Case Management and Environmental Control in Asthma

This study has been completed.
National Institute of Environmental Health Sciences (NIEHS)
Information provided by:
Washington University School of Medicine Identifier:
First received: August 8, 2007
Last updated: December 8, 2015
Last verified: December 2015
Asthma among low-income, minority children remains a prime example of health disparities that are resistant to change. Controlled demonstrations of reductions in disproportionate hospital or emergency care are limited. We performed a controlled clinical trial of an "Asthma Coach" to reduce hospitalizations among low-income, African American children.

Condition Intervention Phase
Behavioral: Asthma coaching
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention

Further study details as provided by Washington University School of Medicine:

Primary Outcome Measures:
  • Hospitalization [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Emergency department visits [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Enrollment: 189
Study Start Date: January 1997
Study Completion Date: January 2001
Arms Assigned Interventions
No Intervention: Usual care
Usual care consisted of referral back to primary care provider after index hospitalization
Experimental: Behavioral
Asthma coaching, inperson contact followed by telephone contact
Behavioral: Asthma coaching
Inperson contact followed by telephone with approach by issues raised by family


Ages Eligible for Study:   2 Years to 8 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 2-8 years of age
  • Admitted to hospital for acute asthma
  • African American ethnicity
  • Medicaid coverage

Exclusion Criteria:

  • Parent refusal to sign consent
  • Living outside service area
  Contacts and Locations
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Please refer to this study by its identifier: NCT00514436

United States, Missouri
Washington University School of Medicine
St. Louis, Missouri, United States, 63110
Sponsors and Collaborators
Washington University School of Medicine
National Institute of Environmental Health Sciences (NIEHS)
Principal Investigator: Robert C Strunk, MD Washington University School of Medicine
  More Information Identifier: NCT00514436     History of Changes
Other Study ID Numbers: ES 08711 
Study First Received: August 8, 2007
Last Updated: December 8, 2015
Health Authority: United States: Institutional Review Board
United States: Federal Government

Keywords provided by Washington University School of Medicine:
low-income, underserved
Reduction in hospitalization processed this record on May 25, 2016