Asthma in Children
Conditions
Brief summary
National Jewish Health and The University of Arizona worked with Navajo Nation organizations to develop this program to improve the health of children with asthma. The Navajo Community Asthma Program will have two main parts. One will train doctors and health care professionals to improve the diagnosis and treatment of asthma. The second part will work with area schools to provide education to school nurses, teachers, and children to help them better understand asthma. The project also works with families to help them know how to best take care of their child's asthma. A major project aim is to make sure that doctors, teachers, and families work together to manage asthma.
Interventions
BEHAVIORALAsthma Care Provider Training
In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.
BEHAVIORALSchool Staff Asthma Education
In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.
Sponsors
University of Arizona
National Jewish Health
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
The project will involve three Navajo Nation Agencies: Tuba City, Chinle, and Fort Defiance. Project interventions will run for one year in each Agency. Interventions are population-level interventions. No intervention will be administered at the individual level. Inclusion Criteria: \- The study will be conducted within three agencies on the Navajo Nation, each of which has its own IHS service unit. The three agencies are Chinle, Tuba City, and Fort Defiance.
Exclusion criteria
\- This protocol pertains only to the three agencies listed above. Community interviewees will be interested candidates who meet the following eligibility criteria: Inclusion Criteria: 1. Able and willing to provide informed consent 2. Greater than or equal to 18 years of age 3. Guardianship of a child younger than 18 years of age who has been diagnosed with asthma 4. Able to read and/or understand English or Navajo
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of pediatric asthma exacerbations in Year 6 | Data will be collected once during Year 6 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 6 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
| Rate of pediatric asthma exacerbations in Year 1 | Data will be collected once during Year 1 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 1 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
| Rate of pediatric asthma exacerbations in Year 2 | Data will be collected once during Year 2 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 2 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
| Rate of pediatric asthma exacerbations in Year 3 | Data will be collected once during Year 3 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 3 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
| Rate of pediatric asthma exacerbation in Year 4 | Data will be collected once during Year 4 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 4 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
| Rate of pediatric asthma exacerbations in Year 5 | Data will be collected once during Year 5 of the project. | The rate of asthma exacerbations among children living on the Navajo Nation during Year 5 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Community reports of asthma-related events Year 2 | In-person interviews will be conducted with families during year two of the project. | Families will be interviewed to assess child asthma symptom control and related care satisfaction. |
| Community reports of asthma-related events Year 3 | In-person interviews will be conducted with families during year three of the project. | Families will be interviewed to assess child asthma symptom control and related care satisfaction. |
| Community reports of asthma-related events Year 4 | In-person interviews will be conducted with families during year four of the project. | Families will be interviewed to assess child asthma symptom control and related care satisfaction. |
| Community reports of asthma-related events Year 5 | In-person interviews will be conducted with families during year five of the project. | Families will be interviewed to assess child asthma symptom control and related care satisfaction. |
| Community reports of asthma-related events Year 1 | In-person interviews will be conducted with families during year one of the project. | Families will be interviewed to assess child asthma symptom control and related care satisfaction. |
Countries
United States
Outcome results
None listed