Asthma Clinics Helping Expand Cost Conversations

NCT04669080 | Completed

• 1 other identifier: 20-2616
• Study Type: interventional
• Target: 65
• Locations: 1 country
• Sites: 1

Brief Summary

Healthcare costs are a critical barrier to U.S. families' ability to access the preventive care needed to manage their children's asthma. Asthma specialty care teams are uniquely positioned to help families navigate these cost barriers, but lack structured approaches to discussing this sensitive and complex topic. This study will train asthma specialty care teams to identify families at risk for financial burden and engage in conversations about strategies to manage asthma care costs. The study team will evaluate the impact of a health care provider training on the frequency of cost navigation conversations. The investigators hypothesize that the health care provider training will increase the frequency of parent-reported cost conversations in the clinic.

Conditions

Asthma in Children

Keywords

cost of care; patient provider communication; financial burden

Outcome Measures

Primary Outcomes (1)

• Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits

  Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits

  Baseline, 6 weeks post intervention completion

Study Arms (1)

Cost navigation training intervention

OTHER

Behavioral: Health care provider cost navigation training

Interventions

Health care provider cost navigation training BEHAVIORAL

Health care providers and asthma educators in a pediatric asthma clinic will receive an online training about the importance of cost of care conversations, how to start cost of care conversations with families, how to refer families to cost navigation resources, and how to lead asthma specialty care teams in cost navigation.

Cost navigation training intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Eligible caregivers will:
• attend a routine asthma care appointment for a 4-17 year old child
• screen positive for possible financial burden related to the cost of asthma care
• Eligible healthcare providers will:
• be members of a pediatric asthma specialty care team

You may not qualify if:

• Caregivers will not be eligible if they:
• attend an appointment for conditions other than routine asthma care
• do not screen positive for possible financial burden related to the cost of asthma care
• Healthcare providers will not be eligible if they:
• are not part of the pediatric asthma specialty care team in the participating clinic

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• Robert Wood Johnson Foundation: collaborator
• Harvard Pilgrim Health Care: collaborator

Study Sites (1)

North Carolina Children's Allergy and Asthma Center

Raleigh, North Carolina, 27607, United States

Location

MeSH Terms

Conditions

Financial Stress

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Melissa B Gilkey, PhD

  University of North Carolina, Chapel Hill

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: non-randomized pre-post test

Study Record Dates

• First Submitted: December 7, 2020
• First Posted: December 16, 2020
• Study Start: January 4, 2021
• Primary Completion: June 21, 2021
• Study Completion: July 20, 2021
• Last Updated: September 29, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will share
• Time Frame: 9 to 36 months following publication
• Access Criteria: Investigator who proposes to use the data has IRB, IEC, or REB approval, as applicable, and an executed data use/sharing agreement with UNC.

Locations

US (1)