N/A
N=400
School-Based Telemedicine Enhanced Asthma Management
Pediatric Asthma
Bottom Line
View on ClinicalTrials.gov: NCT01650844 ↗Enrolled (actual)
400
Serious AEs
0.0%
Results posted
Apr 2018
Primary outcome: Primary: Average Number of Days Without Asthma Symptoms (Symptom Free Days) — 11.6; 10.97 Days — p=<0.05
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- School-Based Telemedicine Enhanced Asthma Management (Other); Enhanced Usual Care (Other)
- Age
- Pediatric · 3+ yrs
- Sex
- All
- Sponsor
- University of Rochester
- Primary completion
- Jul 2017
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Average Number of Days Without Asthma Symptoms (Symptom Free Days) |
11.6; 10.97 | <0.05 sig |
Summary
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.
Eligibility Criteria
Inclusion Criteria
- Physician-diagnosed asthma (based on parent report)
- 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.
- Age >=3 and =<10 years
- Attending school in Rochester City School District preschools or elementary schools
Exclusion Criteria
- Inability to speak and understand English or Spanish
- No access to a phone for follow-up surveys
- Family planning to leave the district within fewer than 6 months.
- 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.
- Children in foster care or other situations in which consent cannot be obtained from a guardian.
Data sourced from ClinicalTrials.gov (NCT01650844). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.