Internet Telehealth for Pediatric Asthma Case Management

Study Overview
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Brief Summary
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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.

Official Title
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Internet Telehealth for Pediatric Asthma Case Management

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: CHESS Internet telehealth


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parents of children, aged 4-12 with moderate to severe asthma

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CHESS + Case Mgt<br>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. | Behavioral: CHESS Internet telehealth<br>* CHESS Internet telehealth<br>|
| No Intervention: Control<br>Control-usual care. Usual care refers to the manner in which clients generally manage their asthma. | |

What is the study measuring?
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Primary Outcome Measures

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

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Improvement in Asthma Control | 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. | Baseline compared to the mean of the combined 3, 6, 9, and 12 month scores | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric asthma