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| Name | Class |
|---|---|
| Robert Wood Johnson Foundation | OTHER |
| Harvard Pilgrim Health Care | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cost navigation training intervention | Other |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Frequency of Cost Conversations Occurring during Asthma Specialty Care Visits | Change in the frequency of caregivers reporting cost of care conversations with the asthma specialty care team during routine asthma care visits | Baseline, 6 weeks post intervention completion |
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Inclusion Criteria:
Eligible caregivers will:
Eligible healthcare providers will:
Exclusion Criteria:
Caregivers will not be eligible if they:
Healthcare providers will not be eligible if they:
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| Name | Affiliation | Role |
|---|---|---|
| Melissa B Gilkey, PhD | University of North Carolina, Chapel Hill | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| North Carolina Children's Allergy and Asthma Center | Raleigh | North Carolina | 27607 | United States |
Deidentified individual quantitative data that supports the results will be shared beginning 9 to 36 months following publication provided the investigator who proposes to use the data has approval from an Institutional Review Board (IRB), Independent Ethics Committee (IEC), or Research Ethics Board (REB), as applicable, and executes a data use/sharing agreement with UNC.
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9 to 36 months following publication
Investigator who proposes to use the data has IRB, IEC, or REB approval, as applicable, and an executed data use/sharing agreement with UNC.
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| ID | Term |
|---|---|
| D000086522 | Financial Stress |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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non-randomized pre-post test
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