BACKGROUND

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.

STUDY AIMS

• 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)

  • Usual care

  • 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

GOALS

• 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