Houston "Breathe Easy" Healthy Homes-Based Model for Multifamily Rental Communities
Asthma, Respiratory Tract Disease, Lung Diseases
About this trial
This is an interventional treatment trial for Asthma focused on measuring asthma, environmental triggers, phone-based intervention, public housing, apartments
Eligibility Criteria
Inclusion Criteria:
- 18 years of age or older
- Diagnosis of poorly controlled asthma*
- Live in one of the selected public housing communities operated by the Houston Housing Authority
- No clear plan to move within the next 6 months
- Working telephone number
Able to read and speak in English
- Poorly controlled asthma defined as (1) has been diagnosed by a physician as having asthma in the past and currently has asthma; and (2) fulfills one or more of the following criteria of poorly controlled asthma: has had one or more emergency department visits or hospitalizations for asthma in the preceding year; has had asthma symptoms during the daytime at least two days in the past week; has been awoken at night by asthma symptoms one or more nights in the past week; or has used asthma rescue medication at least twice in the past week. These eligibility criteria effectively include two categories of asthma control as defined by the National Asthma Education and Prevention Program, (NAEPP) Third Expert Panel (EPR3) on the Diagnosis and Management of Asthma: "not well controlled" and "very poorly controlled" asthma.
Exclusion Criteria:
- Severe co-morbid conditions--such as a poorly controlled psychiatric illness or a condition requiring intense medical treatment--that could reasonably be expected to (1) confound the effects of this study's intervention or (2) make it unlikely that a participant could follow the treatment plan.
- A concurrent pulmonary study that could reasonably be expected to confound the effects of the intervention.
Sites / Locations
- Baylor College of Medicine
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Exposure-Reduction Intervention Group
Phone-Call-Only Control Group
The exposure-reduction (intervention) group receives a phone-based telehealth visit, collection of self-report information from detailed health and exposure questionnaires, asthma education, assessment for allergies (optional), a customized asthma self-management plan and support developed using motivational interviewing methods, and a customized selection of supplies to help reduce key exposures likely exacerbating asthma symptoms.
The phone-call-only (control) group provides self-reported information about health and environmental exposures. They receive follow-up phone calls every 6 weeks to maintain contact only. After exit, the phone-call-only (control) group receives assessment for allergies (optional) and the exposure-reduction intervention.