Asthma, Chronic School Absenteeism
Conditions
Keywords
Home Visit, School Absenteeism
Brief summary
This study will establish a multi-disciplinary home visitation team consisting of a medical provider and school teacher or staff member, and will evaluate whether a series of visits from this team will help decrease school absenteeism among children with asthma.
Interventions
BEHAVIORALHome Visit
The intervention will consist of a series of home visitations to chronically absent students with co-morbid asthma. These visits will consist of a home environment evaluation, medication adherence and knowledge assessment, distribution of home environmental allergen reduction items such as mattress and pillow encasements, as well as review and reinforcement of any asthma action plans or care plans provided by patient's primary care physicians or medical home.
BEHAVIORALStandard Care
Standard care will refer to the procedures carried out by the school district to address students with chronic absenteeism. This includes parent-teacher and parent-school administrator meetings and communications and may also include home visits carried out by classroom teachers or student support center staff.
Sponsors
University of California, Davis
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The study will be a randomized wait-list control trial. Participants will be randomized to the intervention or control arm for the study observation period. At the conclusion of the observation period, the control group will receive the intervention.
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Students in elementary school (K-6) in the Sacramento City Unified School District * Identified as at risk for chronic absenteeism based on previous year and/or first 8 weeks of school year * Have a current diagnosis of asthma
Exclusion criteria
* Underlying chronic conditions such as cystic fibrosis, chronic lung disease with oxygen dependence, immunodeficiency syndromes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Missed School Days | One academic year | The number of school days missed over the course of an academic year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Healthcare Utilization | One academic year | Number of emergency department or urgent care visits for asthma |
| Asthma Symptom Report | One academic year | Patient and family self-report of number of days where asthma symptoms were experienced, collected monthly |
| Asthma Control Test | One academic year | Numeric score from the Childhood Asthma Control Test, collected monthly |
Countries
United States
Outcome results
None listed