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NCT Number: NCT03377647

An Asthma Collaboration to Reduce Childhood Asthma Disparities on the Navajo Nation

National Jewish Health and The University of Arizona worked with Navajo Nation organizations to develop this program to improve the health of children with asthma. The Navajo Community Asthma Program will have two main parts. One will train doctors and health care professionals to improve the diagnosis and treatment of asthma. The second part will work with area schools to provide education to school nurses, teachers, and children to help them better understand asthma. The project also works with families to help them know how to best take care of their child's asthma. A major project aim is to make sure that doctors, teachers, and families work together to manage asthma.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Arizona, Tucson, Arizona, United States

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

The project will involve three Navajo Nation Agencies: Tuba City, Chinle, and Fort Defiance. Project interventions will run for one year in each Agency. Interventions are population-level interventions. No intervention will be administered at the individual level.

Inclusion criteria

  • The study will be conducted within three agencies on the Navajo Nation, each of which has its own IHS service unit. The three agencies are Chinle, Tuba City, and Fort Defiance.

Exclusion criteria

  • This protocol pertains only to the three agencies listed above.

Community interviewees will be interested candidates who meet the following eligibility criteria:

Inclusion criteria

  • Able and willing to provide informed consent
  • Greater than or equal to 18 years of age
  • Guardianship of a child younger than 18 years of age who has been diagnosed with asthma
  • Able to read and/or understand English or Navajo

Exclusion criteria

  • Unable or unwilling to provide informed consent
  • Younger than 18 years of age, without presence of guardian
  • Unable to read and/or understand English or Navajo

Treatment and study plan

Asthma Care Provider Training

Behavioral

In this intervention, asthma care providers will be trained in current, evidence-based guidelines for care of children with asthma, and will be provided with tools that their practice may use to facilitate care improvements.

School Staff Asthma Education

Behavioral

In this intervention, teachers and other school staff will be provided current, evidence-based training in understanding asthma and will be provided tools to help schools address the special needs of children with asthma.

Primary outcomes

  1. Rate of pediatric asthma exacerbations in Year 1

    Time frame: Data will be collected once during Year 1 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 1 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

  2. Rate of pediatric asthma exacerbations in Year 2

    Time frame: Data will be collected once during Year 2 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 2 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

  3. Rate of pediatric asthma exacerbations in Year 3

    Time frame: Data will be collected once during Year 3 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 3 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

  4. Rate of pediatric asthma exacerbation in Year 4

    Time frame: Data will be collected once during Year 4 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 4 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

  5. Rate of pediatric asthma exacerbations in Year 5

    Time frame: Data will be collected once during Year 5 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 5 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

  6. Rate of pediatric asthma exacerbations in Year 6

    Time frame: Data will be collected once during Year 6 of the project.

    The rate of asthma exacerbations among children living on the Navajo Nation during Year 6 of the project as measured by hospitalizations and urgent care visits. This rate will be assessed by review of Indian Health Service (IHS) data.

Secondary outcomes

  1. Community reports of asthma-related events Year 1

    Time frame: In-person interviews will be conducted with families during year one of the project.

    Families will be interviewed to assess child asthma symptom control and related care satisfaction.

  2. Community reports of asthma-related events Year 2

    Time frame: In-person interviews will be conducted with families during year two of the project.

    Families will be interviewed to assess child asthma symptom control and related care satisfaction.

  3. Community reports of asthma-related events Year 3

    Time frame: In-person interviews will be conducted with families during year three of the project.

    Families will be interviewed to assess child asthma symptom control and related care satisfaction.

  4. Community reports of asthma-related events Year 4

    Time frame: In-person interviews will be conducted with families during year four of the project.

    Families will be interviewed to assess child asthma symptom control and related care satisfaction.

  5. Community reports of asthma-related events Year 5

    Time frame: In-person interviews will be conducted with families during year five of the project.

    Families will be interviewed to assess child asthma symptom control and related care satisfaction.

Sponsors and collaborators

Lead sponsor

National Jewish Health

Other

Collaborators

  • University of Arizona

Registry information

Important dates

Study start
2017
Primary completion
2024
Study completion
2025
First posted
Dec 19, 2017
Registry last updated
Feb 24, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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