Technology-Enhanced Asthma Care in Children at Clinic and Home (TEACCCH) Study (Aim 2): A Feasibility Randomized Controlled Trial
A randomized controlled trial with parent-child pairs of children with persistent or uncontrolled asthma. An intervention group (n=40 parent-child pairs) will receive the mobile health (mHealth) app and digital sensors with enhanced support from a population health manager role, hereinafter referred to as an asthma coordinator, to provide remote patient monitoring (RPM). A comparison group (n=40 parent-child pairs) will receive the mHealth app and sensors without RPM support to silently collect inhaler use information without mHealth app features. The focus of this project is to evaluate the feasibility and acceptability of delivering a digital intervention for pediatric asthma with RPM in the outpatient setting.
∙ PARENT-CHILD PAIR INCLUSION CRITERIA
• Caregivers must be at least 18 years old (defined as parent or legal guardian)
• The child (patient) has a diagnosis of asthma associated with a clinic visit in the electronic health record
• The child is between the ages of 4-17 years old at the time of recruitment
‣ The study is interested in the self-management of asthma by caregivers, whom are still primarily responsible for their child's chronic disease management.
⁃ Children younger than 4 years old will not be included in this study as the diagnosis of asthma is typically difficult to confirm in younger ages.
• The child is prescribed inhaled corticosteroid or corticosteroid/long-acting beta agonist combination for daily use. The patient can have an inhaled corticosteroid/long-acting beta agonist for both daily preventive and rescue use, as in Single Maintenance and Reliever Therapy (SMART).
• Persistent or un controlled asthma based on NHLBI guidelines40; Any 1 of the following:
‣ In past month, \>2 days per week with asthma symptoms
⁃ \>2 days per week with rescue medication use
⁃ \>2 days per month with nighttime awakenings (for children who are not taking a controller asthma medication) OR \>2 days per month with nighttime awakenings (for children who are currently taking a controller asthma medication)
⁃ \>2 asthma episodes during the past year that required systemic corticosteroids
• The child is a patient in Primary Care Uptown, Primary Care Deming, Allergy, or Pulmonary Clinics at LCH