Using Social Media to Decrease Healthcare Utilization for Pediatric Asthma

Study Overview
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Brief Summary
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The purpose of this study is to evaluate if social media enhanced education (SME) will reduce total number of treatment days defined as summation of days of subsequent hospital admission, emergency room visits, and clinic visits, reduce missed school days, reduce total costs from a health system perspective, have increased effect with increased social media engagement, have increased effect in participants with both caregiver and patient (combined) with social media accounts, compared to participants where only the patient or only the caregiver uses social media (single),have increased patient satisfaction in the asthma education received and to obtain the experience and data needed to refine SME to be able to expand this platform for other chronic medical conditions with high healthcare utilization including pediatric diabetes, epilepsy, and sickle cell disease in children with asthma.

Official Title
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Using Social Media to Decrease Healthcare Utilization for Pediatric Asthma: a Pilot Randomized Control Trial

Conditions
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Asthma in Children

Intervention / Treatment
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* Other: Social Media Enhanced Education
* Other: Usual Asthma Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: hospitalized to Children's Memorial Hermann admitted for asthma exacerbation patient and/or primary caregiver must have internet access on cellular phones or at home and use a social media account (Facebook, Twitter, Instagram, and/or Snapchat) Exclusion Criteria: other chronic conditions besides asthma that may necessitate frequent health care utilization. i.e. children with complex chronic conditions, sickle cell, seizures, diabetes.

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 17 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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment<br> | Other: Social Media Enhanced Education<br>* Along with usual asthma education received,participants will receive asthma education via various social media platforms ,Facebook, Twitter, Instagram, and/or Snapchat. Topics of education will include background on asthma and pathophysiology, asthma severity classification, asthma triggers, different medications and indications for when to take them, how to use an inhaler technique, and symptom monitoring.Online resources from the American Lung Association and the National Asthma Education and Prevention Program will also be posted.<br>|
| Active Comparator: Control Group<br> | Other: Usual Asthma Education<br>* For patients who are admitted to Children's Memorial Hermann for asthma exacerbation, asthma education is provided to patients and families on the day of discharge by the nurse and respiratory therapist on triggers, Signs & Symptoms, Medication Use, Medication Delivery, Peak Flow, Zones and how to respond to each, and Cleaning equipment.Nursing staff are responsible for printing out education sheets to give to patients and showing an education video that is 20 minutes long. An asthma action plan are given to families on discharge. Patients that are discharged from the emergency room are given the same educational materials by the nurses and/or respiratory therapists except for the asthma video. Patients receive a variable amount of asthma education when going to usual clinic visits. The education provided is dependent on the provider, and usually limited in length to the time of the visit<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total number of treatment days in a medical setting (hospital, emergency department (ED), clinic) | Treatment days are defined as the summation of days in the hospital, ED, or in the clinic. | 1 year after enrollment | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total number of hospitalizations |  | 1 year after enrollment | 
| total number of readmissions |  | 1 year after enrollment | 
| total number of emergency room visits |  | 1 year after enrollment | 
| total number of clinic visits |  | 1 year after enrollment | 
| patient satisfaction and understanding of asthma education | This is a 13 item questionnaire each question is rated from 1 to 5 a higher number indicating a better outcome | 1 year after enrollment | 
| number of missed days of school |  | 1 year after enrollment | 
| total estimated health system costs, hospital costs, and clinic costs |  | 1 year after enrollment | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Social Media, Pediatric Asthma, Healthcare Utilization