Home Visits to Optimize Medical and Educational Success Among Sacramento Schoolchildren With Asthma

NCT03335046 | Completed

• 1 other identifier: 1114637
• Study Type: interventional
• Target: 11
• Locations: 1 country
• Sites: 1

Brief Summary

This study will establish a multi-disciplinary home visitation team consisting of a medical provider and school teacher or staff member, and will evaluate whether a series of visits from this team will help decrease school absenteeism among children with asthma.

Conditions

Asthma; Chronic School Absenteeism

Keywords

Home Visit; School Absenteeism

Outcome Measures

Primary Outcomes (1)

• Missed School Days

  The number of school days missed over the course of an academic year

  One academic year

Secondary Outcomes (3)

• Healthcare Utilization

  One academic year

• Asthma Symptom Report

  One academic year

• Asthma Control Test

  One academic year

Study Arms (2)

Intervention

EXPERIMENTAL

The intervention arm will receive the home visit intervention, consisting of 2 visits to the home by a team consisting of a pediatric medical provider and a school teacher or school support staff member. This team will evaluate the child's home environment to assess for potential asthma triggers that may lead to school absenteeism, and provide strategies and material goods to help reduce those triggers.

Behavioral: Home Visit

Wait-List Control

OTHER

The control group will receive standard interventions carried out by the school system for students at risk for chronic absenteeism. Following the study observation period, this control group will then receive the home visits performed for the intervention group.

Behavioral: Home Visit; Behavioral: Standard Care

Interventions

Home Visit BEHAVIORAL

The intervention will consist of a series of home visitations to chronically absent students with co-morbid asthma. These visits will consist of a home environment evaluation, medication adherence and knowledge assessment, distribution of home environmental allergen reduction items such as mattress and pillow encasements, as well as review and reinforcement of any asthma action plans or care plans provided by patient's primary care physicians or medical home.

Intervention; Wait-List Control

Standard Care BEHAVIORAL

Standard care will refer to the procedures carried out by the school district to address students with chronic absenteeism. This includes parent-teacher and parent-school administrator meetings and communications and may also include home visits carried out by classroom teachers or student support center staff.

Wait-List Control

Eligibility Criteria

• Age: 5 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Students in elementary school (K-6) in the Sacramento City Unified School District
• Identified as at risk for chronic absenteeism based on previous year and/or first 8 weeks of school year
• Have a current diagnosis of asthma

You may not qualify if:

• Underlying chronic conditions such as cystic fibrosis, chronic lung disease with oxygen dependence, immunodeficiency syndromes

Sponsors & Collaborators

• University of California, Davis: lead

Study Sites (1)

University of California Davis

Sacramento, California, 95817, United States

Location

MeSH Terms

Conditions

Asthma

Interventions

House Calls; Standard of Care

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Intervention Hierarchy (Ancestors)

Professional Practice; Organization and Administration; Health Services Administration; Quality Indicators, Health Care; Quality of Health Care; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The study will be a randomized wait-list control trial. Participants will be randomized to the intervention or control arm for the study observation period. At the conclusion of the observation period, the control group will receive the intervention.

Study Record Dates

• First Submitted: November 3, 2017
• First Posted: November 7, 2017
• Study Start: November 29, 2017
• Primary Completion: July 1, 2019
• Study Completion: July 30, 2019
• Last Updated: November 12, 2020

Record last verified: 2020-11

Locations

US (1)