Improving Asthma Care by Partnering With School Nurses to Bring Asthma Care Into the Inner-City Schools
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 10 - 17 |
| Updated: | 2/20/2019 |
| Start Date: | January 2016 |
| End Date: | November 29, 2018 |
Phase 4: Improving Asthma Outcomes By Facilitating Patient-Centered Care At School (Asthma-Free School)
This is a pilot study to improve the partnership between Cincinnati Children's Medical Center
(CCHMC), Cincinnati Public Schools (CPS), and Cincinnati Health Department (CHD) to reduce
childhood asthma in the inner city schools of Cincinnati and CCHMC. We are calling this
project "asthma-free schools" and bringing it to neighborhoods where the incidence of asthma
is especially high. We have designed this study to work with school-based asthma care
programs. Children with high-risk asthma will be asked to participate. "High-risk" will be
defined as poorly controlled asthma, frequent school absences, and/or need for daily
controller asthma medications. We will use a commercially available inhaler cap sensor to
help track medication use and symptoms through a smartphone. The study visits will be done
mostly at the school using telehealth technology similar to Skype.
(CCHMC), Cincinnati Public Schools (CPS), and Cincinnati Health Department (CHD) to reduce
childhood asthma in the inner city schools of Cincinnati and CCHMC. We are calling this
project "asthma-free schools" and bringing it to neighborhoods where the incidence of asthma
is especially high. We have designed this study to work with school-based asthma care
programs. Children with high-risk asthma will be asked to participate. "High-risk" will be
defined as poorly controlled asthma, frequent school absences, and/or need for daily
controller asthma medications. We will use a commercially available inhaler cap sensor to
help track medication use and symptoms through a smartphone. The study visits will be done
mostly at the school using telehealth technology similar to Skype.
This study is part of a community health collaboration between Cincinnati Children's Hospital
Medical Center (CCHMC), the local public health department and designated inner city schools.
The purpose is to address school-based asthma care barriers and then to test the efficacy of
this program in a pilot study to improve asthma outcomes in 30 urban core youth.
Greater Cincinnati's geography places it at the environmentally tricky confluence of
low-lying smog-trapping hills, three heavily traveled interstate highways, and high rate of
allergen exposure. This makes it an area ripe for asthma. The overall rate of pediatric
asthma in Greater Cincinnati is more than twice the national average and, in some urban-core
neighborhoods, as high as 10 times the national rate.
Poor asthma control across the nation and locally in Cincinnati is associated with an
overrepresentation of children from minority groups, low-income families, and single parent
households who deal with economic hardship and familial strain compared to those with
well-controlled asthma. Data show that no more than 50% of patients keep appointments or fill
prescriptions, leading to continued poor asthma control and risk for future exacerbation.
This is an interventional pilot study where about 30 high-risk asthmatic participants will be
identified to participate and a number of interventions will be incorporated including asthma
specific questionnaires, use of a commercially available inhaler cap with monitoring sensor,
a mobile software management platform that tracks adherence of all asthma medications, mobile
based telehealth medical visits to assess asthma control, and mobile based telehealth
adherence problem-solving interventions.
This proposal is funded through a Luther Foundation and Verizon Foundation philanthropic
gifts.
Medical Center (CCHMC), the local public health department and designated inner city schools.
The purpose is to address school-based asthma care barriers and then to test the efficacy of
this program in a pilot study to improve asthma outcomes in 30 urban core youth.
Greater Cincinnati's geography places it at the environmentally tricky confluence of
low-lying smog-trapping hills, three heavily traveled interstate highways, and high rate of
allergen exposure. This makes it an area ripe for asthma. The overall rate of pediatric
asthma in Greater Cincinnati is more than twice the national average and, in some urban-core
neighborhoods, as high as 10 times the national rate.
Poor asthma control across the nation and locally in Cincinnati is associated with an
overrepresentation of children from minority groups, low-income families, and single parent
households who deal with economic hardship and familial strain compared to those with
well-controlled asthma. Data show that no more than 50% of patients keep appointments or fill
prescriptions, leading to continued poor asthma control and risk for future exacerbation.
This is an interventional pilot study where about 30 high-risk asthmatic participants will be
identified to participate and a number of interventions will be incorporated including asthma
specific questionnaires, use of a commercially available inhaler cap with monitoring sensor,
a mobile software management platform that tracks adherence of all asthma medications, mobile
based telehealth medical visits to assess asthma control, and mobile based telehealth
adherence problem-solving interventions.
This proposal is funded through a Luther Foundation and Verizon Foundation philanthropic
gifts.
Inclusion Criteria:
- history of provider diagnosed asthma
- history of uncontrolled asthma in the past 12 months as measured by two asthma control
Test (ACT) scores less than 20; or more than or equal to 1 emergency room visit or
hospitalization for asthma; or more than or equal to 2 prednisone bursts with current
persistent asthma as defined by National Asthma Education and Prevention Program
(NAEPP) guidelines
- attendance at participating school
Exclusion Criteria:
- active chronic disease apart from asthma or allergic disease
- plans to change schools during the school year
We found this trial at
1
site
3333 Burnet Avenue # Mlc3008
Cincinnati, Ohio 45229
Cincinnati, Ohio 45229
1-513-636-4200
Phone: 513-636-4944
Cincinnati Children's Hospital Medical Center Patients and families from across the region and around the...
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