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Acute Asthma | Feasibility of an ED Initiated Online Asthma Management Program for Urban Teens

Acute Asthma research study

What is the primary objective of this study?

The objective of this study is to determine the feasibility of conducting a randomized controlled trial to evaluate the effectiveness of an online, Emergency Department-initiated asthma management intervention designed to reduce asthma-related morbidity among urban teenagers aged 13-19 years with uncontrolled asthma. The study will examine issues around recruitment, participant compliance with the study protocol, Internet access, and attrition. Investigators will first develop a protocol for recruiting 13-19 year old patients with acute asthma into an ED-initiated pilot trial of an online asthma management program, describing recruitment and refusal rates. Investigators will measure participant compliance with the pilot study protocol including 4 online sessions and a 6 month survey. Investigators will also measure compliance of the participants parents at baseline and a six month follow up. Investigators will then use pilot study results to describe the intervention effect on selected outcomes including ED visits, asthma control as measured by Asthma Control Questionnaire, functional limitations, quality of life, and behavior change.

Who is eligible to participate?

Inclusion Criteria: - 13-19 years of age - Physician diagnosis of acute asthma at the Emergency Department visit - Parent written informed consent - Teen written informed assent Exclusion Criteria: - Inability to provide informed consent/assent - No physician diagnosis of asthma - Other co-morbidities that make it impossible for individual to participate.

Which medical condition, disease, disorder, syndrome, illness, or injury is researched?

Acute Asthma

Study Interventions

Interventions can include giving participants drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available or noninvasive approaches such as surveys, education, and interviews.

Behavioral:Tailored asthma management programweb-based, computer-tailored asthma management intervention delivered every week for 4 weeks

Behavioral:Generic web-based educationGeneric, web-based asthma education

Study Arms

Research studies and clinical trials typically have two or more research arms. An arm is a group of people who receive the same treatment in the study.

Tailored asthma management programTeens randomized to the experimental arm will receive 4 sessions of web-based, tailored asthma management

Generic web-based educationTeens in the control group will receive generic, web-based asthma education.

Study Status

Completed

Start Date: October 2012

Completed Date: March 2015

Phase: N/A

Type: Interventional

Design:

Primary Outcome: Emergency Department Visit

Secondary Outcome: Asthma Control Test (ACT)

Study sponsors, principal investigator, and references

Principal Investigator: Christine LM Joseph, PhD, MPH

Lead Sponsor: Henry Ford Health System

Collaborator: University of Michigan

More information:https://clinicaltrials.gov/show/NCT01695031

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