Please select the eligibility criteria that correspond to the clinical trial below.
Title: iTRACC (Improving Technology-Assisted Recording of Asthma Control in Children)
Brief Summary: The goal of this study is to determine whether a sensor-enabled, clinically integrated, mobile health asthma program can improve asthma outcomes among 4-17 year old children with moderate-to-severe asthma.


Options:
A: Inclusion Criteria:

* English-speaking parents
* Children 4-\<17 years of age. Using both NHLBI (National Heart, Lung, and Blood Institute) guidelines and based off of a physician expert panel, the research team has limited the ages to 4-\<17 years old. It has been shown to be difficult to properly diagnose individuals less than 4 years of age with asthma. Usually, they are diagnosed with reactive airway disease or bronchial virus. Individuals \<17 years old was the oldest group because investigators wanted to avoid adolescence and make sure that parents have an active role in the health management of the child.
* Moderate or severe persistent asthma, defined by the National Heart, Lung, and Blood Institute. This will be done by a physician-trained research assistant who will be able to identify potential participants prior to recruitment.
* At least one asthma exacerbations that required a course of oral corticosteroids in the past year
* Prescription and utilization of an ICS inhaler for at least the past year.
* Who are seen at: Clark and Deming Resident Clinic, Lurie Children's Pulmonary Clinic, Lurie Children's Uptown Clinic, Chicago Family Asthma and Allergy Clinic or Children's Healthcare Associates

Exclusion Criteria:

* Non-English speaking parents/families
* Patients seen in the hospital who receive primary care outside of the study's clinics
* Children with any comorbid conditions, which interfere with appropriate assessment of asthma symptoms: Chronic Lung Disease, Broncho-Pulmonary Dysplasia, Cystic Fibrosis, Pulmonary Hypertension, Interstitial Lung Disease, Immunodeficiency, Bronchiectasis, Primary Ciliary Dyskinesia, Chronic Respiratory Insufficiency, Neuromuscular Weakness, Sickle Cell Lung Disease, Restrictive Lung Disease, and Tracheostomy or Ventilator-dependence
* Child-patients who are participating in any other research studies that would interfere with our ability to use and track the inhaler sensor
B: Inclusion Criteria:

* Access to the internet Caregiver agrees to let child use the Internet for the project Internet service working properly Legal guardian approves of study Child with her or his own cell phone

Exclusion Criteria:

* non English or spanish speaking family
C: 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.
D: Inclusion Criteria:

1. English speakers
2. age 50 and over
3. diagnosed with one or more chronic condition(s) and
4. currently taking ﬁve or more prescribed oral medications.
5. City of Calgary resident

Exclusion Criteria:

* Patients with moderate to severe cognitive impairment

Answer: A