An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo Nation

NCT ID: NCT03377647

Last Updated: 2025-02-24

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-08-01

Study Completion Date

2025-06-30

Brief Summary

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National Jewish Health and The University of Arizona worked with Navajo Nation organizations to develop this program to improve the health of children with asthma. The Navajo Community Asthma Program will have two main parts. One will train doctors and health care professionals to improve the diagnosis and treatment of asthma. The second part will work with area schools to provide education to school nurses, teachers, and children to help them better understand asthma. The project also works with families to help them know how to best take care of their child's asthma. A major project aim is to make sure that doctors, teachers, and families work together to manage asthma.

Detailed Description

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Conditions

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Asthma in Children

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Year two intervention

Both interventions will occur in the Tuba City Agency during year two.

Group Type ACTIVE_COMPARATOR

Asthma Care Provider Training

Intervention Type BEHAVIORAL

In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.

School Staff Asthma Education

Intervention Type BEHAVIORAL

In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.

Year three intervention

Both interventions will occur in the Chinle Agency during year three.

Group Type ACTIVE_COMPARATOR

Asthma Care Provider Training

Intervention Type BEHAVIORAL

In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.

School Staff Asthma Education

Intervention Type BEHAVIORAL

In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.

Year four intervention

Both interventions will occur in the Fort Defiance during year four.

Group Type ACTIVE_COMPARATOR

Asthma Care Provider Training

Intervention Type BEHAVIORAL

In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.

School Staff Asthma Education

Intervention Type BEHAVIORAL

In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.

Interventions

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Asthma Care Provider Training

In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.

Intervention Type BEHAVIORAL

School Staff Asthma Education

In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

\- The study will be conducted within three agencies on the Navajo Nation, each of which has its own IHS service unit. The three agencies are Chinle, Tuba City, and Fort Defiance.


1. Able and willing to provide informed consent
2. Greater than or equal to 18 years of age
3. Guardianship of a child younger than 18 years of age who has been diagnosed with asthma
4. Able to read and/or understand English or Navajo

Exclusion Criteria

\- This protocol pertains only to the three agencies listed above.

Community interviewees will be interested candidates who meet the following eligibility criteria:


1. Unable or unwilling to provide informed consent
2. Younger than 18 years of age, without presence of guardian
3. Unable to read and/or understand English or Navajo
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Arizona

OTHER

Sponsor Role collaborator

National Jewish Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bruce Bender, PhD

Role: PRINCIPAL_INVESTIGATOR

National Jewish Health

Locations

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University of Arizona

Tucson, Arizona, United States

Site Status

National Jewish Health

Denver, Colorado, United States

Site Status

Countries

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United States

References

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Lowe AA, Ravi P, Hudson B, Begay E, Tso B, Liu AH, Bender BG, Gerald LB, King DK. Using document analysis methods and implementation science frameworks to conduct a process evaluation of the community asthma program on the Navajo Nation. Transl Behav Med. 2025 Jan 16;15(1):ibaf056. doi: 10.1093/tbm/ibaf056.

Reference Type DERIVED
PMID: 41027683 (View on PubMed)

Other Identifiers

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HS2970

Identifier Type: -

Identifier Source: org_study_id

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