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A Pilot and Feasibility Study of Mobile-Based Asthma Action Plans

Information source: Arkansas Children's Hospital Research Institute
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Asthma

Intervention: Mobile-based Asthma Action Plan (Other)

Phase: N/A

Status: Active, not recruiting

Sponsored by: Arkansas Children's Hospital Research Institute

Official(s) and/or principal investigator(s):
Tamara T. Perry, M.D., Principal Investigator, Affiliation: University of Arkansas

Summary

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.

Clinical Details

Official title: A Pilot and Feasibility Study of Mobile-Based Asthma Action Plans

Study design: Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome: Median Number of Days

Secondary outcome:

Frequency of AAP Utilization

Asthma Self-Efficacy for Adolescent Children

Asthma Control Test™ (ACT) Scores

Detailed description: 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.

Eligibility

Minimum age: 12 Years. Maximum age: 17 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Age ≥ 12 and ≤ 17 years.

- Mild to severe persistent asthma or poorly controlled asthma. If a child has used a

preventive medication in the past, but reports no use of the medication in the prior 3 months, we will assess severity.

- Children not using a preventive medication at baseline: We will assess for mild

persistent to severe persistent asthma. Any one of the following, during the prior 4 weeks (as defined by parent interview) will determine severity:

- An average of >2 days per week with asthma symptoms

- >2 days per week with rescue medication use

- ≥2 nights per month awakened with nighttime symptoms

- Minor limitation of activity

- ≥2 episodes of asthma during the past year that have required systemic

corticosteroids.

- Children using a preventive medication at baseline: We will assess for poorly

controlled asthma. Any 1 of the following, during the prior 4 weeks (as defined by parent interview in the waiting room) will determine control:

- An average of >2 days per week with asthma symptoms

- >2 days per week with rescue medication use

- ≥2 nights per month awakened with nighttime symptoms

- Some limitation of activity

- ≥2 episodes of asthma during the past year that have required systemic

corticosteroids. Exclusion Criteria:

- Significant underlying respiratory disease other than asthma (such as cystic fibrosis

or chronic lung disease) that could potentially interfere with asthma-related outcome measures.

- Significant co-morbid conditions (such as moderate to severe developmental delay,

i. e. special education classroom or diagnosis) that could preclude participation in an education-based intervention.

- Inability to speak or understand English (child or parent).

- Children in foster care or other situations in which consent cannot be obtained from

a guardian.

- Prior enrollment in the study.

Locations and Contacts

Arkansas Children's Hospital Research Institute, Little Rock, Arkansas 72202, United States
Additional Information

Related publications:

Moorman JE, Rudd RA, Johnson CA, King M, Minor P, Bailey C, Scalia MR, Akinbami LJ; Centers for Disease Control and Prevention (CDC). National surveillance for asthma--United States, 1980-2004. MMWR Surveill Summ. 2007 Oct 19;56(8):1-54.

Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009 Mar;123 Suppl 3:S131-45. doi: 10.1542/peds.2008-2233C.

Forero R, Bauman A, Young L, Larkin P. Asthma prevalence and management in Australian adolescents: results from three community surveys. J Adolesc Health. 1992 Dec;13(8):707-12.

Kyngäs HA. Compliance of adolescents with asthma. Nurs Health Sci. 1999 Sep;1(3):195-202.

Braun-Fahrländer C, Gassner M, Grize L, Minder CE, Varonier HS, Vuille JC, Wüthrich B, Sennhauser FH. Comparison of responses to an asthma symptom questionnaire (ISAAC core questions) completed by adolescents and their parents. SCARPOL-Team. Swiss Study on Childhood Allergy and Respiratory Symptoms with respect to Air Pollution. Pediatr Pulmonol. 1998 Mar;25(3):159-66.

Venn A, Lewis S, Cooper M, Hill J, Britton J. Questionnaire study of effect of sex and age on the prevalence of wheeze and asthma in adolescence. BMJ. 1998 Jun 27;316(7149):1945-6.

National asthma education and prevention program expert panel report 3: Guidelines for the Diagnosis and Management of Asthma. National Heart Lunch and Blood Institute. 2007:NIH Publication No. 07-4051.

Anhøj J, Møldrup C. Feasibility of collecting diary data from asthma patients through mobile phones and SMS (short message service): response rate analysis and focus group evaluation from a pilot study. J Med Internet Res. 2004 Dec 2;6(4):e42.

Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, Murray JJ, Pendergraft TB. Development of the asthma control test: a survey for assessing asthma control. J Allergy Clin Immunol. 2004 Jan;113(1):59-65.

Mosnaim GS, Cohen MS, Rhoads CH, Rittner SS, Powell LH. Use of MP3 players to increase asthma knowledge in inner-city African-American adolescents. Int J Behav Med. 2008;15(4):341-6. doi: 10.1080/10705500802365656.

Starting date: June 2012
Last updated: March 27, 2013

Page last updated: August 23, 2015

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