Effect of Home Health Case Management on Asthma Morbidity

The recruitment status of this study is unknown because the information has not been verified recently.
Verified October 2011 by University of Louisville.
Recruitment status was  Recruiting
Sponsor:
Information provided by (Responsible Party):
Judith A Theriot, University of Louisville
ClinicalTrials.gov Identifier:
NCT01451944
First received: October 4, 2011
Last updated: October 13, 2011
Last verified: October 2011
  Purpose

The objective of our program is to evaluate the effect of home health nurse intervention and education on hospital admissions, ER utilization and asthma control of Passport asthma patients. The investigators hypothesize that case management and in home education by nurses will decrease hospitalizations and ER asthma visits and improves disease control in our population.

Our clinic population consists of primarily inner-city, low income, medicaid recipients. This population suffers from severe asthma much more than the typical pediatric population. Asthma remains the most frequent cause of hospital admission for our patient population. Home health nurse asthma education and home visits have been reported to reduce asthma triggers in the home and improve asthma control. The unique partnership between the pediatrician and the home health nurse will give us a better understanding of the health needs for this population, will improve quality of care and deliver more cost effective care.


Condition Intervention
Asthma
Childhood Asthma
Behavioral: education

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Effect of Home Health Nurse Case Management on Asthma Morbidity

Resource links provided by NLM:


Further study details as provided by University of Louisville:

Primary Outcome Measures:
  • Decreased asthma hospitalization rates [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    patients will be followed for 1 year


Estimated Enrollment: 30
Study Start Date: October 2011
Estimated Study Completion Date: October 2013
Estimated Primary Completion Date: October 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: asthma education and case management
asthma education and case management
Behavioral: education
home asthma case management and education

Detailed Description:

Asthma patients age 3-17 enrolled in our clinic who have been seen in the ER, hospital or clinic for an asthma exacerbation will be invited to participate. Once enrolled they will have a home health nurse visit their home and provide medical assessment, asthma education and determine if the patients has all needed medications available. They enrolled patient will receive another home visit at 1, 4, and 12 months after enrollment. The medical record will be reviewed and ER visits and hospitalizations recorded.

  Eligibility

Ages Eligible for Study:   3 Years to 17 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Children age 3-17 years with asthma who attend our clinic who present with an asthma exacerbation to the clinic, ER or hospital.

Exclusion Criteria:

  • Patients with airway anomalies or tracheostomy
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01451944

Locations
United States, Kentucky
Children and Youth Project Recruiting
Louisville, Kentucky, United States, 40202
Contact: Judith A Theriot, MD    502-852-2775    jather01@louisville.edu   
Sponsors and Collaborators
University of Louisville
Investigators
Principal Investigator: Judith A Theriot, MD University of Louisville
  More Information

No publications provided

Responsible Party: Judith A Theriot, Associate Professor, University of Louisville
ClinicalTrials.gov Identifier: NCT01451944     History of Changes
Other Study ID Numbers: 11.0320
Study First Received: October 4, 2011
Last Updated: October 13, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by University of Louisville:
Asthma
Home Health Nursing
Patient education

Additional relevant MeSH terms:
Asthma
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases

ClinicalTrials.gov processed this record on August 21, 2014