Trial Outcomes & Findings for A Multifaceted Prompting Intervention for Urban Children With Asthma (NCT NCT01105754)

NCT ID: NCT01105754

Last Updated: 2016-02-08

Results Overview

The primary outcome is asthma morbidity measured by the number of symptom-free asthma days (SFD) reported over 2 weeks at the 2-month follow-up assessment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

638 participants

Primary outcome timeframe

2 month follow-up assessment

Results posted on

2016-02-08

Participant Flow

Participant milestones

Participant milestones
Measure
Standard Care
Parents of children in the standard care group will complete the baseline assessment, but no asthma prompt will be created for either the caregiver or provider, and no information regarding the interview will be shared with the provider. After the baseline assessment, the office visit will proceed according to usual care.
Intervention
Multifaceted Prompting Intervention Multifaceted Prompting Intervention MPI: Practices assigned to the MPI group will receive a simple prompt given to the provider at the time of the visit with information regarding the child's symptoms, medication use, environmental exposures, and recommendations for guideline-based preventive care. Practices will receive brief interactive seminars, resource guides, access to free asthma education programs, and practice-level feedback regarding their performance on key outcome measures. Caregivers will receive a simple prompt, community resources, and a blank asthma action plan form.
Overall Study
STARTED
319
319
Overall Study
COMPLETED
304
307
Overall Study
NOT COMPLETED
15
12

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Multifaceted Prompting Intervention for Urban Children With Asthma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Standard Care
n=319 Participants
Parents of children in the standard care group will complete the baseline assessment, but no asthma prompt will be created for either the caregiver or provider, and no information regarding the interview will be shared with the provider. After the baseline assessment, the office visit will proceed according to usual care.
Intervention
n=319 Participants
Multifaceted Prompting Intervention Multifaceted Prompting Intervention MPI: Practices assigned to the MPI group will receive a simple prompt given to the provider at the time of the visit with information regarding the child's symptoms, medication use, environmental exposures, and recommendations for guideline-based preventive care. Practices will receive brief interactive seminars, resource guides, access to free asthma education programs, and practice-level feedback regarding their performance on key outcome measures. Caregivers will receive a simple prompt, community resources, and a blank asthma action plan form.
Total
n=638 Participants
Total of all reporting groups
Age, Continuous
6.70 years
STANDARD_DEVIATION 2.9 • n=93 Participants
6.72 years
STANDARD_DEVIATION 3.0 • n=4 Participants
6.71 years
STANDARD_DEVIATION 3.0 • n=27 Participants
Sex: Female, Male
Female
127 Participants
n=93 Participants
144 Participants
n=4 Participants
271 Participants
n=27 Participants
Sex: Female, Male
Male
192 Participants
n=93 Participants
175 Participants
n=4 Participants
367 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
126 Participants
n=93 Participants
103 Participants
n=4 Participants
229 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
193 Participants
n=93 Participants
216 Participants
n=4 Participants
409 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
103 Participants
n=93 Participants
127 Participants
n=4 Participants
230 Participants
n=27 Participants
Race (NIH/OMB)
White
77 Participants
n=93 Participants
74 Participants
n=4 Participants
151 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
138 Participants
n=93 Participants
113 Participants
n=4 Participants
251 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=93 Participants
5 Participants
n=4 Participants
6 Participants
n=27 Participants
Region of Enrollment
United States
319 participants
n=93 Participants
319 participants
n=4 Participants
638 participants
n=27 Participants

PRIMARY outcome

Timeframe: 2 month follow-up assessment

The primary outcome is asthma morbidity measured by the number of symptom-free asthma days (SFD) reported over 2 weeks at the 2-month follow-up assessment.

Outcome measures

Outcome measures
Measure
Standard Care
n=297 Participants
Parents of children in the standard care group will complete the baseline assessment, but no asthma prompt will be created for either the caregiver or provider, and no information regarding the interview will be shared with the provider. After the baseline assessment, the office visit will proceed according to usual care.
Intervention
n=300 Participants
Multifaceted Prompting Intervention Multifaceted Prompting Intervention MPI: Practices assigned to the MPI group will receive a simple prompt given to the provider at the time of the visit with information regarding the child's symptoms, medication use, environmental exposures, and recommendations for guideline-based preventive care. Practices will receive brief interactive seminars, resource guides, access to free asthma education programs, and practice-level feedback regarding their performance on key outcome measures. Caregivers will receive a simple prompt, community resources, and a blank asthma action plan form.
Symptom Free Days
9.5 Days
Standard Deviation 5.1
10.2 Days
Standard Deviation 4.8

SECONDARY outcome

Timeframe: 2 week follow-up, and medical record review

The number of children who received guideline-based asthma care (eg: inhaled steroid prescription, counseling for triggers, counseling for adherence) at the intervention visit based on parent interview at the 2-week follow-up and medical record review.

Outcome measures

Outcome measures
Measure
Standard Care
n=319 Participants
Parents of children in the standard care group will complete the baseline assessment, but no asthma prompt will be created for either the caregiver or provider, and no information regarding the interview will be shared with the provider. After the baseline assessment, the office visit will proceed according to usual care.
Intervention
n=319 Participants
Multifaceted Prompting Intervention Multifaceted Prompting Intervention MPI: Practices assigned to the MPI group will receive a simple prompt given to the provider at the time of the visit with information regarding the child's symptoms, medication use, environmental exposures, and recommendations for guideline-based preventive care. Practices will receive brief interactive seminars, resource guides, access to free asthma education programs, and practice-level feedback regarding their performance on key outcome measures. Caregivers will receive a simple prompt, community resources, and a blank asthma action plan form.
Number of Children Who Received Guideline-based Asthma Care During the Intervention Visit.
105 participants
184 participants

Adverse Events

Standard Care

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jill Halterman

University of Rochester

Phone: 585-275-5798

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place