Trial Outcomes & Findings for RVA Breathes: A Richmond City Collaboration to Reduce Pediatric Asthma Disparities (NCT NCT03297645)
NCT ID: NCT03297645
Last Updated: 2023-10-06
Results Overview
Billing systems/insurance reports of frequency of child emergency department (ED) visits and hospitalizations due to asthma. A composite variable of frequency of emergency department visits and hospitalizations will be generated to arrive at one health care utilization outcome variable.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
500 participants
Primary outcome timeframe
Child ED visits and hospitalizations in the last 9 months (from end of intervention/control phase to 9 month follow-up assessment)
Results posted on
2023-10-06
Participant Flow
Caregiver-child dyads were enrolled. The numbers represented in the participant flowchart reflect the number of caregiver and child dyads. For the full intervention, 236 unique participants started, 162 completed and 74 did not complete. For the intervention without school, 138 unique participants started, 102 completed and 36 did not complete. For the control, 126 unique participants started, 108 completed and 18 did not complete.
Participant milestones
| Measure |
Full Intervention
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Overall Study
STARTED
|
118
|
69
|
63
|
|
Overall Study
COMPLETED
|
81
|
51
|
54
|
|
Overall Study
NOT COMPLETED
|
37
|
18
|
9
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
RVA Breathes: A Richmond City Collaboration to Reduce Pediatric Asthma Disparities
Baseline characteristics by cohort
| Measure |
Full Intervention
n=236 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=138 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=126 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
Total
n=500 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Categorical
Demographics · <=18 years
|
118 Participants
n=5 Participants
|
69 Participants
n=7 Participants
|
63 Participants
n=5 Participants
|
250 Participants
n=4 Participants
|
|
Age, Categorical
Demographics · Between 18 and 65 years
|
118 Participants
n=5 Participants
|
69 Participants
n=7 Participants
|
63 Participants
n=5 Participants
|
250 Participants
n=4 Participants
|
|
Age, Categorical
Demographics · >=65 years
|
0 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
0 Participants
n=4 Participants
|
|
Sex: Female, Male
Demographics · Female
|
159 Participants
n=5 Participants
|
102 Participants
n=7 Participants
|
83 Participants
n=5 Participants
|
344 Participants
n=4 Participants
|
|
Sex: Female, Male
Demographics · Male
|
77 Participants
n=5 Participants
|
36 Participants
n=7 Participants
|
43 Participants
n=5 Participants
|
156 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Child - White
|
1 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
3 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Child - African American/Black
|
94 Participants
n=5 Participants
|
55 Participants
n=7 Participants
|
46 Participants
n=5 Participants
|
195 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Child - Latinx
|
9 Participants
n=5 Participants
|
5 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
22 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Child - Mixed/Multiple
|
12 Participants
n=5 Participants
|
7 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
28 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Child - Other
|
2 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
0 Participants
n=5 Participants
|
2 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Caregiver - White
|
5 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
3 Participants
n=5 Participants
|
10 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Caregiver - African American/Black
|
96 Participants
n=5 Participants
|
58 Participants
n=7 Participants
|
47 Participants
n=5 Participants
|
201 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Caregiver - Latinx
|
9 Participants
n=5 Participants
|
6 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
23 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Caregiver - Mixed/Multiple
|
5 Participants
n=5 Participants
|
3 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
12 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Caregiver - Other
|
3 Participants
n=5 Participants
|
0 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
4 Participants
n=4 Participants
|
|
Region of Enrollment
United States
|
236 Participants
n=5 Participants
|
138 Participants
n=7 Participants
|
126 Participants
n=5 Participants
|
500 Participants
n=4 Participants
|
PRIMARY outcome
Timeframe: Child ED visits and hospitalizations in the last 9 months (from end of intervention/control phase to 9 month follow-up assessment)Population: Outcome data for children
Billing systems/insurance reports of frequency of child emergency department (ED) visits and hospitalizations due to asthma. A composite variable of frequency of emergency department visits and hospitalizations will be generated to arrive at one health care utilization outcome variable.
Outcome measures
| Measure |
Full Intervention
n=68 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=38 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=36 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Health Care Utilization
|
.0023 ED visits and hospitalizations
Standard Deviation .0005
|
.0032 ED visits and hospitalizations
Standard Deviation .0009
|
.0021 ED visits and hospitalizations
Standard Deviation .0008
|
SECONDARY outcome
Timeframe: Reported by caregiver at 9 month follow-up assessmentPopulation: Outcome data for children
Prescription for a controller medication (caregiver report)
Outcome measures
| Measure |
Full Intervention
n=68 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=36 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=41 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Controller Medication
|
32 Participants
|
23 Participants
|
17 Participants
|
SECONDARY outcome
Timeframe: Reported by caregiver at 9 month follow-up assessmentPopulation: Outcome data for children
Caregivers reported whether their child had an updated asthma action plan for their child.
Outcome measures
| Measure |
Full Intervention
n=66 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=36 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=41 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Asthma Action Plan
|
53 Participants
|
29 Participants
|
30 Participants
|
SECONDARY outcome
Timeframe: Reported for child at 9 month follow-up assessmentPopulation: Outcome data for children
Child and caregiver complete the Childhood Asthma Control Test, which measures the frequency of daytime and nighttime asthma symptoms, activity limitations, and perception of disease control; higher scores = better asthma control. Total range of scores are from 0 to 27 and are a sum of scores.
Outcome measures
| Measure |
Full Intervention
n=76 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=45 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=45 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Asthma Control
|
21.08 units on a scale
Standard Deviation 4.32
|
20.69 units on a scale
Standard Deviation 5.06
|
20.58 units on a scale
Standard Deviation 3.81
|
SECONDARY outcome
Timeframe: Reported by caregiver at 9 month follow-up assessmentPopulation: Outcome data for children
Caregivers report number of days in the last 7 days that their child had asthma symptoms.
Outcome measures
| Measure |
Full Intervention
n=67 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=44 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=42 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Asthma Symptoms
|
.93 days
Standard Deviation 1.62
|
1.09 days
Standard Deviation 1.74
|
.86 days
Standard Deviation 1.05
|
SECONDARY outcome
Timeframe: Reported by child at 9 month follow-up assessmentPopulation: Outcome data for children
Children will complete a measure, the Pediatric Asthma Quality of Life Questionnaire, that assesses their level of quality of life related to child asthma; higher scores = better QOL. Total scores range from 1 to 7 and are an average of 23 items.
Outcome measures
| Measure |
Full Intervention
n=51 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=20 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=22 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Child Quality of Life
|
4.95 units on a scale
Standard Deviation 1.84
|
4.98 units on a scale
Standard Deviation 1.76
|
5.62 units on a scale
Standard Deviation 1.67
|
SECONDARY outcome
Timeframe: Reported by caregivers at 9 month follow-up assessmentPopulation: Outcome data for caregivers
Parents complete a measure that assesses their level of quality of life (QOL) related to child asthma. The measure is the Pediatric Asthma Caregiver Quality of Life Questionnaire; higher scores = better QOL. A total score is determined from an average of items. Total scores range from 1 to 7.
Outcome measures
| Measure |
Full Intervention
n=75 Participants
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=44 Participants
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=42 Participants
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Caregiver Quality of Life
|
6.10 units on a scale
Standard Deviation 1.23
|
6.40 units on a scale
Standard Deviation .70
|
6.26 units on a scale
Standard Deviation .88
|
Adverse Events
Full Intervention
Serious events: 3 serious events
Other events: 49 other events
Deaths: 0 deaths
Intervention Without School
Serious events: 6 serious events
Other events: 20 other events
Deaths: 0 deaths
Control
Serious events: 2 serious events
Other events: 19 other events
Deaths: 0 deaths
Serious adverse events
| Measure |
Full Intervention
n=118 participants at risk
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=69 participants at risk
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=63 participants at risk
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Child hospitalization due to asthma
|
2.5%
3/118 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
7.2%
5/69 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
3.2%
2/63 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
|
Blood and lymphatic system disorders
Child cancer diagnosis
|
0.00%
0/118 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
1.4%
1/69 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
0.00%
0/63 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
Other adverse events
| Measure |
Full Intervention
n=118 participants at risk
school + asthma education + home environment remediation
School: CHWs will ensure that families submit required health paperwork (e.g., asthma action plan, medication release form) and confirm with school nurses that children have the appropriate medications. School nurses will be given a standardized protocol to follow with clear guidelines for caring for students with asthma. The CHW assigned to the family will work with the school nurse to ensure that communication with the medical provider is occurring.
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Intervention Without School
n=69 participants at risk
asthma education + home environment remediation
Asthma education: CHWs will deliver evidence-based asthma education to parents and children. Content is drawn from existing asthma management programs, and adapted for families in Richmond. Between sessions, CHWs will call parents at least monthly to check in and assess family asthma management, including healthcare utilization since the last contact.
Home environmental remediation: Healthy Homes will complete home-based environmental assessments using evidence-based protocols. Healthy Homes will provide real-time education and share information about their findings and recommendations for action. Families are provided with low-cost intervention materials (e.g., filters, pillow covers), as well as behavioral modifications to aid in the reduction of asthma triggers in the home.
|
Control
n=63 participants at risk
enhanced standard of care
Informational mail: Family will be mailed publicly available asthma information every 3 months.
|
|---|---|---|---|
|
Respiratory, thoracic and mediastinal disorders
Child emergency department visit due to asthma
|
40.7%
48/118 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
27.5%
19/69 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
30.2%
19/63 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
|
Skin and subcutaneous tissue disorders
Child rash
|
0.85%
1/118 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
1.4%
1/69 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
0.00%
0/63 • Across 18 month study participation
Adverse event collection was for child participants only and was reported by caregivers or gathered from health records. Caregivers were not monitored for adverse events.
|
Additional Information
Robin S. Everhart, PhD
Virginia Commonwealth University
Phone: (804) 828-7249
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place