Asthma in Children
Conditions
Keywords
cost of care, patient provider communication, financial burden
Brief summary
Healthcare costs are a critical barrier to U.S. families' ability to access the preventive care needed to manage their children's asthma. Asthma specialty care teams are uniquely positioned to help families navigate these cost barriers, but lack structured approaches to discussing this sensitive and complex topic. This study will train asthma specialty care teams to identify families at risk for financial burden and engage in conversations about strategies to manage asthma care costs. The study team will evaluate the impact of a health care provider training on the frequency of cost navigation conversations. The investigators hypothesize that the health care provider training will increase the frequency of parent-reported cost conversations in the clinic.
Interventions
BEHAVIORALHealth care provider cost navigation training
Health care providers and asthma educators in a pediatric asthma clinic will receive an online training about the importance of cost of care conversations, how to start cost of care conversations with families, how to refer families to cost navigation resources, and how to lead asthma specialty care teams in cost navigation.
Sponsors
Robert Wood Johnson Foundation
Harvard Pilgrim Health Care
University of North Carolina, Chapel Hill
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
non-randomized pre-post test
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Eligible caregivers will: * attend a routine asthma care appointment for a 4-17 year old child * screen positive for possible financial burden related to the cost of asthma care Eligible healthcare providers will: * be members of a pediatric asthma specialty care team
Exclusion criteria
Caregivers will not be eligible if they: * attend an appointment for conditions other than routine asthma care * do not screen positive for possible financial burden related to the cost of asthma care Healthcare providers will not be eligible if they: * are not part of the pediatric asthma specialty care team in the participating clinic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits | Baseline, 6 weeks post intervention completion | Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits |
Countries
United States
Outcome results
None listed