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N/A N=41 Randomized Health Services Research

Asthma Controller Adherence After Hospitalization

Asthma

Enrolled (actual)
41
Serious AEs
0.0%
Results posted
Jan 2018
Primary outcome: Primary: Comparison of Number and Percentage of Patients That Use Monitoring Device Over 30 Days (Feasibility) — 15; 17 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Daily Text message reminder (Behavioral); Inhaled steroid canister monitor (Device)
Age
Pediatric · 4+ yrs
Sex
All
Sponsor
Children's Hospital of Philadelphia
Primary completion
Sep 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Comparison of Number and Percentage of Patients That Use Monitoring Device Over 30 Days (Feasibility)
15; 17
PRIMARY
Acceptability
15; 5
SECONDARY
Adherence
34; 40
SECONDARY
Change in Child Asthma Control Tool Score (cACT) From Baseline to End of Intervention Period.
1.0; 3.1

Summary

This study sets out to assess whether daily text message reminders help to enhance the consistency of use of controller medications following hospitalization for pediatric asthma patients ages 4-11 and their families. Text message reminders will be delivered to a subject's cell phone for those in the intervention group and electronic monitors will placed on the controller inhalers at the time of hospital discharge to track medication use over time in both the intervention and the regular care group. Families will complete surveys on the day of enrollment (in person), day 30 (telephone) and day 60 (telephone) on aspects of asthma care including asthma knowledge, medication routines, who is responsible for asthma care, and medication beliefs.

Eligibility Criteria

Inclusion Criteria

  • Has unlimited text messaging plan
  • Prescribed one of the following metered dose inhalers for daily use: Flovent (fluticasone), QVAR (budesonide), Seretide (fluticasone-salmeterol), Advair multi-dose inhaler (MDI) (fluticasone-salmeterol) or Dulera (mometasone-formoterol)
  • Patient receives primary care at one of the three urban CHOP primary care practices (Karabots, South Philadelphia, and Cobbs Creek)

Exclusion Criteria

  • Subjects prescribed a controller medication to which the electronic device cannot affix (i.e. montelukast, Advair Diskus, Symbicort, Seretide Acuhaler/Diskus) as their primary controller medication
  • Subjects with developmental delays or disabilities
  • Families with active Department of Human Services (DHS) involvement
  • Non-English speaking families
  • Parents/guardians or subjects who the inpatient medical team recommends against approaching for enrollment in a research study
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02615743). 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.

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