Asthma in Children
Conditions
Keywords
asthma, pediatric, american indian, children
Brief summary
Asthma is a chronic lung disease with serious morbidity and potential mortality. Multiple physiologic, environmental and social conditions impact the prevalence and severity of asthma. Even when diagnosed, effective control can be impeded by improper use of medication, not understanding or being unable to avoid environmental triggers, lack of continuity in follow-up care, and lack of an asthma action plan. American Indians are especially at-risk for health problems related to asthma. American Indians have the highest asthma rate among single-race groups; 18.5% of American Indians are diagnosed with asthma, while only 11% are diagnosed with asthma in the general population but little is known about why this is true. Asthma is a prototypic example of the interaction of biologic, environmental and psychosocial influences on disease and this study investigated the possible improvement in asthma control from an intensive educational intervention.
Detailed description
The primary aim of this study was to test the hypothesis that intensive patient education regarding self-directed, stepped care will result in reduced morbidity and medical care utilization, while increasing quality of life. One half (54) of the identified cases will be randomized to receive the previously established BREATHE study educational program, emphasizing patient-centered, self management of asthma. Periodic follow-up through personal contact and surveillance of IHS RPMS or other medical provider records was conducted.
Interventions
BEHAVIORALIntensive Asthma Education
One half (54) of the identified cases were randomized to receive the previously established BREATHE study educational program, emphasizing patient-centered, self management of asthma. Periodic follow-up through personal contact and surveillance of IHS RPMS or other medical provider records was conducted.
Sponsors
Sanford Research
Missouri Breaks Industries Research, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Cases must be American Indian (eligibile for care within the Indian Health Service); and at least 2 of the following 3 criteria: 1. a diagnosis of asthma on at least 2 occasions by more than one provider during the past 2 years. 2. refills of asthma treatment medications on at least 2 occasions during the past 2 years. 3. Improvement of spirometry FEV1 of 20% with use of albuterol MDI or nebulizer. * Controls meet the same demographic criteria as cases, but must also meet all of the following criteria. 1. No diagnosis of asthma by any provider during the past 2 years. 2. No prescriptions of any asthma meds during the past 2 years. 3. FEV1 on spirometry greater than 80% of predicted value
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chart Review of ED Visits | 3 years | Emergency room visits for pulmonary complaints |
Countries
United States
Outcome results
None listed