Hospital to Home Transition for Childhood Asthma
(H2H Trial)
Recruiting in Palo Alto (17 mi)
Overseen byKavita Parikh, MD MSHS
Age: < 18
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Kavita Parikh
Disqualifiers: Diabetes, Sickle cell, Heart disease, others
No Placebo Group
Trial Summary
What is the purpose of this trial?Caregiver-child dyads will be recruited during child's hospital admission for asthma exacerbation. Recruitment sites will be mainly Children's National Hospital Sheikh Zayed campus, as well as regional partners: Holy Cross Hospital, and Mary Washington Hospital. After enrollment, baseline data will be collected from caregiver. Caregiver-child dyads will be randomized (1:1 ratio) into the control arm or intervention arm. Control arm will receive the standard of care after hospital discharge. Intervention arm will receive the SOC plus an asthma navigator support after hospital discharge. Caregivers in both arms will complete data collection surveys (either in-person or via telehealth) at 3-,6-, 9-, and 12- month post enrollment.
Do I need to stop my child's current medications for this asthma trial?
The trial information does not specify whether participants need to stop taking their current medications. It is best to consult with the trial coordinators for specific guidance.
What data supports the effectiveness of the Hospital to Home Transition (H2H) treatment for childhood asthma?
The pilot study on the H2H program for children with asthma suggests that a structured transition from hospital to home can help manage asthma better and potentially reduce hospital readmissions.
12345Is the Hospital to Home Transition program for childhood asthma safe?
The Hospital to Home Transition program aims to improve care for children with asthma, but specific safety data for this program is not detailed in the available research. However, hospital-to-home transitions are generally seen as important for promoting patient safety.
23678How is the Hospital to Home Transition (H2H) treatment for childhood asthma different from other treatments?
The Hospital to Home Transition (H2H) treatment is unique because it focuses on a multi-component program that helps children transition from hospital care to home care after an asthma attack, aiming to improve the quality of this transition and potentially reduce the need for future hospitalizations.
2491011Eligibility Criteria
This trial is for English or Spanish-speaking caregivers living in DC, Maryland, or Virginia with a child aged 4-12 hospitalized due to asthma. Caregivers must be at least 18 years old.Inclusion Criteria
My child, aged 4-12, is hospitalized for asthma.
I speak English or Spanish.
Your residence is within the District of Columbia, Maryland, or Virginia area.
+1 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
During hospital admission
1 visit (in-person)
Baseline Data Collection
Baseline data will be collected from caregivers during the child's hospital admission for asthma exacerbation
During hospital admission
1 visit (in-person)
Intervention
Intervention arm receives standard of care plus asthma navigator support post-discharge
12 months
Up to 15 contacts (mixed in-person and virtual)
Control
Control arm receives standard of care post-discharge
12 months
Follow-up
Participants are monitored for safety and effectiveness after treatment
12 months
Data collection at 3, 6, 9, and 12 months (in-person or via telehealth)
Participant Groups
The study tests a 'Hospital to Home' (H2H) program where after hospital discharge, one group gets standard care while the other also receives support from an asthma navigator. Participants are randomly assigned to these groups.
2Treatment groups
Experimental Treatment
Active Control
Group I: Hospital to Home Transition (H2H)Experimental Treatment1 Intervention
The intervention for this study is a multi-component navigation-supported intervention for children hospitalized with asthma. Navigators will work with families for 12-months post-discharge. Trained asthma educator/navigators will work to address challenges with asthma care after discharge; will include maximum 15 contacts/12 months. The asthma navigators within this study will attempt to maintain direct contact with participants primary care doctors through email, fax, and/or postal mail as means for delivering asthma action plans, prescription updates, and patient appointment scheduling. The asthma navigators for intervention participants will attempt to maintain contact with the school nurse in efforts to have a line of communication with the school. Asthma navigators will assist families in all home-based needs pertaining to their child's asthma.
Group II: Standard of CareActive Control1 Intervention
Control arm will receive the standard of care (SOC) after hospital discharge.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Children's National HospitalWashington DC, United States
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Who Is Running the Clinical Trial?
Kavita ParikhLead Sponsor
References
Medical home quality and readmission risk for children hospitalized with asthma exacerbations. [2021]The medical home likely has a positive effect on outpatient outcomes for children with asthma. However, no information is available regarding the impact of medical home quality on health care utilization after hospitalizations. We sought to explore the relationship between medical home quality and readmission risk in children hospitalized for asthma exacerbations.
Outcomes from a pilot patient-centered hospital-to-home transition program for children hospitalized with asthma. [2021]To evaluate a multi-component hospital-to-home (H2H) transition program for children hospitalized with an asthma exacerbation.
Understanding caregiver perspectives on challenges and solutions to pediatric asthma care for children with a previous hospital admission: a multi-site qualitative study. [2022]Pediatric hospital admissions for asthma provide an opportunity to trigger a review of the current management with an aim of preventing readmissions. However, caregiver voices on how best to improve care are missing.
Reconceptualizing children's complex discharge with health systems theory: novel integrative review with embedded expert consultation and theory development. [2018]To report a novel review to develop a health systems model of successful transition of children with complex healthcare needs from hospital to home.
Home nebulisers in childhood asthma: survey of hospital supervised use. [2021]To review the management of and outcome in asthmatic children using home nebulisers under hospital supervision.
Adverse Drug Events Related to Common Asthma Medications in US Hospitalized Children, 2000-2016. [2022]The reduction in adverse drug events is a priority in healthcare. Medications are frequently prescribed for asthmatic children, but epidemiological trends of adverse drug events related to anti-asthmatic medications have not been described in hospitalized children.
Hospital-to-Home Interventions, Use, and Satisfaction: A Meta-analysis. [2023]Hospital-to-home transitions are critical opportunities to promote patient safety and high-quality care. However, such transitions are often fraught with difficulties associated with increased health care use and poor patient satisfaction.
Adverse asthma outcomes among children hospitalized with asthma in California. [2019]To use administrative data to determine whether adverse asthma outcomes for pediatric asthma hospitalizations are related to specific clinical and nonclinical patient characteristics.
How commonly are children hospitalized for asthma eligible for care in alternative settings? [2019]To estimate the proportion of children hospitalized for acute asthma exacerbation who might be cared for successfully in alternative settings such as short-stay units or in-home nursing.
Development and Pilot Testing of Caregiver-Reported Pediatric Quality Measures for Transitions Between Sites of Care. [2022]Few measures exist to assess pediatric transition quality between care settings. The study objective was to develop and pilot test caregiver-reported quality measures for pediatric hospital and emergency department (ED) to home transitions.
Parents' perceptions during the transition to home for their child with a congenital heart defect: How can we support families of children with hypoplastic left heart syndrome? [2019]The aim of the study was to explore the literature related to transitions in healthcare between the hospital and home that caregivers experience with a child who has a congenital heart defect (CHD), specifically related to hypoplastic left heart syndrome (HLHS).