Viewing Study NCT02735174



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Last Modification Date: 2024-10-26 @ 12:00 PM
Study NCT ID: NCT02735174
Status: COMPLETED
Last Update Posted: 2020-10-19
First Post: 2016-02-17

Brief Title: Improving Asthma Care by Partnering With School Nurses to Bring Asthma Care Into the Inner-City Schools
Sponsor: Childrens Hospital Medical Center Cincinnati
Organization: Childrens Hospital Medical Center Cincinnati

Study Overview

Official Title: Phase 4 Improving Asthma Outcomes By Facilitating Patient-Centered Care At School Asthma-Free School
Status: COMPLETED
Status Verified Date: 2020-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: AFS4
Brief Summary: This is a pilot study to improve the partnership between Cincinnati Childrens 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 andor 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
Detailed Description: This study is part of a community health collaboration between Cincinnati Childrens 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 Cincinnatis 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

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None