Remote Use of the Asthma Control Test (ACT) to Improve Care of Children With Asthma
|ClinicalTrials.gov Identifier: NCT03036982|
Recruitment Status : Completed
First Posted : January 31, 2017
Last Update Posted : March 27, 2018
|Condition or disease|
Asthma is the most prevalent chronic disease of childhood with an overall prevalence of 10%. While effective therapies exist to control symptoms and prevent exacerbations, many asthma patients experience significant morbidity including limitations on daily activities as well as asthma exacerbations that lead to missed school (and work for care givers) and necessitate emergency department visits and hospitalizations. Among children from lower socioeconomic statues and in black and Hispanic families, asthma incidence and severity are even greater. Reasons for this disparity included decreased access to effective asthma care, increased exposure to tobacco smoke and environmental allergens, and underutilization of controller medicines. These groups have significantly increased resource utilization due to emergency department visits and hospitalizations. Optimal care for asthma patients, especially those with at highest risk, will therefore require new strategies for evaluating ongoing control and providing direct feedback to patients.
We propose to transform the way asthma care is provided through the use of an innovative patient centered technology -Trivox Asthma ‐ to improve quality of care and outcomes for asthma patients while reducing the cost of care. Specifically we will extend Trivox Health to facilitate closer monitoring of patients with asthma through the existing web platform and a new mobile interface. This will allow asthma patients, their parents and school nurses to remotely input data on asthma control through smartphones and/or tablets. We will use the ACT+, an expansion of a validated measure currently utilized in both primary care and specialty clinics, to measure both asthma control and risk.
Effectiveness of this intervention will be measured by examining resource utilization and ongoing asthma control.
|Study Type :||Observational|
|Actual Enrollment :||221 participants|
|Official Title:||Remote Use of the Asthma Control Test (ACT) to Improve Care of Children With Asthma|
|Actual Study Start Date :||January 1, 2016|
|Actual Primary Completion Date :||April 30, 2017|
|Actual Study Completion Date :||December 31, 2017|
Use of Mobile ACT
Will answer ACT (or cACT) and other asthma questions using mobile app
- Well-controlled asthma [ Time Frame: Each month for one calendar year ]Percent of ACT scores with value of 20 or greater
- Asthma Emergency Department visits and hospitalizations [ Time Frame: Total Emergency Department Visits and hospitalizations with asthma as one of top diagnosis in one year ]Asked every 3 months
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03036982
|United States, Massachusetts|
|Boston Childrens Hospital|
|Boston, Massachusetts, United States, 02115|
|Principal Investigator:||Andrew MacGinnitie, MD PhD||Boston Children's Hosptial|