A Computer-Based ED Intervention to Improve Pediatric Asthma Medicine Adherence (ED-AMAP)
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|ClinicalTrials.gov Identifier: NCT02787174|
Recruitment Status : Completed
First Posted : June 1, 2016
Last Update Posted : March 10, 2020
|Condition or disease||Intervention/treatment||Phase|
|Asthma||Other: Asthma Medication Adherence Education||Not Applicable|
The investigators have used focus groups to get ideas from parents of children with asthma to best design the intervention. This has helped us create the questions that are being used in the intervention, and make the computer program appealing and acceptable to parents of children with asthma.
The investigators will study the success of the intervention for children who receive it compared to children who obtain routine emergency department care. Participants who receive the intervention will complete a series of questions on a tablet computer. Questions will guide creation of individualized education and advice to improve medication use for each participant. The intervention will also allow for customized communication with each child's primary care provider. The investigators will include educational boosters at 2 and 4 weeks after the intervention delivered as chosen by the participant (email / text / RSS / mail). Children in the routine asthma care arm will not receive the intervention, and instead will receive routine discharge instructions by the emergency room doctors.
The investigators will compare the success of the intervention group to routine emergency department care by using a device (DOSER CT) that measures daily administered doses of medicine. Data from the DOSER CT will be collected monthly at home visits for three months. The investigators will also measure health care use and quality-of-life for each child using a survey at these home visits. The investigators believe that the intervention will improve doses of medicine given, reduce unnecessary health care use, and improve children's quality of life.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||109 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||A Computer-Based ED Intervention to Improve Pediatric Asthma Medicine Adherence|
|Actual Study Start Date :||February 2016|
|Actual Primary Completion Date :||January 2018|
|Actual Study Completion Date :||July 2018|
No Intervention: Control
Participants will receive routine clinical treatment care.
Participants will receive interactive tailored asthma medication adherence education on an iPad.
Other: Asthma Medication Adherence Education
- Asthma controller medication adherence [ Time Frame: 12 weeks ]Percentage adherent days defined as at least half of prescribed doses taken as measured by Doser CT
- Unscheduled healthcare use (self-report survey and chart review) [ Time Frame: 6 months ]Unscheduled healthcare use (Emergency Department visits, doctor visits, hospitalizations)
- Quality-of-Life (QOL) [ Time Frame: 6 months ]QOL measurement using Integrated Therapeutics Group Child Asthma Short Form (ITG-CASF)
- Sustained Asthma controller medication adherence [ Time Frame: 3 months ]Percentage adherent days defined as at least half of prescribed doses taken as measured by Doser CT
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02787174
|United States, Rhode Island|
|Hasbro Children's Hospital|
|Providence, Rhode Island, United States, 02905|