N/A
Completed N=250
RVA Breathes: A Richmond City Collaboration to Reduce Pediatric Asthma Disparities
Source: ClinicalTrials.gov NCT03297645 ↗Enrolled (actual)
250
Serious AEs
4.4%
Results posted
Oct 2023
Primary outcomePrimary: Child Health Care Utilization — .0023; .0032; .0021 ED visits and hospitalizations
Summary
The goal of this study is to evaluate a sustainable, community-engaged program to reduce asthma disparities among 5 to 11-year-old children in Richmond, Virginia. Richmond, an urban center, has been named the Asthma Capital, or "most challenging place to live in the U.S. with asthma," by the Asthma and Allergy Foundation three times in the last 5 years. To date, however, the city has no comprehensive, community-engaged asthma care program for those children at highest risk for poor asthma outcomes. To address this disparity, the study team engaged with community partners and completed a mixed-methods needs assessment to enhance understanding of the barriers and supports to asthma care for children and their families living in Richmond. Several key priority areas emerged: peer support, advocacy, treating the home as a system, increased school nurse education, and coordination with schools and providers. Working together, the community-engaged team translated needs assessment findings to RVA Breathes, a program coordinating asthma care across 4 sectors: family, home, community, and medical care.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Child Health Care Utilization |
.0023; .0032; .0021 | — |
| SECONDARY Child Controller Medication |
32; 23; 17 | — |
| SECONDARY Child Asthma Action Plan |
53; 29; 30 | — |
| SECONDARY Child Asthma Control |
21.08; 20.69; 20.58 | — |
| SECONDARY Child Asthma Symptoms |
.93; 1.09; .86 | — |
| SECONDARY Child Quality of Life |
4.95; 4.98; 5.62 | — |
| SECONDARY Caregiver Quality of Life |
6.10; 6.40; 6.26 | — |
Eligibility Criteria
Inclusion Criteria
- Enrolled in Richmond Public Schools
- Asthma-related emergency department visit/hospitalization within last year
- Physician-diagnosed asthma
- Richmond city resident
Caregiver inclusion: child's legal guardian living in same home for the last 6 months
Exclusion Criteria
- Severe medical or psychiatric condition (child or caregiver)
Data sourced from ClinicalTrials.gov (NCT03297645). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.