Internet Telehealth for Pediatric Asthma Case Management (CHESS)
The original and primary aim of this study is to evaluate the effects of CHESS with Nurse Case Management on asthma control (symptom-free days), and adherence factors of children aged 4-12. The investigators have expanded the scope of the specific aims. The criteria for their expanded aim is to also interview low-income African-American caregivers to gain an understanding of how they conceptualize their child's asthma, and what they consider to be barriers or facilitators to managing their child's asthma. There is no change in the investigators' original aim.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Internet Telehealth for Pediatric Asthma Case Management|
- Percentage Changed in Adherence Score [ Time Frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores ] [ Designated as safety issue: No ]A baseline number of participants less dropouts was gauged against the weighted average of the number of participants in study period. The percentage change in adherence from baseline through the study was measured and is reported below, together with confidence intervals.
- Number of Symptom-free Days [ Time Frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores ] [ Designated as safety issue: No ]A comparison in the average number of days that a child goes without asthma symptoms between experimental and control groups are shown below.
- Improvement in Asthma Control [ Time Frame: Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores ] [ Designated as safety issue: No ]A six item survey on a seven point Likert scale measuring daytime and nocturnal asthma symptoms, missed school days and rescue medication use in the previous seven days. Lower scores signal better asthma control.
|Study Start Date:||May 2004|
|Study Completion Date:||May 2009|
|Primary Completion Date:||August 2007 (Final data collection date for primary outcome measure)|
Experimental: CHESS + Case Mgt
Case Management (with monthly support calls) and CHESS services were available for a 12 month intervention period. Support calls refer to check in calls by a nurse to the parents to see how the child is doing. CHESS services include access to a website with information on asthma management, discussion groups and a case manager. The website also include a management tool for asthma symptoms check in, and the case manager used the information entered to tailor the homepage to individual clients.
Behavioral: CHESS Internet telehealth
CHESS Internet telehealth
No Intervention: Control
Control-usual care. Usual care refers to the manner in which clients generally manage their asthma.
|Principal Investigator:||David Gustafson, PhD||University of Wisconsin, Madison|