The goal of this open-label, single arm home intervention feasibility study is to improve quality of life for children ages 4-16 years with asthma. The main questions it aims to answer are: * How can Home-Based Environmental Interventions (HEI) improve home air-quality problems in the home? * How can HEI improve asthma outcomes in children? Participants will be receiving HEI and completing asthma surveys.
All participants will receive an Intervention Kit, which could help with reducing environmental exposures. Participants will be monitored closely with up to 2 clinic visits, 2 home visits and up to 4 phone call visits. During the home visits, a study team will ask questions about your home and asthma, conduct home assessments, and provide training on use of the home kit. Participants may benefit from participation in this study through Home-Based Environmental Interventions by improving home air-quality and asthma outcomes. Study duration is approximately 24-30 weeks with 8 weeks of intervention, which includes baseline interview, questionnaires, spirometry testing, and participants receiving an Intervention Kit.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
Housing Specialist will conduct an environmental home assessment to identify asthma triggers. • The participant will receive the following Breath Easy at Home Kit Products: * HEPA filtered upright vacuum cleaner * HEPA-filtered air purifier * Hypoallergenic latex free mattress and pillow covers * Healthier household cleaners * Non-toxic pest control devices for rodent control * Safe products to locate and kill roaches.
Duke University Health System
Durham, North Carolina, United States
Patient Satisfaction
A measure of satisfaction by distributing a satisfaction survey to each patient and caregiver
Time frame: Week 10
Caregiver Satisfacation Survey
A measure of satisfaction by distributing a satisfaction survey to each patient and caregiver
Time frame: Week 10
Change in Air -Quality Index
Air-quality index assessments will include: PM2.5, PM10, total VOC's, formaldehyde, carbon dioxide, Air Quality Index) in child's room and main living room using the Temtop M10, Temptop 2000C, and HEPA purifier air quality monitor.
Time frame: Week 4, Week 10
Asthma healthcare utilization measured by number of clinic visits needed
Determine ongoing need for healthcare utilization for participant's asthma
Time frame: Through study completion, an average of 24 weeks
Asthma healthcare utilization measured by number of Emergency Department visits
Determine ongoing need for healthcare utilization for participant's asthma
Time frame: Through study completion, an average of 24 weeks
Asthma healthcare utilization measured by number of urgent care visits
Determine ongoing need for healthcare utilization for participant's asthma
Time frame: Through study completion, an average of 24 weeks
Asthma healthcare utilization measured by number of hospitalizations
Determine ongoing need for healthcare utilization for participant's asthma
Time frame: Through study completion, an average of 24 weeks
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Study Completion
Study completion will be measured when 30 participants enroll and complete the intervention
Time frame: Through study completion, an average of 24 weeks
Change in Air Quality of Formaldehyde measured by a Temtop M10
The Temtop M10 will measure the amount of Formaldehyde in the home
Time frame: Week 8
Change in Air Quality of Particulate Matter (PM) measured by a Temtop M10
The Temtop M10 will measure the amount of Particulate Matter (PM) 2.5 in the home
Time frame: Week 8
Change in Air Quality of TVOC measured by a Temtop M10
The Temtop M10 will measure the amount of TVOC in the home
Time frame: Week 8
Change in Air Quality measured by a Temtop M10
The Temtop M10 will measure the air quality in the home
Time frame: Week 8
Air Quality changes of Particulate Matter (PM) 2.5 measured by a Temtop M2000c
The Temtop M2000c will measure the Particulate Matter (PM)2.5
Time frame: Week 8
Air Quality changes of particles measured by a Temtop M2000c
The Temtop M2000c will measure the number of particles in the home
Time frame: Week 8
Air Quality changes of carbon dioxide measured by a Temtop M2000c
The Temtop M2000c will measure the amount of carbon dioxide in the home
Time frame: Week 8
Air Quality changes of particulate matter (PM 10) measured by a Temtop M2000c
The Temtop M2000c will measure the amount of particulate matter (PM 10) in the home
Time frame: Week 8
Air Quality changes measured by patient's air purifier
The patient's air purifier will measure the air quality index in the home
Time frame: Week 8
Measurement of lung function
Lung function will be measure by spirometry
Time frame: Week 10
Asthma Symptoms measured by the Asthma Control Questionnaire (ACQ 6)
The Asthma Control Questionnaire (ACQ 6) is a 6 question self-report measure of asthma symptoms over the prior week. Items are rated on a sale ranging from 0 (never interferes with daily life) to 6 (interferes very severely with daily life). Higher scores indicate a worse outcome than lower scores.
Time frame: Week 10
Asthma symptoms measured by the Asthma Control Test (ACT or cACT)
The Asthma Control Test (ACT or cACT) is a 5 question self-report measure of asthma symptoms over the prior four weeks. Items are rated on a scale ranging from 1 (All of the time) to 5 (none of the time). Lower scores indicate a worse outcome than higher scores.
Time frame: Week 10
Asthma symptoms measured by the Duke Asthma Score (DAS)
The Duke Asthma Score (DAS) is a 6 question self-report measure of asthma symptoms over the prior month. Items are rated on a scale ranging from 0 (never) to 4 (every day). Higher scores indicate a worse outcome than lower scores.
Time frame: Week 10