CDC Medicaid Asthma Home Visit Project
Medicaid Asthma Home Visit Project: Improving Health and Reducing Costs of Health Care for Children With Asthma
1 other identifier
interventional
373
0 countries
N/A
Brief Summary
Asthmatic children age 3-17 from low income households in King County are randomly assigned into a community health worker (CHW) intervention group and a control group. The intervention is in-home education and support related to asthma self-management. The main outcome measures are asthma symptom-free days, caretaker's asthma-related quality of life score, and health care utilization for asthma measured at baseline and 12 months after baseline enrollment.
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 May 2010
Typical duration for not_applicable asthma
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
May 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2012
CompletedFirst Submitted
Initial submission to the registry
October 2, 2014
CompletedFirst Posted
Study publicly available on registry
October 7, 2014
CompletedApril 13, 2017
April 1, 2017
2.4 years
October 2, 2014
April 12, 2017
Conditions
Outcome Measures
Primary Outcomes (4)
Asthma symptom free days
14 - During the past 14 days (that is, during the past fourteen 24 hour periods that include daytime and nighttime), on how many DAYS did your child have any asthma symptoms, such as wheezing, coughing, tightness in the chest, shortness of breath, waking up at night because of asthma symptoms, or slowing down of usual activities because of asthma?
last 14 days
Caretaker quality of life
Juniper Mini Asthma Quality of Life Questionnaire
last week
Health care utilization for asthma
number of unscheduled clinic visits+emergency department visits+hospitalization for asthma
12 months
cost analysis
costs associated with health care utilization for asthma
12 months
Secondary Outcomes (5)
nights with asthma symptoms
14 days
days with activity limitation due to asthma
14 days
days used asthma rescue medicine
14 days
asthma episodes
3 months
asthma control level
14 days
Study Arms (2)
CHW intervention
EXPERIMENTALThe CHW intervention is in-home education and support by a community health worker (CHW). At the first home visit, the CHW assesses the participant's knowledge and skills related to asthma self-management, current status of the child's asthma, and resources and support for asthma self-management using a baseline questionnaire. The CHW will inspect the home environment using an Environmental Home Checklist to identify environmental triggers that can cause asthma symptoms and affect asthma control. The CHW makes up to three follow-up visits and two telephone visits during the year the participant is in the study. Participants receive resources to help them control asthma: vacuum cleaner, dust covers for a pillow and mattress and a "green" cleaning kit with cleaning supplies.
control
NO INTERVENTIONThe control group receives standard asthma care, as provided by a primary health care provider. When the intervention period is over, the control group receives one visit with a CHW and the resources provided to the intervention group participants.
Interventions
Eligibility Criteria
You may qualify if:
- caretaker is age 18 or older and child is age 3-17
- have not controlled as thma
- residence in King County
- spoken language is English or Spanish
- Child is enrolled in a Medicaid managed care health plan offered by Community Health Plan of Washington (CHPW) or Molina Health Plan of Washington, Inc (Molina).
You may not qualify if:
- Parent/guardian plans to move out of King County within the next year or lacks permanent housing.
- Parent/guardian has a mental or physical disability making it impossible to participate in the protocols.
- The household appears to be unsafe for visitation by the CHW.
- The child has other serious chronic medical conditions (e.g. poorly controlled sickle cell disease, cystic fibrosis) that cause sufficient limitation in functional status so that that asthma control is not a priority.
- The family is enrolled in another asthma research study within the past three years. This is to avoid the potential confounding effect from other studies.
- The child is in foster care or group care settings.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Related Publications (1)
Campbell JD, Brooks M, Hosokawa P, Robinson J, Song L, Krieger J. Community Health Worker Home Visits for Medicaid-Enrolled Children With Asthma: Effects on Asthma Outcomes and Costs. Am J Public Health. 2015 Nov;105(11):2366-72. doi: 10.2105/AJPH.2015.302685. Epub 2015 Aug 13.
PMID: 26270287RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 2, 2014
First Posted
October 7, 2014
Study Start
May 1, 2010
Primary Completion
October 1, 2012
Study Completion
October 1, 2012
Last Updated
April 13, 2017
Record last verified: 2017-04