Effect of Home Health Case Management on Asthma Morbidity
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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 |
- 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 |
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| United States, Kentucky | |
| Children and Youth Project | Recruiting |
| Louisville, Kentucky, United States, 40202 | |
| Contact: Judith A Theriot, MD 502-852-2775 jather01@louisville.edu | |
| 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 May 19, 2013