Use of Text Messages to Improve Care For Children Following an ED Visit for Asthma
BACKGROUND Asthma is a prevalent and troublesome pediatric condition. In 2013, Emergency Department (ED) providers treated over 3,500 cases of asthma-related complaints at Children's Hospitals and Clinics of Minnesota. Pediatric ED visits for asthma exceeds billions of dollars annually when including direct cost and lost productivity. Many of these visits and resultant costs are avoidable. Patients with well-controlled asthma do not typically exhibit these patterns, while patients with poorly controlled asthma show patterns of increased utilization of healthcare resources and lower quality of life. Evidence suggests that a text message reminder and educational program might positively influence pediatric asthma care practices.
RESEARCH QUESTION Does a targeted ED based text message intervention program improve outpatient follow-up and routine preventive care in pediatric asthma patients?
METHODS Study subjects will be block randomized based on age and insurance group. The experimental group will receive text messages with guidance towards follow-up care with their PCP and the importance of the flu vaccine for children with asthma. The control group will receive a series of educational self-care and health based text messages unrelated to asthma or the flu vaccine. Some self-report of behaviors will be captured via text message response.
ANALYSIS Primary outcomes for the educational versus targeted text message groups will be compared use Chi-square tests. Additional adjustments may be applied for missing data or if, despite randomization, there is substantial imbalance between group in key covariates (eg race/ethnicity, insurance type or asthma severity.)
연구 개요
연구 유형
등록 (예상)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Minnesota
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Minneapolis, Minnesota, 미국, 55404
- 모병
- Children's Hospitals and Clinics of Minnesota - Emergency Department
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연락하다:
- Anupam B Kharbanda, MD
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Saint Paul, Minnesota, 미국
- 모병
- Children's Minnesota
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연락하다:
- Anupam Kharbanda, MD
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
Caregivers of patients aged 4 - 17 years (inclusive) will be eligible for study participation if they meet the following criteria:
- Presentation to the ED with a chief complaint related to an asthma exacerbation such as shortness of breath, respiratory distress, wheezing, etc…
- Receive an albuterol treatment in the ED
- Previous history of asthma as represented in the medical record or by parental report
- Have a cell phone that is able to receive text messages
- Able to communicate and provide consent in English or Spanish
Exclusion Criteria:
Caregivers of patients will be excluded from this study for the following reasons:
- First episode of wheezing
- Admitted to the hospital
Co-morbid respiratory disease:
- Cystic fibrosis
- Bronchiectasis
- Pulmonary hypertension
- Other chronic lung disease
- Current cancer diagnosis
- Previous cardiovascular surgery
- Inflammatory bowel disease
- Sickle Cell disease
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 지지 요법
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 하나의
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
활성 비교기: Control
Subjects receive general, health-related text messages applicable for children with asthma.
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Subjects received text messages generalized to children with asthma
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실험적: Test group
Subjects receive specific, targeted text messages for post-emergency department discharge asthma care.
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Subjects received text messages specific to post ED asthma follow-up
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Follow-up care with primary care provider
기간: 1 week after emergency department discharge
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Assessed via text and follow-up call if no response to text message
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1 week after emergency department discharge
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Influenza vaccine
기간: 30 days after emergency department discharge
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Assessed via text and follow-up call if no response to text message
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30 days after emergency department discharge
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Return visit to the emergency department
기간: 30 days after the inaugural emergency department visit
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Assessed via text and follow-up call if no response to text message; Our health record also checked for return visits
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30 days after the inaugural emergency department visit
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (예상)
연구 완료 (예상)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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