Asthma
Conditions
Brief summary
In prior work, we found that even children who have been seen by their physicians within the prior six months were frequently misclassified as having mild rather than persistent asthma. This study evaluations whether systematic office-based screening assists primary care physicians in identifying children with significant asthma and improves preventive care for asthma. We hypothesize that standardized screening in the office setting will improve the physician's ability to (a) identify children with significant asthma and (b) prescribe appropriate preventive medications.
Interventions
BEHAVIORALProvider Prompt
Sponsors
Halcyon Hill Foundation
Robert Wood Johnson Foundation
University of Rochester
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE
Eligibility
Sex/Gender
ALL
Age
2 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children ages 2-12 * Children arriving for an office visit in two Rochester, NY pediatric clinics * Children with a prior diagnosis of asthma AND an exacerbation of symptoms within the previous 2 years
Exclusion criteria
* Children arriving at the office visit with an adult that is not their parent or guardian * Children arriving at the office visit with a parent or guardian that does not speak English * Children with other medical conditions making the assessment of asthma severity difficult (cystic fibrosis, heart conditions, etc.)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Preventive Medication Actions (PMA) taken by the provider at the time of the child's visit. A PMA is defined as a new medication prescription or change in medication dose. | — |
Secondary
| Measure | Time frame |
|---|---|
| Alternate actions taken by the provider such as: discussion of environmental controls, medication refills, etc. | — |
Countries
United States
Outcome results
None listed