Asthma Clinics Helping Expand Cost Conversations

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.

Completed

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Key information

Conditions

Asthma in Children Behavior Behavioral Symptoms Financial Stress Stress, Psychological

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

North Carolina Children's Allergy and Asthma Center

Raleigh, North Carolina, 27607, United States

Who can participate

Healthy volunteers accepted: Yes

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

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

Treatment and study plan

Health care provider cost navigation training

Behavioral

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.

Primary outcomes

Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits

Time frame: 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

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Collaborators

Harvard Pilgrim Health Care
Robert Wood Johnson Foundation

Registry information

Official study title

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

Acronym: Asthma CHECC

Important dates

Study start: 2021
Primary completion: 2021
Study completion: 2021
First posted: Dec 16, 2020
Registry last updated: Sep 29, 2021

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.

Published trials that share one or more normalized conditions with this study.

Completed