Asthma Clinics Helping Expand Cost Conversations

Asthma in Children Clinical Trial

— Asthma CHECC  

Official title:

Developing and Evaluating an Intervention to Enhance the Work of Asthma Specialty Care Teams in Helping Families in Cost Navigation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04669080
• Other study ID #: 20-2616
• Status: Completed
• Phase: N/A
• Start date: January 4, 2021
• Est. completion date: July 20, 2021

Study information

• Verified date: June 2021
• Source: University of North Carolina, Chapel Hill
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Healthcare costs are a critical barrier to U.S. families' ability to access the preventive care needed to manage their children's asthma. Asthma specialty care teams are uniquely positioned to help families navigate these cost barriers, but lack structured approaches to discussing this sensitive and complex topic. This study will train asthma specialty care teams to identify families at risk for financial burden and engage in conversations about strategies to manage asthma care costs. The study team will evaluate the impact of a health care provider training on the frequency of cost navigation conversations. The investigators hypothesize that the health care provider training will increase the frequency of parent-reported cost conversations in the clinic.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 65
• Est. completion date: July 20, 2021
• Est. primary completion date: June 21, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Eligible caregivers will:

• attend a routine asthma care appointment for a 4-17 year old child

• screen positive for possible financial burden related to the cost of asthma care

Eligible healthcare providers will:

• be members of a pediatric asthma specialty care team

Exclusion Criteria:

Caregivers will not be eligible if they:

• attend an appointment for conditions other than routine asthma care

• do not screen positive for possible financial burden related to the cost of asthma care

Healthcare providers will not be eligible if they:

• are not part of the pediatric asthma specialty care team in the participating clinic

Related Conditions & MeSH terms

• Asthma
• Asthma in Children

Intervention

Behavioral:
• Health care provider cost navigation training
Health care providers and asthma educators in a pediatric asthma clinic will receive an online training about the importance of cost of care conversations, how to start cost of care conversations with families, how to refer families to cost navigation resources, and how to lead asthma specialty care teams in cost navigation.

Locations

Country	Name	City	State
United States	North Carolina Children's Allergy and Asthma Center	Raleigh	North Carolina

Sponsors (3)

Lead Sponsor	Collaborator
University of North Carolina, Chapel Hill	Harvard Pilgrim Health Care, Robert Wood Johnson Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits	Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits	Baseline, 6 weeks post intervention completion