Clinical trial NCT00993590: Mobile CHESS Research on Emergency Medical Services for Children
Official title: Mobile CHESS Research on Emergency Medical Services for Children
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Asthma
Keywords: Persistent asthma
Asthma related emergency room visits
Asthma control, adolescents
Adherence, asthma control medications
Lead sponsor: University of Wisconsin, Madison
Sponsor class: OTHER
Collaborators: name: National Institute of Nursing Research (NINR)
First posted: 2009-10-12
Enrollment: 219
Sex: ALL
Minimum age (years): 12
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The primary aims are to test whether an asthma care management system (M-CHESS) delivered via a smartphone (cellular phone with internet access) can support low income teenagers (ages 12-18) with significant asthma and can improve asthma control and reduce asthma-related emergency or urgent care visits and hospitalizations. Secondary aims include whether M-CHESS increases adherence to asthma control medication and reduces absenteeism from school, work or an event they wanted to attend.

Detailed description: Four hundred Milwaukee Medicaid recipients (ages 12-18), with an asthma-related emergency care visit or hospitalization in the last twelve months, will be recruited through their managed care organization (MCO). They will be randomly assigned to one of two study arms and will participate in a 12-month intervention plus a 12-month follow-up period. Subjects in the control group will receive a smartphone with internet access \& text messaging service. These devices will provide the ability to collect smartphone use data electronically. The experimental group will also receive the same smartphone devices (with internet access and text messaging service and ability to collect usedata. In addition the experimental group will have access to the Mobile CHESS (M-CHESS) interface. The M-CHESS smartphone interface features an interactive, internet based asthma education program, peer support mechanisms and automated reminders for asthma control medicines and data collection.

Eligibility criteria: Inclusion Criteria:

* Adolescents ranging in age from 12-18:

  * These study candidates will have had an asthma related emergency care visit or hospitalization in the last 12 months and fit the following characteristics: an ICD-9 code 493.XX and have filled one or more prescription(s) for an asthma medication (short acting beta agonist, oral corticosteroid, inhaled or nebulized corticosteroid, long-acting beta agonist, xanthine, or leukotriene modifier).
  * They also must receive medical care from one of the two participating managed care organizations involved in our study.

Exclusion Criteria:

* Other chronic pulmonary disorders such as cystic fibrosis, ABPA, or bronchopulmonary dysplasia.
* Developmental/cognitive/sensory disabilities.

Primary outcomes:
measure: Asthma control test (ACT®) scores.
timeFrame: One year.
measure: Asthma-related healthcare utilization.
timeFrame: One year.
Secondary outcomes:
measure: School absenteeism.
timeFrame: One year.
Other outcomes:
Locations:
city: Milwaukee
country: United States
facility: Managed Health Services
state: Wisconsin
city: Milwaukee
country: United States
facility: United Healthcare
state: Wisconsin
Study officials:
References: