Internet Telehealth for Pediatric Asthma Case Management

Not Applicable

Completed

• Conditions: Asthma
• Interventions: Behavioral: CHESS Internet telehealth

• Registration Number: NCT00214383
• Lead Sponsor: University of Wisconsin, Madison

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2004-05
• Study First Submitted: 2005-09-13
• Study First Submitted QC: 2005-09-19
• Study First Posted: 2005-09-21
• Primary Completion: 2007-08
• Study Completion: 2009-05
• Results First Submitted: 2012-04-04
• Results First Submitted QC: 2012-06-04
• Results First Posted: 2012-07-09
• Status Verified: 2013-01
• Last Update Submitted: 2013-01-16
• Last Update Posted: 2013-01-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 301

Inclusion Criteria

• Parents of children, aged 4-12 with moderate to severe asthma

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CHESS + Case Mgt	CHESS Internet telehealth	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.

Primary Outcome Measures

Name	Time	Method
Number of Symptom-free Days	Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores	A comparison in the average number of days that a child goes without asthma symptoms between experimental and control groups are shown below.
Percentage Changed in Adherence Score	Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores	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.

Secondary Outcome Measures

Name	Time	Method
Improvement in Asthma Control	Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores	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.