Asthma Education for School Staff + Healthcare Providers for Childhood Asthma

Not currently recruiting at 1 trial location

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: National Jewish Health

Disqualifiers: Under 18, No guardian, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to help children with asthma by training doctors and school staff in the Navajo Nation to better understand and manage the condition. It involves educating healthcare professionals about diagnosing and treating asthma and teaching school staff and families how to care for children with asthma. The program, which includes Asthma Care Provider Training and School Staff Asthma Education, will take place in three areas: Tuba City, Chinle, and Fort Defiance. Parents or guardians of children with asthma who understand English or Navajo are good candidates for this trial.

As an unphased trial, this study offers a unique opportunity to improve asthma care and support in the community.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications.

What prior data suggests that this program is safe for children with asthma?

Research has shown that training asthma care providers can improve outcomes for children with asthma. One study found that children whose doctors received this training experienced a reduction in days affected by asthma symptoms, from 15.6 days to 8.5 days. This suggests that trained doctors can manage asthma more effectively, enhancing safety for children.

For school staff, studies indicate that asthma education increases their knowledge and readiness to handle asthma. Although the evidence is not the strongest, the goal is to help staff better understand and manage asthma in children, potentially reducing asthma-related issues at school.

Overall, training for both asthma care providers and school staff aims to create safer environments for children with asthma. The focus is on improving understanding and management of the condition to reduce problems like asthma attacks. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it takes a fresh approach by focusing on education and training rather than medication. Unlike standard asthma treatments that typically involve inhalers and medication management, this trial aims to empower both healthcare providers and school staff with the knowledge and skills to better manage childhood asthma. By equipping adults in children's lives with asthma education, the trial hopes to improve care and support in everyday settings, potentially reducing asthma attacks and enhancing the quality of life for kids with asthma. This approach could lead to a more integrated support system, ensuring kids have consistent asthma management at school and beyond.

What evidence suggests that this program is effective for improving childhood asthma management?

Research has shown that asthma education programs can effectively manage asthma in children. One study found that these programs reduced hospital stays by 54% and emergency room visits by 31%. In this trial, school staff will receive asthma education to enhance their knowledge and readiness, though the strength of the evidence varies. Another study demonstrated that community-based asthma education improved understanding of the disease for both children and their caregivers. Overall, these educational programs, including those for healthcare providers in this trial, enhance understanding of asthma, leading to improved health outcomes for children. ^{6 7 8 9 10}

Who Is on the Research Team?

Bruce Bender, PhD

Principal Investigator

National Jewish Health

Are You a Good Fit for This Trial?

This trial is for guardians of children under 18 with asthma, living in Chinle, Tuba City, or Fort Defiance on the Navajo Nation. Participants must be able to give informed consent and understand English or Navajo. It's not open to those outside these areas or who can't consent.

Inclusion Criteria

Able to read and/or understand English or Navajo

I am the guardian of a child under 18 with asthma.

Able and willing to provide informed consent

Exclusion Criteria

Unable or unwilling to provide informed consent

This protocol pertains only to the three agencies listed above.

Unable to read and/or understand English or Navajo

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Training and Education

Training of doctors and health care professionals to improve asthma diagnosis and treatment, and education for school nurses, teachers, and children to better understand asthma.

1 year

Ongoing training sessions and educational workshops

Community Engagement

Engagement with families to help them manage their child's asthma and ensure collaboration between doctors, teachers, and families.

1 year

In-person interviews and community meetings

Follow-up

Participants are monitored for asthma symptom control and care satisfaction through interviews and data collection.

4 years

Annual in-person interviews and data reviews

What Are the Treatments Tested in This Trial?

Interventions

• Asthma Care Provider Training
• School Staff Asthma Education

Trial Overview

The program aims to improve childhood asthma care on the Navajo Nation by training healthcare providers and school staff. It includes educating families about managing asthma and fostering collaboration between doctors, teachers, and families.

How Is the Trial Designed?

Group I: Year two intervention Active Control 2 Interventions

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

Group II: Year three intervention Active Control 2 Interventions

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

Group III: Year four intervention Active Control 2 Interventions

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

Who Is Running the Clinical Trial?

National Jewish Health

Lead Sponsor

Trials

145

Recruited

318,000+

University of Arizona

Collaborator

Trials

545

Recruited

161,000+

Published Research Related to This Trial

Clinicians must work closely with schools to create and implement an asthma treatment plan for children, ensuring that both families and school staff are educated about asthma management.

The School-based Asthma Management Program (SAMPRO™) includes four key components designed to improve communication and support for children with asthma, promoting better care in the school environment.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Creation and implementation of SAMPRO™: A school-based asthma management program. Lemanske, RF., Kakumanu, S., Shanovich, K., et al.[2019]

A three-month asthma education program for 30 children and their parents significantly improved asthma control, leading to fewer daytime symptoms, night awakenings, and reduced reliance on rescue inhalers.

The program also resulted in a notable decrease in emergency department visits and hospitalizations, along with enhanced lung function and quality of life for the participants.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Asthma education and its impact on pediatric asthma severity: a prospective cohort study. Omara, HA., Mansour, MG., Badr, RM.[2023]

Citations

1.

pmc.ncbi.nlm.nih.gov

pmc.ncbi.nlm.nih.gov/articles/PMC9685736/

Effect of asthma education on health outcomes in children

One study found that asthma education was a useful tool for controlling asthma. However, it is not significantly effective in reducing healthcare utilisation ...

2.

sciencedirect.com

sciencedirect.com/science/article/pii/S2405844024113874

Effectiveness of pediatric asthma education program in the ...

An asthma education program delivered in a general hospital resulted in increased disease knowledge for children and their caregivers, together with reduced ...

3.

journal.chestnet.org

journal.chestnet.org/article/S0012-3692(24)05442-4/fulltext

Implementation and Effectiveness of Guideline ... - Chest Journal

Standalone annual asthma reviews were associated with a 9% significant decrease in exacerbations only during the first 6 months (0-180 days: IRR ...

4.

jacionline.org

jacionline.org/article/S0091-6749(09)00150-X/fulltext

The Effectiveness of a Community Based Pediatric Asthma ...

Rationale: The purpose was to evaluate the effectiveness of a community based asthma education program. Methods: Family physicians were recruited and ...

5.

publications.aap.org

publications.aap.org/hospitalpediatrics/article/12/3/239/184806/Interactive-Inpatient-Asthma-Education-A

Interactive Inpatient Asthma Education: A Randomized ...

We compared the impact of interactive versus didactic inpatient pediatric asthma education on subsequent emergency department (ED) visits and hospitalizations.

6.

pmc.ncbi.nlm.nih.gov

pmc.ncbi.nlm.nih.gov/articles/PMC12522025/

Impacts of Community Pediatric Asthma Education Program ...

Of 60,555 children with asthma, 3589 attended CPAS. Compared to the 56,966 controls, CPAS attendees were more likely to be male (60.2% vs. 58.4 ...

7.

pmc.ncbi.nlm.nih.gov

pmc.ncbi.nlm.nih.gov/articles/PMC9974735/

Updates in School-Based Asthma Management - PMC

Enrolled children experienced long-term improvements in asthma health outcomes for up to 4 years, including reductions in emergency room visits, hospital ...

8.

publications.aap.org

publications.aap.org/pediatrics/article/117/6/2149/69441/Impact-of-Physician-Asthma-Care-Education-on

Impact of Physician Asthma Care Education on Patient ...

Patients of physicians that attended the program had a greater decrease in days limited by asthma symptoms (8.5 vs 15.6 days), as well as ...

9.

jamanetwork.com

jamanetwork.com/journals/jamapediatrics/fullarticle/2771107

Home- and School-Based Asthma Education Program for ...

This randomized clinical trial evaluates the effectiveness of a multilevel home- and school-based asthma educational program compared with a ...

10.

chicagoasthma.org

chicagoasthma.org/research

Research Data

This study evaluates how long-term use (i.e., at least one year) of three types of residential ventilation interventions, some of which are coupled with ...