Table 2.

Asthma Counseling Tools

Tool	Session Used**	Purpose
A Guide for Helping Children with Asthma [11]*	AC training	Training on NCICAS background, implementation, and AC intervention
Asthma Action Plan*	AC visits 1 and 2	Individualized instructions for daily treatment of asthma and directions for treating worsening symptoms or exacerbation
AC Checklist*	All AC visits and calls	Document and track topics, including healthcare obstacles, adherence to medication, recommendations, referrals, symptoms, management, environmental remediation techniques
AC Discussion Guide	All AC visits and calls	Guide AC in obtaining understanding of participants’ current symptoms, medications, healthcare utilization, adherence, device technique to identify problem areas to address
AC evaluation form	AC training	Quarterly completion to rate AC competency in case management and proficiency in asthma knowledge, included formal feedback from trainers to ACs on current skill/knowledge level and if meeting requirements/expectations for effective counseling
Brief Motivational Interviewing [12]*	AC training	Technique to assess participants’ readiness to change/ambivalence, including motivation, barriers, and concerns
CARAT*	All AC visits and calls	Tool to identify, score, rank, and summarize participant’s asthma risks
Certificate of Completion*	AC Closeout Visit	Formal sealed and signed (by investigators) certificate that child completed study; provided sense of achievement and closure
Closeout Form	AC Closeout Visit	Guide AC discussion with participant regarding symptoms, medications, technique, progress made since beginning of study, and future recommendations for management of child’s asthma
Education handouts*	AC visits 1 and 2	Detailed handouts for AC to provide expertise on topics covered in sessions; layman handouts to distribute to literate participants who want more information
Environmental supplies*	AC visit 2 (home)	Incentive for caretaker to perform remediation and to permit AC access to home
ERAT*	All AC visits and calls	Summarizes home and caretaker environmental assessments with clinic assessment to provide participant-tailored environmental intervention recommendations
Goal sheets*	AC visits 1 and 2	Visual aide to identify actions the participant can choose to perform to decrease exposures in the home to which the child is sensitive
Home Visit Checklist*	AC visit 2 (home)	Reminder for AC of participants’ sensitivities and exposures, what to bring to the visit, and any specifics to the home (e.g., unfriendly dog)
Peak flow diary	AC visits 1 and 2	Aid for participant to record peak flow values to increase awareness in changes in airway inflammation
Progress notes	All AC visits and calls	Detailed explanation of what occurred pertaining to the participant, including who attended the visit, symptom review, current medications and adherence, healthcare utilization, triggers, device technique, verbal and non-verbal feedback, referrals, and follow-up actions needed
Self-assessment pre-post questionnaire	AC training	Assessment of AC knowledge of asthma physiology, medications, recognizing symptoms, device techniques, and more
Social learning theory*	AC training	Training emphasizing importance of participant attitudes, expectations, and modeling behavior for change
Talk to Your Doctor form	AC visits 1 and 2	Documented caretaker’s areas of concerns that needed attention to foster communication between participant and healthcare provider
Training checklist	AC training	Identified and tracked asthma counseling educational modules and competencies needed in order to perform effective counseling and case management
Telephone log*	AC calls	Documented contact with participant and others related to the child’s care
Telephone script	AC calls	Standardized telephone interaction with caretakers and provided a guideline of what to say and cover during a call

^*Denotes tools used in NCICAS or ICAS

^**Tools used for AC calls pertain to calls lasting longer than 5 minutes. Tools used for both AC visits 1 and 2 were also used for additional AC in-person visits (which occurred as needed, resources permitting).