asthma management in
preschool children, but there has been limited sustainability of these programs in medical,
educational, and social environments that serve young high risk children. One of the core
missions of federally-funded Head Start programs is to provide preventive health services and
screening to their low-income preschool students and would be an ideal setting in the
community to disseminate an early asthma education program. The purpose of this study is to
draw on our health and research partnership with Baltimore City Head Start programs to test
the effectiveness of a home-based asthma education intervention combined with a Head Start
level asthma education program compared to a Head Start level asthma education program alone.
higher rates of asthma attacks, lower lung function, decreased physical activity, increases
in school absenteeism, and higher rates of death. The National Center for Children in Poverty
suggests that effective interventions to improve asthma and reduce harm for high risk groups
(like low-income minority children) must begin in early childhood. Previous research has
shown that asthma education programs can be effective to improve overall asthma management in
preschool children, but there has been limited sustainability of these programs in medical,
educational, and social environments that serve young high risk children. One of the core
missions of federally-funded Head Start programs is to provide preventive health services and
screening to their low-income preschool students and would be an ideal setting in the
community to disseminate an early asthma education program. The purpose of this study is to
draw on our health and research partnership with Baltimore City Head Start programs to test
the effectiveness of a home-based asthma education intervention combined with a Head Start
level asthma education program compared to a Head Start level asthma education program alone.
Despite advances in asthma therapies and the wide-spread dissemination of asthma clinical
guidelines, low-income, minority children have disproportionately high morbidity and
mortality from asthma. The National Center for Children in Poverty has strongly argued that
effective interventions to improve asthma health disparities and reduce harm must begin in
early childhood. Previous efficacy studies have suggested that asthma education programs can
be effective in improving overall management of asthma for preschool children. However, for
these promising asthma intervention strategies to have sustainable public health impact for
low-income, minority children they must be integrated within those medical, educational and
social structures that serve these young high risk children, such as community clinics,
schools and day care programs. Because one of the core missions of federally-funded Head
Start programs is to provide preventive health services and screening to their low-income
preschool students, Head Start represents an ideal community setting for disseminating early
asthma education. The investigators propose to draw on our established health and research
partnership with Head Start programs in Baltimore City to test the effectiveness of this
home-based asthma education intervention with demonstrated efficacy, when delivered in the
context of a Head Start-wide asthma education program. The investigators further propose to
partner with Head Start to support and evaluate adoption, maintenance and dissemination of
new knowledge gained from this project. Specifically the investigators hypothesize that
participants receiving the ABC intervention combined with a HS-level asthma education will
have more symptom free days at the 6-, 9-, and 12-month evaluation when compared with
participants in the HS-level asthma education alone. The investigators plan to enroll of 406
children age 2-6 years old enrolled in Head Start with symptomatic asthma. Secondary outcome
measures include other measures of asthma morbidity (i.e., hospitalizations, ED visits, oral
steroid bursts, school absences, and caregiver quality of life). The investigators will also
evaluate the mediating effects of outcomes expectancies, self-efficacy, asthma knowledge,
motivation, and asthma management practices, as well as moderator effects, such as health
literacy, caregiver depression, neighborhood cohesion, family management of asthma, and Head
Start adoption and dissemination of an asthma education curriculum.
guidelines, low-income, minority children have disproportionately high morbidity and
mortality from asthma. The National Center for Children in Poverty has strongly argued that
effective interventions to improve asthma health disparities and reduce harm must begin in
early childhood. Previous efficacy studies have suggested that asthma education programs can
be effective in improving overall management of asthma for preschool children. However, for
these promising asthma intervention strategies to have sustainable public health impact for
low-income, minority children they must be integrated within those medical, educational and
social structures that serve these young high risk children, such as community clinics,
schools and day care programs. Because one of the core missions of federally-funded Head
Start programs is to provide preventive health services and screening to their low-income
preschool students, Head Start represents an ideal community setting for disseminating early
asthma education. The investigators propose to draw on our established health and research
partnership with Head Start programs in Baltimore City to test the effectiveness of this
home-based asthma education intervention with demonstrated efficacy, when delivered in the
context of a Head Start-wide asthma education program. The investigators further propose to
partner with Head Start to support and evaluate adoption, maintenance and dissemination of
new knowledge gained from this project. Specifically the investigators hypothesize that
participants receiving the ABC intervention combined with a HS-level asthma education will
have more symptom free days at the 6-, 9-, and 12-month evaluation when compared with
participants in the HS-level asthma education alone. The investigators plan to enroll of 406
children age 2-6 years old enrolled in Head Start with symptomatic asthma. Secondary outcome
measures include other measures of asthma morbidity (i.e., hospitalizations, ED visits, oral
steroid bursts, school absences, and caregiver quality of life). The investigators will also
evaluate the mediating effects of outcomes expectancies, self-efficacy, asthma knowledge,
motivation, and asthma management practices, as well as moderator effects, such as health
literacy, caregiver depression, neighborhood cohesion, family management of asthma, and Head
Start adoption and dissemination of an asthma education curriculum.
Inclusion Criteria:
- Enrolled in Head Start
- Physician diagnosed asthma or reactive airway disease
- Resides in Baltimore City or Baltimore County
- English Speaking
Exclusion Criteria:
- Enrolled in another pulmonary research study
- Sibling enrolled in study
We found this trial at
1
site
3400 N Charles St
Baltimore, Maryland 21205
Baltimore, Maryland 21205
410-516-8000
Principal Investigator: Cynthia Rand, Ph.D.
Phone: 410-550-0487
Johns Hopkins University The Johns Hopkins University opened in 1876, with the inauguration of its...
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