Asthma
Conditions
Keywords
Asthma, Health literacy, Parent knowledge of appropriate action plan steps
Brief summary
Asthma has an especially great impact on poor urban children and their families. In addition to higher asthma prevalence and morbidity, those in low SES urban areas are at risk for low health literacy. Low health literacy is associated with poorer asthma outcomes. The provision of a written asthma action plan has been shown to help with asthma management and to reduce hospitalizations and ER visits. Poor urban families who may have low literacy may need an alternative asthma action plan to convey the treatment plan. This pilot study proposes to investigate whether a plain language asthma action plan can improve parent understanding and adherence with medication instructions, compared to standard written materials, among parents of children with asthma. This is an RCT in which parents of children with asthma will be randomized to either receive a pictogram-based low literacy asthma action plan, or a standard action plan (AAAAI), to examine whether those who receive the low literacy plan have improved asthma action plan knowledge when presented with a hypothetical scenario. A second part of the study is to examine whether providers who are given the pictogram-based low literacy asthma action plan will be more likely to counsel about certain aspects of asthma management (eg. need for daily medications even when sick, spacer use, confusion between everyday and rescue inhaler)compared to providers who receive use a standard action plan (AAAAI). This is an RCT in which pediatric providers are randomized to counsel a hypothetical patient using the pictogram-based action plan or the standard action plan (AAAAI).
Interventions
OTHERPictogram-based asthma action plan
Asthma action plan using plain language, pictograms, and photographs
OTHERAAAAI standard of care written action plan
Sponsors
Northwestern University Feinberg School of Medicine
NYU Langone Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
Parent study: Inclusion Criteria: * Primary caregiver / parent / legal guardian of child 2-12 years old * Child with diagnosis of asthma
Exclusion criteria
* Parent not English or Spanish-speaking Provider study: Inclusion Criteria: * Health providers who care for children with asthma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Asthma Action Plan knowledge (parent) | 1 day (on same day of enrollment; no outcome assessment after day of enrollment) | Outcome measure will be assessed on the day of enrollment only, using a hypothetical scenario. No outcome assessments will be performed after the day of enrollment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Asthma action plan content (provider) | same day as presentation of hypothetical counseling scenario | Provider coverage of green/yellow/red zone concepts, spacer use, medication information, symptoms; use of low literacy principles |
Countries
United States
Outcome results
None listed