Enhanced Primary Care and Technology for Children With Chronic Disease
| Status: | Recruiting |
|---|---|
| Conditions: | Asthma, Asthma, Obesity Weight Loss |
| Therapuetic Areas: | Endocrinology, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 5 - 18 |
| Updated: | 4/21/2016 |
| Start Date: | July 2015 |
| End Date: | July 2016 |
| Contact: | J Grey Faulkenberry, M.D. |
| Email: | jfaulkenberry@med.miami.edu |
| Phone: | 305.243.5880 |
Piloting Enhanced Pediatric Care for Children With Chronic Condition/Technology Trial
Using technology alongside a pediatric chronic disease specialist and behavior specialist,
the investigators are planning to help care for and coordinate the healthcare of children
with chronic diseases, particularly childhood obesity, diabetes and asthma in Miami's most
vulnerable communities. The University of (UM) Miller School of Medicine (MSOM) Pediatrics
and TeleHealth departments propose to leverage information and communications technologies
(ICT) in an innovative approach to improve the quality, access and efficiency of pediatric
services for children and their families.
the investigators are planning to help care for and coordinate the healthcare of children
with chronic diseases, particularly childhood obesity, diabetes and asthma in Miami's most
vulnerable communities. The University of (UM) Miller School of Medicine (MSOM) Pediatrics
and TeleHealth departments propose to leverage information and communications technologies
(ICT) in an innovative approach to improve the quality, access and efficiency of pediatric
services for children and their families.
Participants will be recruited from an outpatient clinic site with diagnoses of overweight,
obesity or asthma.
There will be a total of 6 visits during the study at approximately 1 month intervals.
During the first and last visits, pre- and post-intervention assessment points, quality of
life, adherence to medical regimen, physical activity and dietary habits will be gathered.
During the follow-up visits, only quality of life will be surveyed. At the initial visit,
for overweight children, the patients will be assessed for their behaviors and attitudes
regarding eating, physical activity, sedentary time and motivation. If the patient has
asthma, the pediatrician will assess understanding of the disease.
Throughout the course of the study the chronic condition pediatrician and behavior
specialist will see patients in a consult capacity for their chronic condition, but the
patient will continue to see their regular pediatrician for primary care needs. At every
visit the pediatrician will review changes since the last visit, and then provide education
directed at overweight/obesity and/or asthma. The behavior health specialists will then work
with the patients to develop a plan on how to follow their treatment plan and achieve
healthy behaviors.
All of the participants will receive access to technology in the form of a tablet computer
for the duration of the study. The tablets will be installed with software to help educate
patients and their families about asthma and overweight/obesity and track progress in
managing them. In addition, all follow-up visits except for the final one will be done using
the tablets and a video-conferencing app.
For the first and last visits, all patients will be seen in-person in the clinic. All of the
follow-up visits will be done via a video-conferencing app on the tablet computers.
obesity or asthma.
There will be a total of 6 visits during the study at approximately 1 month intervals.
During the first and last visits, pre- and post-intervention assessment points, quality of
life, adherence to medical regimen, physical activity and dietary habits will be gathered.
During the follow-up visits, only quality of life will be surveyed. At the initial visit,
for overweight children, the patients will be assessed for their behaviors and attitudes
regarding eating, physical activity, sedentary time and motivation. If the patient has
asthma, the pediatrician will assess understanding of the disease.
Throughout the course of the study the chronic condition pediatrician and behavior
specialist will see patients in a consult capacity for their chronic condition, but the
patient will continue to see their regular pediatrician for primary care needs. At every
visit the pediatrician will review changes since the last visit, and then provide education
directed at overweight/obesity and/or asthma. The behavior health specialists will then work
with the patients to develop a plan on how to follow their treatment plan and achieve
healthy behaviors.
All of the participants will receive access to technology in the form of a tablet computer
for the duration of the study. The tablets will be installed with software to help educate
patients and their families about asthma and overweight/obesity and track progress in
managing them. In addition, all follow-up visits except for the final one will be done using
the tablets and a video-conferencing app.
For the first and last visits, all patients will be seen in-person in the clinic. All of the
follow-up visits will be done via a video-conferencing app on the tablet computers.
Inclusion Criteria:
- Patients who receive care at the Borinquen Clinic
- Aged five through 18, inclusive
- Diagnosis of asthma (requiring medication) or overweight (greater than or equal to
85% for age).
- Fluent in English or Spanish.
- Parents/Guardians must be fluent in English or Spanish.
Exclusion Criteria:
We found this trial at
1
site
Miami, Florida 33161
Principal Investigator: Judy Schaechter, M.D., M.B.A.
Phone: 305-576-6611
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