Ignite Creation Date:
2024-05-05 @ 11:20 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00005713
Status:
COMPLETED
Last Update Posted:
2015-12-23
First Post:
2000-05-25
Brief Title:
Childhood Asthma Program in NYC Health Department Clinics
Sponsor:
Columbia University
Organization:
Columbia University
Study Overview
Official Title:
Improving Care for Minority Children With Asthma Professional Education in Public Health Clinics
Status:
COMPLETED
Status Verified Date:
2015-12
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:
None
Brief Summary:
To demonstrate that the New York City Department of Health Child Health Clinics could improve the health status of Black and Hispanic children with asthma by providing them with a comprehensive system of continuity of care that included pharmacologic treatment family health education and community outreach
Recent studies have shown that lack of continuing primary care for asthma is associated with increased levels of morbidity in low-income minority children Although effective preventive therapy is available many African-American and Latino children receive episodic treatment for asthma that does not follow current guidelines for care To see if access continuity and quality of care could be improved in pediatric clinics serving low-income children in New York City we trained staff in New York City Bureau of Child Health clinics to provide continuing preventive care for asthma
Recent studies have shown that lack of continuing primary care for asthma is associated with increased levels of morbidity in low-income minority children Although effective preventive therapy is available many African-American and Latino children receive episodic treatment for asthma that does not follow current guidelines for care To see if access continuity and quality of care could be improved in pediatric clinics serving low-income children in New York City we trained staff in New York City Bureau of Child Health clinics to provide continuing preventive care for asthma
Detailed Description:
BACKGROUND
The study was part of a demonstration and education initiative Interventions for Control of Asthma Among Black and Hispanic Children which was released by the NHLBI in June 1989
DESIGN NARRATIVE
To develop this comprehensive care system the investigators provided training for Health Department physicians and nurses in up-to-date methods of diagnosing asthma and providing clinical care and health education to patients and families as part of a series of regular 20 minute patient visits Nurses and public health assistants were also trained to supplement this by teaching the Open Airways self-management program to groups of families A 24-hour telephone advice service for families of asthma patients was staffed by trained Health Department physicians
The intervention was based on social cognitive theory especially self-regulation In Phase I the Health Department medical and nursing staffs were taught by Columbia University faculty with reinforcement by Health Department physician and nurse supervisors Self-regulation was fostered in physicians by use of an Asthma Visit Record and in families by use of an Asthma Diary Seven pairs of matched clinics were randomized to be controls or receive the intervention The following hypotheses were tested that a comprehensive system of continuity of care including medical care family health education and community outreach would 1 increase staff confidence to diagnose and treat childhood asthma 2 attract and retain families who had children with asthma in continuing care relationships in the Health Department clinics and 3 improve the health status of patients and the quality of life of their families Phase II tested whether this comprehensive system could be made self-sustaining within the Health Department by having physician and nurse super-visors who took part in Phase I teach the program to staff from a second set of matched clinics This program had the potential to reach more than 5000 minority children with asthma If successful it could be generalized to other health departments in the country
The study was part of a demonstration and education initiative Interventions for Control of Asthma Among Black and Hispanic Children which was released by the NHLBI in June 1989
DESIGN NARRATIVE
To develop this comprehensive care system the investigators provided training for Health Department physicians and nurses in up-to-date methods of diagnosing asthma and providing clinical care and health education to patients and families as part of a series of regular 20 minute patient visits Nurses and public health assistants were also trained to supplement this by teaching the Open Airways self-management program to groups of families A 24-hour telephone advice service for families of asthma patients was staffed by trained Health Department physicians
The intervention was based on social cognitive theory especially self-regulation In Phase I the Health Department medical and nursing staffs were taught by Columbia University faculty with reinforcement by Health Department physician and nurse supervisors Self-regulation was fostered in physicians by use of an Asthma Visit Record and in families by use of an Asthma Diary Seven pairs of matched clinics were randomized to be controls or receive the intervention The following hypotheses were tested that a comprehensive system of continuity of care including medical care family health education and community outreach would 1 increase staff confidence to diagnose and treat childhood asthma 2 attract and retain families who had children with asthma in continuing care relationships in the Health Department clinics and 3 improve the health status of patients and the quality of life of their families Phase II tested whether this comprehensive system could be made self-sustaining within the Health Department by having physician and nurse super-visors who took part in Phase I teach the program to staff from a second set of matched clinics This program had the potential to reach more than 5000 minority children with asthma If successful it could be generalized to other health departments in the country
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
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HL045304 | NIH | None | httpsreporternihgovquickSearchR01HL045304 |