Asthma CHECC: Asthma Clinics Helping Expand Cost Conversations

Sponsor

University of North Carolina, Chapel Hill (Other)

Overall Status

Completed

CT.gov ID

NCT04669080

Collaborator

Robert Wood Johnson Foundation (Other), Harvard Pilgrim Health Care (Other)

Enrollment

Location

Arm

6.5

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief 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.

Condition or Disease	Intervention/Treatment	Phase
Asthma in Children	Behavioral: Health care provider cost navigation training	N/A

Study Design

Study Type:

Interventional

Actual Enrollment :

65 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Intervention Model Description:

non-randomized pre-post testnon-randomized pre-post test

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

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

Actual Study Start Date :

Jan 4, 2021

Actual Primary Completion Date :

Jun 21, 2021

Actual Study Completion Date :

Jul 20, 2021

Arms and Interventions

Arm	Intervention/Treatment
Other: Cost navigation training 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.

Arm

Intervention/Treatment

Other: Cost navigation training 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.

Outcome Measures

Primary Outcome Measures

Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits [Baseline, 6 weeks post intervention completion]
Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	North Carolina Children's Allergy and Asthma Center	Raleigh	North Carolina	United States	27607

Sponsors and Collaborators

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

Investigators

Principal Investigator: Melissa B Gilkey, PhD, University of North Carolina, Chapel Hill

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

University of North Carolina, Chapel Hill

ClinicalTrials.gov Identifier:

NCT04669080

Other Study ID Numbers:

20-2616

First Posted:

Dec 16, 2020

Last Update Posted:

Sep 29, 2021

Last Verified:

Jun 1, 2021

Individual Participant Data (IPD) Sharing Statement:

Yes

Plan to Share IPD:

Yes

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by University of North Carolina, Chapel Hill

cost of care

patient provider communication

financial burden

Additional relevant MeSH terms:

Asthma

Study Results

No Results Posted as of Sep 29, 2021