A Pilot and Feasibility Study of Mobile-Based Asthma Action Plans
Investigators from UAMS Department of Pediatrics and UAMS Center for Distance Health will collaborate to develop a mobile-based Asthma Action Plan (AAP) application to improve asthma self-management skills specifically targeting adolescents. The investigators hypothesize that an interactive, mobile-based AAP will be a feasible means of reinforcing long-term asthma management guidelines as well as delivering acute management instructions to adolescents with asthma.
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||A Pilot and Feasibility Study of Mobile-Based Asthma Action Plans|
- Median Number of Days [ Time Frame: Eight weeks ] [ Designated as safety issue: No ]Median number of days per week (range 0-7) the AAP was utilized to record routine (daily) symptoms or peak flow measurements. Participants will be reminded to record their peak flow or symptoms each day.
- Frequency of AAP Utilization [ Time Frame: Eight weeks ] [ Designated as safety issue: No ]The frequency of utilization of the AAP for acute symptoms among the study population will be measured and compared to responses of daily prompts that will ask participants to record whether they used rescue medication in the past 24 hours for symptoms.
- Asthma Self-Efficacy for Adolescent Children [ Time Frame: Eight weeks ] [ Designated as safety issue: No ]The Child Self-Efficacy instrument is a 14 item validated questionnaire designed to measure the child's self-efficacy with regard to attack prevention and attack management.
- Asthma Control Test™ (ACT) Scores [ Time Frame: Eight weeks ] [ Designated as safety issue: No ]The Asthma Control Test™ (ACT) is a 5 question health survey used to measure asthma control in individuals 12 years of age and older. The survey measures asthma control as defined by the NAEPP. The ACT is an efficient, reliable, and valid method of measuring asthma control, with or without, lung functioning measures such as spirometry. ACT helps identify and detect asthma patients who are not well controlled.
|Study Start Date:||June 2012|
|Estimated Study Completion Date:||October 2013|
|Primary Completion Date:||October 2012 (Final data collection date for primary outcome measure)|
Other: Mobile-based Asthma Action Plan
A written AAP from a healthcare provider is one of the key features of asthma self-management recommended by the NAEPP asthma guidelines; guidelines-based asthma care has not yet fully translated to the community despite the fact that NAEPP released the first set of national guidelines nearly 2 decades ago. Previous reports have proven that patients with an AAP have better outcomes including fewer acute healthcare utilization visits, fewer days missed from school, and improved symptoms scores compared to patients without an AAP. Recently, mobile-based phone applications and MP3 players have been utilized in the management of chronic diseases such as asthma and diabetes to provide medication reminders and to provide alternatives to paper dairies for logging symptoms or other health-related data such as peak flow readings or blood glucose readings. We propose to design an application that will fully meet the recommended individualized AAP treatment plan as recommended by national guidelines and will also provide participants with medication reminders, education tips, and data logging/tracking capabilities.
|United States, Arkansas|
|Arkansas Children's Hospital Research Institute|
|Little Rock, Arkansas, United States, 72202|
|Principal Investigator:||Tamara T. Perry, M.D.||University of Arkansas|