Asthma Education Using Child Life Services and an Asthma-based Computer Game

NCT ID: NCT01072123

Last Updated: 2020-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-01-31

Study Completion Date

2010-12-31

Brief Summary

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This is a single center pilot study designed to evaluate the effectiveness of an asthma education program in the pediatric emergency department. Asthma has reached epidemic proportions. Nine million American children are affected in the United States alone. This problem has increased 75% from 1980 to 1994, with a staggering 160% increase seen in children less than five years old.1 The American Lung Association has targeted this overwhelming problem on both national and local levels. Asthma impacts American communities who differ geographically, culturally, ethnically and by lifestyle, and as a result will present with different obstacles.

The primary objectives are: to determine whether this educational intervention (through interactions with a child life specialist and using the asthma based computer game) in the pediatric ED can influence children's \[and care givers'\] knowledge and understanding of the disease process and treatment, and to improve asthma self-management and decrease morbidity by decreasing ED use and hospitalization.

A secondary objective is to introduce the Child Life Specialist as an effective asthma educator and further strengthen the health care team.

The target population will be recruited from the pediatric emergency department. We anticipate this study to recruit over a one year period and have a one year follow up with an anticipated enrollment of 64 children and families. There will be three Child Life Specialist involved in this program.

After consent has been obtained, the child and parent will complete questionnaires (focusing on asthma knowledge, quality of life, and perception of asthma) and then a laptop will be provided to access the asthma based computer game.

During the child's ED visit the Child Life Specialist will have opportunities to open communication to address barriers or concerns, and reinforce material provided by the game. Through these interactions, the importance of communication between the child, parent and healthcare provider is highlighted.

The family will be given information to access the computer game via the internet. Follow up phone calls or e-mails will occur at 6 months, 9 months, and 12 months which will entail completing questionnaires. The questionnaires uses validated questions along with questions from the material covered through this asthma education study.

Detailed Description

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Conditions

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Asthma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

DOUBLE

Caregivers Investigators

Interventions

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Quest for the Code

interactive asthma-based computer program

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between six to eighteen years old
* Diagnosis of asthma

Exclusion Criteria

* Refused to participate in the study
* Unable to understand or respond to questions
* If participants are not English speaking
Minimum Eligible Age

6 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Winthrop University Hospital

OTHER

Sponsor Role collaborator

NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mary Cataletto, MD

Role: PRINCIPAL_INVESTIGATOR

Winthrop University Hospital

Locations

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Winthrop University Hospital

Mineola, New York, United States

Site Status

Countries

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United States

References

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Gupta RS, Zhang X, Sharp LK, Shannon JJ, Weiss KB. Geographic variability in childhood asthma prevalence in Chicago. J Allergy Clin Immunol. 2008 Mar;121(3):639-645.e1. doi: 10.1016/j.jaci.2007.11.036. Epub 2008 Feb 4.

Reference Type BACKGROUND
PMID: 18243285 (View on PubMed)

Smeeton NC, Rona RJ, Gregory J, White P, Morgan M. Parental attitudes towards the management of asthma in ethnic minorities. Arch Dis Child. 2007 Dec;92(12):1082-7. doi: 10.1136/adc.2006.112037. Epub 2007 Feb 6.

Reference Type BACKGROUND
PMID: 17284478 (View on PubMed)

Zayas LE, McLean D. Asthma patient education opportunities in predominantly minority urban communities. Health Educ Res. 2007 Dec;22(6):757-69. doi: 10.1093/her/cyl070. Epub 2006 Aug 8.

Reference Type BACKGROUND
PMID: 16896054 (View on PubMed)

Wakefield M, Staugas R, Ruffin R, Campbell D, Beilby J, McCaul K. Risk factors for repeat attendance at hospital emergency departments among adults and children with asthma. Aust N Z J Med. 1997 Jun;27(3):277-84. doi: 10.1111/j.1445-5994.1997.tb01979.x.

Reference Type BACKGROUND
PMID: 9227811 (View on PubMed)

Wasilewski Y, Clark NM, Evans D, Levison MJ, Levin B, Mellins RB. Factors associated with emergency department visits by children with asthma: implications for health education. Am J Public Health. 1996 Oct;86(10):1410-5. doi: 10.2105/ajph.86.10.1410.

Reference Type BACKGROUND
PMID: 8876510 (View on PubMed)

Franks TJ, Burton DL, Simpson MD. Patient medication knowledge and adherence to asthma pharmacotherapy: a pilot study in rural Australia. Ther Clin Risk Manag. 2005 Mar;1(1):33-8. doi: 10.2147/tcrm.1.1.33.53598.

Reference Type BACKGROUND
PMID: 18360541 (View on PubMed)

Flores G, Abreu M, Tomany-Korman S, Meurer J. Keeping children with asthma out of hospitals: parents' and physicians' perspectives on how pediatric asthma hospitalizations can be prevented. Pediatrics. 2005 Oct;116(4):957-65. doi: 10.1542/peds.2005-0712.

Reference Type BACKGROUND
PMID: 16199708 (View on PubMed)

Cagan ER, Hubinsky T, Goodman A, Deitcher D, Cohen NL. Partnering with communities to improve health: the New York City Turning Point experience. J Urban Health. 2001 Mar;78(1):176-80. doi: 10.1093/jurban/78.1.176.

Reference Type BACKGROUND
PMID: 11368196 (View on PubMed)

Lara M, Rosenbaum S, Rachelefsky G, Nicholas W, Morton SC, Emont S, Branch M, Genovese B, Vaiana ME, Smith V, Wheeler L, Platts-Mills T, Clark N, Lurie N, Weiss KB. Improving childhood asthma outcomes in the United States: a blueprint for policy action. Pediatrics. 2002 May;109(5):919-30. doi: 10.1542/peds.109.5.919.

Reference Type BACKGROUND
PMID: 11986457 (View on PubMed)

Persky V, Coover L, Hernandez E, Contreras A, Slezak J, Piorkowski J, Curtis L, Turyk M, Ramakrishnan V, Scheff P. Chicago community-based asthma intervention trial: feasibility of delivering peer education in an inner-city population. Chest. 1999 Oct;116(4 Suppl 1):216S-223S. doi: 10.1378/chest.116.suppl_2.216s.

Reference Type BACKGROUND
PMID: 10532497 (View on PubMed)

Krishna S, Francisco BD, Balas EA, Konig P, Graff GR, Madsen RW; Randomized trial. Internet-enabled interactive multimedia asthma education program: a randomized trial. Pediatrics. 2003 Mar;111(3):503-10. doi: 10.1542/peds.111.3.503.

Reference Type BACKGROUND
PMID: 12612228 (View on PubMed)

Related Links

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Other Identifiers

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08313

Identifier Type: -

Identifier Source: org_study_id

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