Telemedicine Education for Rural Children With Asthma
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Purpose
The investigators will implement an interactive school-based telemedicine education program for rural low-income, minority children with asthma, their caregivers, and school nurses in the Delta region of Arkansas.
Specific aims:
- The investigators will examine changes in asthma symptoms control and other health outcomes such as activity levels and family/child emotional health in the intervention group compared to a usual care group.
- The investigators will examine changes in asthma knowledge, self-efficacy, and quality of life in the intervention participants and their caregivers compared to a usual care group.
| Condition | Intervention |
|---|---|
|
Asthma |
Other: Telemedicine Education Other: Usual care |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Telemedicine Education for Rural Children With Asthma |
- The investigators will examine changes in asthma symptoms control and health outcomes in the intervention group compared to a usual care group. [ Time Frame: One year ] [ Designated as safety issue: No ]
- The investigators will examine changes in asthma knowledge, self-efficacy, and quality of life of the intervention participants and their caregivers compared to a usual care group. [ Time Frame: One year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 140 |
| Study Start Date: | August 2009 |
| Estimated Study Completion Date: | September 2012 |
| Estimated Primary Completion Date: | September 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Intervention Group
Participants, caregivers and school nurse will attend telemedicine education sessions at school.
|
Other: Telemedicine Education
Student Asthma Education. Each student will engage in 6 age-appropriate sessions on various aspects of asthma health. Caregiver Asthma Education. The primary caregiver will engage in 2 asthma education sessions. School Nurse Asthma Education. School nurses will participate in 2 sessions. PCP Communication. The PCP of the intervention group participant will be notified of his/her patient's baseline asthma assessment. They will receive updates summarizing each telemedicine intervention. |
| Active Comparator: Usual care |
Other: Usual care
Participants will receive asthma care by their PCP with no education sessions or PCP communications by the research staff.
|
Detailed Description:
The investigators will conduct a prospective study to examine the impact of an interactive, telemedicine asthma intervention among children living in the rural Delta region of Arkansas.
Eligibility| Ages Eligible for Study: | 7 Years to 17 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Study participants will be English-speaking children ages 7-17 years with physician-diagnosed asthma and/or active symptoms in the previous 12 months.
Active symptoms include one or more of the following:
- experience daytime wheezing, shortness of breath, and/or coughing two or more times a week for the last 4 weeks;
- nighttime wheezing, shortness of breath and/or cough more than once a week;
- take asthma medication more than two days a week;
- have been treated in a hospital or emergency department two or more times in the last two years for asthma symptoms;
- have been treated in a hospital or emergency department two or more times in the last two years for asthma symptoms have episodes of asthma-like symptoms when playing/exercising.
- Potentially eligible participants will be screened using an asthma screener to confirm eligibility.
Exclusion Criteria:
- Children with significant underlying respiratory disease other than asthma (such as cystic fibrosis) or significant co-morbid conditions (such as severe developmental delay or cerebral palsy) will be excluded from the study.
- The primary caregiver and child will be asked questions via telephone interview about how asthma affects the child every day. Children with no telephone number or contact telephone number will be excluded.
Contacts and Locations| United States, Arkansas | |
| Arkansas Children's Hospital Research Institute | |
| Little Rock, Arkansas, United States, 72202 | |
| Principal Investigator: | Tamara T. Perry, M.D. | University of Arkansas |
More Information
Publications:
| Responsible Party: | Arkansas Children's Hospital Research Institute |
| ClinicalTrials.gov Identifier: | NCT00964301 History of Changes |
| Other Study ID Numbers: | 110807 |
| Study First Received: | August 20, 2009 |
| Last Updated: | January 18, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Arkansas Children's Hospital Research Institute:
|
Asthma Low-income Quality of life Children |
Additional relevant MeSH terms:
|
Asthma Bronchial Diseases Respiratory Tract Diseases Lung Diseases, Obstructive Lung Diseases |
Respiratory Hypersensitivity Hypersensitivity, Immediate Hypersensitivity Immune System Diseases |
ClinicalTrials.gov processed this record on June 17, 2013