Effect of Home Health Case Management on Asthma Morbidity
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.
|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
|Study Start Date:||October 2011|
|Study Completion Date:||December 2014|
|Primary Completion Date:||December 2014 (Final data collection date for primary outcome measure)|
Experimental: asthma education and case management
asthma education and case management
home asthma case management and education
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01451944
|United States, Kentucky|
|Children and Youth Project|
|Louisville, Kentucky, United States, 40202|
|Principal Investigator:||Judith A Theriot, MD||University of Louisville|