School-Based Telemedicine Enhanced Asthma Management
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 3 - 10 |
| Updated: | 9/30/2018 |
| Start Date: | August 2012 |
| End Date: | July 2018 |
School-Based Telemedicine Enhanced Asthma Management: A Randomized Control Trial Using Novel Technology to Improve Preventive Asthma Care
This project aims to improve guideline-based asthma care using enhanced communication and
screening tools, telemedicine and directly observed therapy of preventive medications in city
schools. Web-based screening will be used to identify children with persistent or poorly
controlled asthma and to send reports to the child's primary care doctor. Children in the
SB-TEAM group will receive a telemedicine asthma assessment in school and be prescribed a
daily preventive asthma medication to be taken through school-based directly observed
therapy. The overall aim of this study is to evaluate the use of the SB-TEAM intervention for
improving guideline based care, enhancing adherence to effective preventive medications and
at reducing morbidity among young urban children with asthma.
screening tools, telemedicine and directly observed therapy of preventive medications in city
schools. Web-based screening will be used to identify children with persistent or poorly
controlled asthma and to send reports to the child's primary care doctor. Children in the
SB-TEAM group will receive a telemedicine asthma assessment in school and be prescribed a
daily preventive asthma medication to be taken through school-based directly observed
therapy. The overall aim of this study is to evaluate the use of the SB-TEAM intervention for
improving guideline based care, enhancing adherence to effective preventive medications and
at reducing morbidity among young urban children with asthma.
Inclusion Criteria:
1. Physician-diagnosed asthma (based on parent report)
2. Persistent asthma or poor asthma control (based on NHLBI guidelines). Any 1 of the
following:
- In past month, >2 days per week with asthma symptoms
- >2 days per week with rescue medication use
- >2 days per month with nighttime symptoms
- >=2 asthma episodes during the past year that required systemic corticosteroids.
3. Age >=3 and =<10 years
4. Attending school in Rochester City School District preschools or elementary schools
Exclusion Criteria:
1. Inability to speak and understand English or Spanish
2. No access to a phone for follow-up surveys
3. Family planning to leave the district within fewer than 6 months.
4. The child having other significant medical conditions, including congenital heart
disease, cystic fibrosis, or other chronic lung disease, that could interfere with the
assessment of asthma-related measures.
5. Children in foster care or other situations in which consent cannot be obtained from a
guardian.
We found this trial at
1
site
60 Crittenden Blvd # 70
Rochester, New York 14642
Rochester, New York 14642
(585) 275-2121
Principal Investigator: Jill S. Halterman, MD, MPH
Phone: 585-275-7813
University of Rochester The University of Rochester is one of the country's top-tier research universities....
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