At a glance
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A Patient Advocate to Improve Real-world Asthma Management for Inner City Adults
In Brief
A clinical study evaluating Patient Advocate and Usual Care for Asthma and Communication. Completed, enrolled 312 participants across 1 site.
Detailed Summary
Few interventions to improve asthma management have targeted low-income minority asthmatic adults and even fewer have focused on the real-world practice where care is provided for these patients. This project tests the effectiveness of a Patient Advocate as a practical and sustainable method of facilitating and maintaining communication between patient and provider and access to chronic care for adults with moderate or severe asthma recruited from clinics serving low-income urban neighborhoods. We compare the use of a Patient Advocate to current asthma care and test the Patient Advocate's cost-effectiveness.
Study Details
Timeline
Interventions
Subject works with a Patient Advocate who coaches, models, and assists with preparations for a visit with the asthma doctor; attends the visit with permission of participant and provider; and confirms understanding. The PA facilitates scheduling, obtaining insurance coverage, overcoming patients' unique social and administrative barriers to accomplishing medical advice, and transfer of information between provider and patient.
Subjects receive asthma care from their proivders in the participating practices which generally follow asthma guidelines