Office-Based Asthma Screening Intervention
1 other identifier
interventional
365
1 country
1
Brief Summary
In prior work, we found that even children who have been seen by their physicians within the prior six months were frequently misclassified as having mild rather than persistent asthma. This study evaluations whether systematic office-based screening assists primary care physicians in identifying children with significant asthma and improves preventive care for asthma. We hypothesize that standardized screening in the office setting will improve the physician's ability to (a) identify children with significant asthma and (b) prescribe appropriate preventive medications.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable asthma
Started Oct 2003
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2003
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 8, 2005
CompletedFirst Posted
Study publicly available on registry
September 12, 2005
CompletedMay 12, 2011
May 1, 2011
September 8, 2005
May 11, 2011
Conditions
Outcome Measures
Primary Outcomes (1)
"Preventive Medication Actions (PMA)" taken by the provider at the time of the child's visit. A "PMA" is defined as a new medication prescription or change in medication dose.
Secondary Outcomes (1)
Alternate actions taken by the provider such as: discussion of environmental controls, medication refills, etc.
Interventions
Eligibility Criteria
You may qualify if:
- Children ages 2-12
- Children arriving for an office visit in two Rochester, NY pediatric clinics
- Children with a prior diagnosis of asthma AND an exacerbation of symptoms within the previous 2 years
You may not qualify if:
- Children arriving at the office visit with an adult that is not their parent or guardian
- Children arriving at the office visit with a parent or guardian that does not speak English
- Children with other medical conditions making the assessment of asthma severity difficult (cystic fibrosis, heart conditions, etc.)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Rochesterlead
- Halcyon Hill Foundationcollaborator
- Robert Wood Johnson Foundationcollaborator
Study Sites (1)
University of Rochester
Rochester, New York, 14642, United States
Related Publications (3)
Halterman JS, Kitzman H, McMullen A, Lynch K, Fagnano M, Conn KM, Yoos HL. Quantifying preventive asthma care delivered at office visits: the Preventive Asthma Care-Composite Index (PAC-CI). J Asthma. 2006 Sep;43(7):559-64. doi: 10.1080/02770900600859172.
PMID: 16939999BACKGROUNDHalterman JS, Fagnano M, Conn KM, Szilagyi PG. Do parents of urban children with persistent asthma ban smoking in their homes and cars? Ambul Pediatr. 2006 Mar-Apr;6(2):115-9. doi: 10.1016/j.ambp.2005.10.004.
PMID: 16530150BACKGROUNDHalterman JS, Fisher S, Conn KM, Fagnano M, Lynch K, Marky A, Szilagyi PG. Improved preventive care for asthma: a randomized trial of clinician prompting in pediatric offices. Arch Pediatr Adolesc Med. 2006 Oct;160(10):1018-25. doi: 10.1001/archpedi.160.10.1018.
PMID: 17018460RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jill S Halterman, MD, MPH
University of Rochester
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 8, 2005
First Posted
September 12, 2005
Study Start
October 1, 2003
Study Completion
September 1, 2005
Last Updated
May 12, 2011
Record last verified: 2011-05