Mobile Technology and Online Tools to Improve Asthma Control in Adolescents
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 13 - 18 |
| Updated: | 6/29/2017 |
| Start Date: | December 2016 |
| End Date: | May 2017 |
This project will preliminarily validate CampAir, an empirically-based dynamic e-health
intervention (based on the evidence-based ASMA) to assist adolescents with uncontrolled
asthma to learn how to manage their illness and improve their asthma control. In addition to
developing a highly novel product for adolescents with asthma, the research proposed for
this project will address unique scientific questions. Despite the high asthma prevalence
among adolescents, few interventions have specifically targeted adolescents. This study is
innovative in that it is among the few to focus on adolescents, who are often overlooked by
the healthcare system. This research will assess factors associated with successful
implementation of CampAir, thereby providing new information regarding how e-health
interventions can be effectively developed and implemented for use with adolescents with
asthma.
intervention (based on the evidence-based ASMA) to assist adolescents with uncontrolled
asthma to learn how to manage their illness and improve their asthma control. In addition to
developing a highly novel product for adolescents with asthma, the research proposed for
this project will address unique scientific questions. Despite the high asthma prevalence
among adolescents, few interventions have specifically targeted adolescents. This study is
innovative in that it is among the few to focus on adolescents, who are often overlooked by
the healthcare system. This research will assess factors associated with successful
implementation of CampAir, thereby providing new information regarding how e-health
interventions can be effectively developed and implemented for use with adolescents with
asthma.
Asthma has high prevalence and morbidity among adolescents, especially urban Hispanic and
African American teenagers. Despite this, few interventions have specifically targeted
adolescents. School-based and web-based asthma interventions have shown to be effective with
younger children, yet few have been developed and tested for adolescents. Investigators have
developed Camp Air, an engaging dynamic e-learning intervention to help adolescents with
uncontrolled asthma to manage their illness and to improve their asthma control. Camp Air
consists of seven online modules with one module being completed each week over seven weeks.
Each module provides a brief introduction to the topics and strategies focused on in that
module followed by a set of interactive exercises and games for practice and personalized
feedback. The investigators will conduct a two group randomized pilot trial with up to 80,
9th - 12th graders with uncontrolled asthma in order (a) to assess the preliminary
intervention effects of Camp Air, and (b) to evaluate the feasibility and acceptability of
Camp Air. In order to evaluate CAMP Air's utility as both a school- and home-based
intervention, adolescents will be enrolled from two sites: 1) NYC public schools (n=up to
38), or 2) the national asthma community at large (n=up to 42). Investigators will also
evaluate the reach, acceptability, generalizability, and sustainability of Camp Air using
the RE-AIM approach. Investigators hypothesize that over one month post-intervention,
relative to controls, Camp Air participants will show significantly greater improvement in
asthma-related outcomes. Investigators also hypothesize that ratings and software usage
indices will demonstrate that Camp Air is a feasible, usable, and acceptable intervention
for use with adolescents. Investigators will also explore evidence of a dose-response in
which participants who spend more time engaged with the e-training materials show greater
positive change.
African American teenagers. Despite this, few interventions have specifically targeted
adolescents. School-based and web-based asthma interventions have shown to be effective with
younger children, yet few have been developed and tested for adolescents. Investigators have
developed Camp Air, an engaging dynamic e-learning intervention to help adolescents with
uncontrolled asthma to manage their illness and to improve their asthma control. Camp Air
consists of seven online modules with one module being completed each week over seven weeks.
Each module provides a brief introduction to the topics and strategies focused on in that
module followed by a set of interactive exercises and games for practice and personalized
feedback. The investigators will conduct a two group randomized pilot trial with up to 80,
9th - 12th graders with uncontrolled asthma in order (a) to assess the preliminary
intervention effects of Camp Air, and (b) to evaluate the feasibility and acceptability of
Camp Air. In order to evaluate CAMP Air's utility as both a school- and home-based
intervention, adolescents will be enrolled from two sites: 1) NYC public schools (n=up to
38), or 2) the national asthma community at large (n=up to 42). Investigators will also
evaluate the reach, acceptability, generalizability, and sustainability of Camp Air using
the RE-AIM approach. Investigators hypothesize that over one month post-intervention,
relative to controls, Camp Air participants will show significantly greater improvement in
asthma-related outcomes. Investigators also hypothesize that ratings and software usage
indices will demonstrate that Camp Air is a feasible, usable, and acceptable intervention
for use with adolescents. Investigators will also explore evidence of a dose-response in
which participants who spend more time engaged with the e-training materials show greater
positive change.
Inclusion Criteria:
- Ages 13 - 18 years
- Prior asthma diagnosis
- Use of a prescribed asthma medication in the past 12 months
- Uncontrolled asthma, defined as (1) daytime symptoms 3+ days per week, (2) night
awakenings 1+ nights per week, or (3) 2+ exacerbation events, i.e. 2+ steroid bursts;
2+ emergency department visits, or 1+ hospitalization for asthma.
Exclusion Criteria:
- Co-morbid diseases that affect lung functioning
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