The CHICAGO Plan is a PCORI-funded, multi-center (6 centers in Chicago) 3-arm, pragmatic RCT. It will enroll English and Spanish speaking subjects (ages 5-11); primarily African American and Latino, from lower SES strata. Participants are recruited from asthma patients presenting at the ED with an asthma exacerbation.
The study will compare three treatment arms:
A patient / family centered patient education tool, the CHICAGO Plan Action Plan after Emergency department discharge (CAPE) tool
CAPE and 5 home visits with a multifaceted intervention by a community health worker (CAPE plus Home)
The CAPE is a patient- and caregiver-centered approach to facilitating communication and education. Provided prior to ED discharge, it is intended to promote adherence to guideline-recommended care after ED discharge.
Participants in the CAPE plus Home arm will receive the same CAPE intervention prior to ED discharge.
In addition, a community health worker will conduct five home visits over 180 days to further promote asthma self-management skills and to reduce environmental triggers at home, utilizing Integrated Pest Management and other strategies as needed
Patients are randomized at the ED visit and followed up at 1, 3, and 6 months
Approximately half the participants will also be assessed 12 months after the intervention
The CHICAGO Plan estimates that 250 participants with 12 month follow-up will contribute data to this project
Given that participants are enrolled at a time of asthma exacerbation when they visit the ED, the CHICAGO Plan presents the best opportunity for demonstrating PROMIS measures’ sensitivity to change
In addition, this trial enables evaluation of PROMIS in both English and Spanish speaking populations