Asthma Management Support Training in Pediatrics
PI: Paula Lozano
- Sponsor: National Institutes of Health
- Project Period: 4/1/2006 - 3/31/2008
- Current Faculty
- Heather McPhillips - Co-Investigator
- James Stout - Co-Investigator
Pediatric self-management support interventions have lagged behind those for adults. Collaborative management requires that providers appreciate how difficult it is for people to make changes in health behaviors, acknowledge ambivalence and enhance confidence. Our aims are (1) to evaluate feasibility of an intervention to enhance collaborative management by pediatrics residents and families of children with asthma, (2) to estimate the magnitude of this intervention’s effect on resident skill and patient outcomes, and (3) to evaluate reliabilty of the objective standardized clinical examinations (OSCEs) with simulated patients used to assess resident skill. We will conduct a pilot trial of the Collaborative Management in Pediatrics (CMP), a curriculum for training residents to support behavior change. Pediatric residents will be randomly assigned to intervention (6 hours CMP training) and control arms. OSCEs will evaluate resident skill before and after training. Patients of intervention residents will have a planned asthma care visit to focus on health behaviors, and a 1-week follow-up phone call. Parent phone surveys (baseline, 6 wks and 6 m) will assess process and health outcome measures. Baseline and 6 m hair samples will be tested for nicotine to determine tobacco smoke exposure. This pilot will yield data that will help us in the design and implementation of a full-scale trial. We hypothesize that CMP will be feasible, acceptable and lead to clinically significant improvements in resident counseling skills and patient-centered outcomes. In addition, this novel project will advance the field by providing tools for training pediatricians in collaborative management.