Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00005714
Status:
COMPLETED
Last Update Posted:
2016-05-13
First Post:
2000-05-25
Brief Title:
Development and Evaluation of Community Asthma Program
Sponsor:
National Heart Lung and Blood Institute NHLBI
Organization:
National Heart Lung and Blood Institute NHLBI
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2004-08
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
To evaluate a community organization approach to promoting asthma management in four neighborhoods in St Louis with predominantly low income Black populations
Detailed Description:
BACKGROUND
Asthma prevalence and mortality among Black children exceed levels among whites Asthma management programs have reduced symptoms attacks and emergency room usage However in 1990 a pattern of underutilization and neglect of care among Black Americans in cases of asthma deaths among Black children indicated the importance of promoting ongoing versus episodic care reduced exposure to triggers sensitivity to signs of attacks attack management and communication with caregivers professionals and teachers Research in Black communities indicated the importance of informal networks and neighborhood influences in promoting improved asthma care within low-income Black communities
The study was part of a demonstration and education initiative Interventions for Control of Asthma Among Black and Hispanic Children which was released by the NHLBI in June 1989
DESIGN NARRATIVE
Working with an established community agency Grace Hill Neighborhood Services and its Community Wellness Board the investigators established Neighborhood Steering Committees to oversee development and implementation of a Neighborhood Asthma Collaboration NAC in each neighborhood The 36-month NAC included a promotional campaigns to increase awareness of asthma and its care b Neighborhood Volunteers disseminating leaflets encouraging identification of and continuing care for asthma and recruiting participants into NAC programs c Neighborhood Volunteers trained as Asthma Advocates to work with asthmatic children and their care-givers to encourage asthma co-management and to conduct management programs in local institutions d an Asthma Management Course offered through community health centers churches and other local institutions and e local school programs including in-service teacher education on asthma management an asthma program for all students to enhance support for asthmatic children and school implementation of the Asthma Management Course
Prior to implementing the NAC the investigators a reviewed adopted piloted and revised existing asthma management educational and promotional materials b worked with asthma care providers to gain their involvement in program planning and patient referral to the NAC and c adapted procedures from other worksitecommunity health promotion programs for working with Neighborhood Steering Committees and training Neighborhood Volunteers General evaluation included a surveys of community awareness of and attitudes toward asthma b dissemination and implementation and c pre-post changes in symptoms attacks ER visits and hospitalizations among all child participants in the NAC These measures as well as kept appointments and serum theophylline levels less than or equal to 5 mgdl were used in two controlled studies within the NAC to compare 1 children from study neighborhoods with children from socioeconomically comparable neighborhoods all of whom received care through Childrens Hospital of Washington University and 2 children receiving care through two Centers serving other socieoeconomically similar neighborhoods
The study completion date listed in this record was obtained from the End Date entered in the Protocol Registration and Results System PRS record
Asthma prevalence and mortality among Black children exceed levels among whites Asthma management programs have reduced symptoms attacks and emergency room usage However in 1990 a pattern of underutilization and neglect of care among Black Americans in cases of asthma deaths among Black children indicated the importance of promoting ongoing versus episodic care reduced exposure to triggers sensitivity to signs of attacks attack management and communication with caregivers professionals and teachers Research in Black communities indicated the importance of informal networks and neighborhood influences in promoting improved asthma care within low-income Black communities
The study was part of a demonstration and education initiative Interventions for Control of Asthma Among Black and Hispanic Children which was released by the NHLBI in June 1989
DESIGN NARRATIVE
Working with an established community agency Grace Hill Neighborhood Services and its Community Wellness Board the investigators established Neighborhood Steering Committees to oversee development and implementation of a Neighborhood Asthma Collaboration NAC in each neighborhood The 36-month NAC included a promotional campaigns to increase awareness of asthma and its care b Neighborhood Volunteers disseminating leaflets encouraging identification of and continuing care for asthma and recruiting participants into NAC programs c Neighborhood Volunteers trained as Asthma Advocates to work with asthmatic children and their care-givers to encourage asthma co-management and to conduct management programs in local institutions d an Asthma Management Course offered through community health centers churches and other local institutions and e local school programs including in-service teacher education on asthma management an asthma program for all students to enhance support for asthmatic children and school implementation of the Asthma Management Course
Prior to implementing the NAC the investigators a reviewed adopted piloted and revised existing asthma management educational and promotional materials b worked with asthma care providers to gain their involvement in program planning and patient referral to the NAC and c adapted procedures from other worksitecommunity health promotion programs for working with Neighborhood Steering Committees and training Neighborhood Volunteers General evaluation included a surveys of community awareness of and attitudes toward asthma b dissemination and implementation and c pre-post changes in symptoms attacks ER visits and hospitalizations among all child participants in the NAC These measures as well as kept appointments and serum theophylline levels less than or equal to 5 mgdl were used in two controlled studies within the NAC to compare 1 children from study neighborhoods with children from socioeconomically comparable neighborhoods all of whom received care through Childrens Hospital of Washington University and 2 children receiving care through two Centers serving other socieoeconomically similar neighborhoods
The study completion date listed in this record was obtained from the End Date entered in the Protocol Registration and Results System PRS record
Study Oversight
Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?:
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HL045293 | NIH | None | httpsreporternihgovquickSearchR01HL045293 |