Web-Based and Tailored Asthma Management Intervention (Puff City) in Teens With Asthma Attending Urban Clinics
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 13 - 19 |
| Updated: | 8/10/2017 |
| Start Date: | March 2013 |
| End Date: | November 2016 |
Pragmatic Randomized Controlled Trial of the Web-Based Asthma Management Intervention (Puff City) in Teens With Asthma Attending Urban Clinics
The purpose of this study is to evaluate the Puff City web-based behavioral intervention of
asthma management program in a clinical setting. This study also examines and evaluates the
cost and efficiency of patient eligibility determination methods, patient recruitment, study
monitoring (compliance with study regimen, participant retention and follow-up), and the
collection of clinical endpoints.
asthma management program in a clinical setting. This study also examines and evaluates the
cost and efficiency of patient eligibility determination methods, patient recruitment, study
monitoring (compliance with study regimen, participant retention and follow-up), and the
collection of clinical endpoints.
Asthma continues to be a major public health problem in the US with high economic and social
costs. Vulnerable ethnic communities are disproportionately affected by asthma as
demonstrated by higher morbidity and mortality for these groups. We have completed two
school-based, randomized trials of a web-based, computer-tailored asthma management
intervention that targets urban teens (Puff City).
The current study, Puff City in the Clinic, will be evaluated as a clinical tool by
initiating the web-based behavioral intervention of asthma management in a clinical setting.
However, the current paradigm for conducting such a trial is costly with respect to patient
recruitment, intervention delivery, and data collection and management. To address these high
costs, the study utilizes comparative effectiveness research (CER) pragmatic approaches to
design a randomized controlled trial for patient recruitment and determination of
eligibility, study monitoring (compliance with study regimen, participant retention and
follow-up), and collection of clinical endpoints.
costs. Vulnerable ethnic communities are disproportionately affected by asthma as
demonstrated by higher morbidity and mortality for these groups. We have completed two
school-based, randomized trials of a web-based, computer-tailored asthma management
intervention that targets urban teens (Puff City).
The current study, Puff City in the Clinic, will be evaluated as a clinical tool by
initiating the web-based behavioral intervention of asthma management in a clinical setting.
However, the current paradigm for conducting such a trial is costly with respect to patient
recruitment, intervention delivery, and data collection and management. To address these high
costs, the study utilizes comparative effectiveness research (CER) pragmatic approaches to
design a randomized controlled trial for patient recruitment and determination of
eligibility, study monitoring (compliance with study regimen, participant retention and
follow-up), and collection of clinical endpoints.
Inclusion Criteria:
- 13-19 years of age
- Must be able to provide electronic assent and have consent from a parent/guardian if
applicable
- Diagnosis of asthma by meeting one of the following criteria within the last 12
months:
- At least one emergency department diagnosis of asthma or
- At least one acute inpatient encounter with asthma as the principal diagnosis or
- At least four outpatient visits with an asthma diagnosis and at least 2 asthma
medications dispensed or
- At least four asthma medications dispensed
Exclusion Criteria:
- Inability to provide informed consent/assent
- Lack of physician diagnosis of asthma
- Other co-morbidities that make it impossible for the individual to participate.
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