Remote Use of the Asthma Control Test (ACT) to Improve Care of Children With Asthma
研究概览
地位
条件
详细说明
Asthma is the most prevalent chronic disease of childhood with an overall prevalence of 10%. While effective therapies exist to control symptoms and prevent exacerbations, many asthma patients experience significant morbidity including limitations on daily activities as well as asthma exacerbations that lead to missed school (and work for care givers) and necessitate emergency department visits and hospitalizations. Among children from lower socioeconomic statues and in black and Hispanic families, asthma incidence and severity are even greater. Reasons for this disparity included decreased access to effective asthma care, increased exposure to tobacco smoke and environmental allergens, and underutilization of controller medicines. These groups have significantly increased resource utilization due to emergency department visits and hospitalizations. Optimal care for asthma patients, especially those with at highest risk, will therefore require new strategies for evaluating ongoing control and providing direct feedback to patients.
We propose to transform the way asthma care is provided through the use of an innovative patient centered technology -Trivox Asthma - to improve quality of care and outcomes for asthma patients while reducing the cost of care. Specifically we will extend Trivox Health to facilitate closer monitoring of patients with asthma through the existing web platform and a new mobile interface. This will allow asthma patients, their parents and school nurses to remotely input data on asthma control through smartphones and/or tablets. We will use the ACT+, an expansion of a validated measure currently utilized in both primary care and specialty clinics, to measure both asthma control and risk.
Effectiveness of this intervention will be measured by examining resource utilization and ongoing asthma control.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Massachusetts
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Boston、Massachusetts、美国、02115
- Boston Childrens Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Diagnosis of asthma
- Cared for at Boston Children's Hospital (Primary or secondary care)
Exclusion Criteria:
- Age <4 or >21
学习计划
研究是如何设计的?
设计细节
- 观测模型:队列
- 时间观点:预期
队列和干预
团体/队列 |
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Use of Mobile ACT
Will answer ACT (or cACT) and other asthma questions using mobile app
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Well-controlled asthma
大体时间:Each month for one calendar year
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Percent of ACT scores with value of 20 or greater
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Each month for one calendar year
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Asthma Emergency Department visits and hospitalizations
大体时间:Total Emergency Department Visits and hospitalizations with asthma as one of top diagnosis in one year
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Asked every 3 months
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Total Emergency Department Visits and hospitalizations with asthma as one of top diagnosis in one year
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合作者和调查者
调查人员
- 首席研究员:Andrew MacGinnitie, MD PhD、Boston Children's Hosptial
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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