Asthma Navigator Intervention to Improve Health Equity in Children
Emory University
Summary
The goal of this study is to improve health equity in children aged 5-16.9 years admitted to the PICU for asthma. The objectives are: * To identify the factors related to differential experiences of asthma self-management * To pilot the effectiveness of an individualized asthma navigator intervention at PICU discharge.
Description
Despite available asthma treatments, nearly 50% of children with asthma experience exacerbations annually, with disadvantaged children, particularly Black and Hispanic, being the most affected. These disparities are largely due to social determinants of health (SDOH), including socioeconomics and family hardship, which explain over 80% of the racial disparities in asthma outcomes. Children in lower opportunity neighborhoods face additional challenges like poor housing and limited green spaces, increasing exposure to pollutants and allergens. At Children's Healthcare of Atlanta's Pediatric ICU…
Eligibility
- Age range
- 5–17 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Admitted to the PICU for asthma Exclusion Criteria: * Cystic fibrosis * Immune deficiency * Prematurity \<35 weeks * Gestation and congenital airway deformities * Non-English speaker
Interventions
- BehavioralThe asthma navigator
The asthma navigator is a Registered Respiratory Therapist and Certified Asthma Educator who will review the care plan at discharge and provide asthma education; assist with follow-up clinic appointment scheduling, medication access, and transportation; and daily as-needed telephone support.
Location
- Children's Healthcare of AtlantaAtlanta, Georgia