Improving Asthma Outcomes Through Cultural Competence Training for Physicians

• Register: ClinicalTrials.gov
• Last refreshed on: 21 January 2013
• Main ID: NCT01251523
• Date of registration: 01/12/2010
• Primary sponsor: University of Michigan
• Public title: Improving Asthma Outcomes Through Cultural Competence Training for Physicians
• Scientific title: Improving Asthma Outcomes Through Cultural Competence Training for Physicians
• Date of first enrolment: November 2010
• Target sample size: 1282
• Recruitment status: Recruiting
• URL: http://clinicaltrials.gov/show/NCT01251523
• Study type: Interventional
• Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Supportive Care

Countries of recruitment

United States

Contacts

• Name: Lara J Thomas, MPH

• Name: Noreen M Clark, PhD
• Affiliation: University of Michigan School of Public Health

Key inclusion & exclusion criteria

Inclusion Criteria:

- Physician enrollment criteria are: 1) licensed physician in practice and board
certified in pediatrics or family medicine; 2) treating children with asthma; 3)
full-time in a practice in Atlanta, GA or New York City, NY; 4) not Latino/Hispanic
or African American in ethnicity/race; 5) consenting to participate and 6) will
generate a roster of pediatric asthma patients.

The following patient selection criteria will be used.

- The child must: 1) be treated by the participating physician during the study intake
period; 2) be between one and 16 years of age; 3) have a diagnosis of asthma made by
a physician using the NAEPP Guidelines for the diagnosis of asthma (NHLBI, 2007) (The
investigators will not accept alternative descriptions such as reactive airway
disease, bronchitis, or wheezy bronchitis. The determination must be asthma); 4)
have at least one emergency medical care visit in the previous year (hospitalization,
or ED or physician office visit on an emergency basis defined as administration of
epinephrine sub-cutaneously or bronchodilators by aerosol); 5) not have other chronic
disorders that have pulmonary complications, e.g. sickle cell disease; 6) be of
self-identified African American or Latino/Hispanic race/ethnicity.

- In addition, the parent/caretaker must meet the following criteria: 1) be the one
usually responsible for the child's car; 2) be of self identified African American or
Latino/Hispanic race/ethnicity; 3) have access to a telephone; and 4) consent to
participate.

Exclusion Criteria:

- Physicians and patients who cannot meet the above inclusion criteria



Age minimum: N/A
Age maximum: N/A
Gender: Both

Health Condition(s) or Problem(s) studied

Asthma

Intervention(s)

Behavioral: PACE

Behavioral: PACE Plus

Primary Outcome(s)

Emergency Department Visits - 1st time point [Time Frame: 12 months prior to baseline interview]

Emergency Department Visits - 2nd time point [Time Frame: Interval between baseline and 12 months]

Emergency Department Visits - 3rd time point [Time Frame: interval between 12 month and 24 month telephone interview]

Secondary Outcome(s)

Hospitalizations - 2nd time point [Time Frame: Interval between baseline and 12 month telephone interview]

Hospitalizations - 3rd time point [Time Frame: interval between 12 month and 24 month telephone interview]

Hospitalizations - first time point [Time Frame: Year prior to baseline interview]

Secondary ID(s)

1R01HL09338601A2

Source(s) of Monetary Support

Please refer to primary and secondary sponsors