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Effect of Home Health Case Management on Asthma Morbidity

Primary Purpose

Asthma, Childhood Asthma

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
education
Sponsored by
University of Louisville
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Asthma focused on measuring Asthma, Home Health Nursing, Patient education

Eligibility Criteria

3 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Children age 3-17 years with asthma who attend our clinic who present with an asthma exacerbation to the clinic, ER or hospital.

Exclusion Criteria:

  • Patients with airway anomalies or tracheostomy

Sites / Locations

  • Children and Youth Project

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

asthma education and case management

Arm Description

asthma education and case management

Outcomes

Primary Outcome Measures

Decreased asthma hospitalization rates
patients will be followed for 1 year

Secondary Outcome Measures

Full Information

First Posted
October 4, 2011
Last Updated
December 1, 2014
Sponsor
University of Louisville
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1. Study Identification

Unique Protocol Identification Number
NCT01451944
Brief Title
Effect of Home Health Case Management on Asthma Morbidity
Official Title
Effect of Home Health Nurse Case Management on Asthma Morbidity
Study Type
Interventional

2. Study Status

Record Verification Date
December 2014
Overall Recruitment Status
Withdrawn
Why Stopped
no one enrolled
Study Start Date
October 2011 (undefined)
Primary Completion Date
December 2014 (Actual)
Study Completion Date
December 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Louisville

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of our program is to evaluate the effect of home health nurse intervention and education on hospital admissions, ER utilization and asthma control of Passport asthma patients. The investigators hypothesize that case management and in home education by nurses will decrease hospitalizations and ER asthma visits and improves disease control in our population. Our clinic population consists of primarily inner-city, low income, medicaid recipients. This population suffers from severe asthma much more than the typical pediatric population. Asthma remains the most frequent cause of hospital admission for our patient population. Home health nurse asthma education and home visits have been reported to reduce asthma triggers in the home and improve asthma control. The unique partnership between the pediatrician and the home health nurse will give us a better understanding of the health needs for this population, will improve quality of care and deliver more cost effective care.
Detailed Description
Asthma patients age 3-17 enrolled in our clinic who have been seen in the ER, hospital or clinic for an asthma exacerbation will be invited to participate. Once enrolled they will have a home health nurse visit their home and provide medical assessment, asthma education and determine if the patients has all needed medications available. They enrolled patient will receive another home visit at 1, 4, and 12 months after enrollment. The medical record will be reviewed and ER visits and hospitalizations recorded.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma, Childhood Asthma
Keywords
Asthma, Home Health Nursing, Patient education

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
asthma education and case management
Arm Type
Experimental
Arm Description
asthma education and case management
Intervention Type
Behavioral
Intervention Name(s)
education
Intervention Description
home asthma case management and education
Primary Outcome Measure Information:
Title
Decreased asthma hospitalization rates
Description
patients will be followed for 1 year
Time Frame
1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Children age 3-17 years with asthma who attend our clinic who present with an asthma exacerbation to the clinic, ER or hospital. Exclusion Criteria: Patients with airway anomalies or tracheostomy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Judith A Theriot, MD
Organizational Affiliation
University of Louisville
Official's Role
Principal Investigator
Facility Information:
Facility Name
Children and Youth Project
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States

12. IPD Sharing Statement

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Effect of Home Health Case Management on Asthma Morbidity

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