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Improving Parent Understanding of Instructions About Asthma Care

Information source: New York University School of Medicine
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Asthma

Intervention: Pictogram-based asthma action plan (Other); AAAAI standard of care written action plan (Other)

Phase: Phase 2

Status: Active, not recruiting

Sponsored by: New York University School of Medicine

Official(s) and/or principal investigator(s):
Suzy Tomopoulos, MD, Principal Investigator, Affiliation: NYU School of Medicine
Shonna (Hsiang) Yin, MD, Principal Investigator, Affiliation: NYU School of Medicine


Asthma has an especially great impact on poor urban children and their families. In addition to higher asthma prevalence and morbidity, those in low SES urban areas are at risk for low health literacy. Low health literacy is associated with poorer asthma outcomes. The provision of a written asthma action plan has been shown to help with asthma management and to reduce hospitalizations and ER visits. Poor urban families who may have low literacy may need an alternative asthma action plan to convey the treatment plan. This pilot study proposes to investigate whether a plain language asthma action plan can improve parent understanding and adherence with medication instructions, compared to standard written materials, among parents of children with asthma. This is an RCT in which parents of children with asthma will be randomized to either receive a pictogram-based low literacy asthma action plan, or a standard action plan (AAAAI), to examine whether those who receive the low literacy plan have improved asthma action plan knowledge when presented with a hypothetical scenario. A second part of the study is to examine whether providers who are given the pictogram-based low literacy asthma action plan will be more likely to counsel about certain aspects of asthma management (eg. need for daily medications even when sick, spacer use, confusion between everyday and rescue inhaler)compared to providers who receive use a standard action plan (AAAAI). This is an RCT in which pediatric providers are randomized to counsel a hypothetical patient using the pictogram-based action plan or the standard action plan (AAAAI).

Clinical Details

Official title: Improving Parent Understanding of Instructions About Asthma Care

Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Health Services Research

Primary outcome: Asthma Action Plan knowledge (parent)

Secondary outcome: Asthma action plan content (provider)


Minimum age: N/A. Maximum age: N/A. Gender(s): Both.


Parent study: Inclusion Criteria:

- Primary caregiver / parent / legal guardian of child 2-12 years old

- Child with diagnosis of asthma

Exclusion Criteria:

- Parent not English or Spanish-speaking

Provider study: Inclusion Criteria:

- Health providers who care for children with asthma

Locations and Contacts

NYU School of Medicine, New York City, New York 10016, United States
Additional Information

Starting date: July 2011
Last updated: August 3, 2015

Page last updated: August 23, 2015

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