A Computer-Based ED Intervention to Improve Pediatric Asthma Medicine Adherence
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 2 - 12 |
| Updated: | 4/17/2018 |
| Start Date: | February 2016 |
| End Date: | May 2018 |
Asthma is common in children and impacts their health. There are effective medications for
improving asthma, but some families have difficulty using medicines on a regular basis. This
study in the emergency department will improve medicine use for children 2-12 years-old with
asthma by developing content for a customized, tablet-based electronic intervention. A
clinical trial will then be used to compare asthma outcomes for this intervention with
routine asthma care.
improving asthma, but some families have difficulty using medicines on a regular basis. This
study in the emergency department will improve medicine use for children 2-12 years-old with
asthma by developing content for a customized, tablet-based electronic intervention. A
clinical trial will then be used to compare asthma outcomes for this intervention with
routine asthma care.
The investigators have used focus groups to get ideas from parents of children with asthma to
best design the intervention. This has helped us create the questions that are being used in
the intervention, and make the computer program appealing and acceptable to parents of
children with asthma.
The investigators will study the success of the intervention for children who receive it
compared to children who obtain routine emergency department care. Participants who receive
the intervention will complete a series of questions on a tablet computer. Questions will
guide creation of individualized education and advice to improve medication use for each
participant. The intervention will also allow for customized communication with each child's
primary care provider. The investigators will include educational boosters at 2 and 4 weeks
after the intervention delivered as chosen by the participant (email / text / RSS / mail).
Children in the routine asthma care arm will not receive the intervention, and instead will
receive routine discharge instructions by the emergency room doctors.
The investigators will compare the success of the intervention group to routine emergency
department care by using a device (DOSER CT) that measures daily administered doses of
medicine. Data from the DOSER CT will be collected monthly at home visits for three months.
The investigators will also measure health care use and quality-of-life for each child using
a survey at these home visits. The investigators believe that the intervention will improve
doses of medicine given, reduce unnecessary health care use, and improve children's quality
of life.
best design the intervention. This has helped us create the questions that are being used in
the intervention, and make the computer program appealing and acceptable to parents of
children with asthma.
The investigators will study the success of the intervention for children who receive it
compared to children who obtain routine emergency department care. Participants who receive
the intervention will complete a series of questions on a tablet computer. Questions will
guide creation of individualized education and advice to improve medication use for each
participant. The intervention will also allow for customized communication with each child's
primary care provider. The investigators will include educational boosters at 2 and 4 weeks
after the intervention delivered as chosen by the participant (email / text / RSS / mail).
Children in the routine asthma care arm will not receive the intervention, and instead will
receive routine discharge instructions by the emergency room doctors.
The investigators will compare the success of the intervention group to routine emergency
department care by using a device (DOSER CT) that measures daily administered doses of
medicine. Data from the DOSER CT will be collected monthly at home visits for three months.
The investigators will also measure health care use and quality-of-life for each child using
a survey at these home visits. The investigators believe that the intervention will improve
doses of medicine given, reduce unnecessary health care use, and improve children's quality
of life.
Inclusion Criteria:
- Asthma diagnosis by physician or parent report
- Ages 2-12
- Prescribed an inhaled corticosteroid asthma controller medicine
Exclusion Criteria:
- Parent does not speak English
- Child is prescribed inhaled corticosteroid seasonally
- Patient is on a combination inhaled corticosteroid controller asthma med
We found this trial at
1
site
Providence, Rhode Island 02903
Principal Investigator: Aris Garro, MD, MPH
Phone: 401-519-0334
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