Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
106 participants
INTERVENTIONAL
2009-08-31
2015-03-31
Brief Summary
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Specific aims:
1. The investigators will examine changes in asthma symptoms control and other health outcomes such as activity levels and family/child emotional health in the intervention group compared to a usual care group.
2. The investigators will examine changes in asthma knowledge, self-efficacy, and quality of life in the intervention participants and their caregivers compared to a usual care group.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Intervention Group
Participants, caregivers and school nurse will attend telemedicine education sessions at school.
Telemedicine Education
Student Asthma Education. Each student will engage in 6 age-appropriate sessions on various aspects of asthma health.
Caregiver Asthma Education. The primary caregiver will engage in 2 asthma education sessions.
School Nurse Asthma Education. School nurses will participate in 2 sessions.
Primary Care Provider (PCP) Communication. The PCP of the intervention group participant will be notified of his/her patient's baseline asthma assessment. They will receive updates summarizing each telemedicine intervention.
Usual care
Usual care participant will receive routine care from their primary care provider.
Usual care
Participants will receive asthma care by their PCP with no education sessions or PCP communications by the research staff.
Interventions
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Telemedicine Education
Student Asthma Education. Each student will engage in 6 age-appropriate sessions on various aspects of asthma health.
Caregiver Asthma Education. The primary caregiver will engage in 2 asthma education sessions.
School Nurse Asthma Education. School nurses will participate in 2 sessions.
Primary Care Provider (PCP) Communication. The PCP of the intervention group participant will be notified of his/her patient's baseline asthma assessment. They will receive updates summarizing each telemedicine intervention.
Usual care
Participants will receive asthma care by their PCP with no education sessions or PCP communications by the research staff.
Eligibility Criteria
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Inclusion Criteria
* Active symptoms include one or more of the following:
* experience daytime wheezing, shortness of breath, and/or coughing two or more times a week for the last 4 weeks;
* nighttime wheezing, shortness of breath and/or cough more than once a week;
* take asthma medication more than two days a week;
* have been treated in a hospital or emergency department two or more times in the last two years for asthma symptoms;
* have been treated in a hospital or emergency department two or more times in the last two years for asthma symptoms have episodes of asthma-like symptoms when playing/exercising.
* Potentially eligible participants will be screened using an asthma screener to confirm eligibility.
Exclusion Criteria
* The primary caregiver and child will be asked questions via telephone interview about how asthma affects the child every day. Children with no telephone number or contact telephone number will be excluded.
7 Years
17 Years
ALL
Yes
Sponsors
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University of Arkansas
OTHER
Arkansas Children's Hospital Research Institute
OTHER
Responsible Party
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Principal Investigators
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Tamara T. Perry, M.D., FAAP
Role: PRINCIPAL_INVESTIGATOR
University of Arkansas
Locations
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Arkansas Children's Hospital Research Institute
Little Rock, Arkansas, United States
Countries
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References
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Perry TT, Vargas PA, McCracken A, Jones SM. Underdiagnosed and uncontrolled asthma: findings in rural schoolchildren from the Delta region of Arkansas. Ann Allergy Asthma Immunol. 2008 Oct;101(4):375-81. doi: 10.1016/S1081-1206(10)60313-4.
Perry TT, Vargas PA, Brown RH et al. Asthma morbidity in high risk rural children in the delta region of Arkansas. J Allergy Clin Immunol. 2008;121:S231
Dey AN, Schiller JS, Tai DA. Summary health statistics for U.S. children: National Health Interview Survey, 2002. Vital Health Stat 10. 2004 Mar;(221):1-78.
Weitzman M, Gortmaker S, Sobol A. Racial, social, and environmental risks for childhood asthma. Am J Dis Child. 1990 Nov;144(11):1189-94. doi: 10.1001/archpedi.1990.02150350021016.
Yeatts K, Davis KJ, Sotir M, Herget C, Shy C. Who gets diagnosed with asthma? Frequent wheeze among adolescents with and without a diagnosis of asthma. Pediatrics. 2003 May;111(5 Pt 1):1046-54. doi: 10.1542/peds.111.5.1046.
Chrischilles E, Ahrens R, Kuehl A, Kelly K, Thorne P, Burmeister L, Merchant J. Asthma prevalence and morbidity among rural Iowa schoolchildren. J Allergy Clin Immunol. 2004 Jan;113(1):66-71. doi: 10.1016/j.jaci.2003.09.037.
Vargas PA, Simpson PM, Gary Wheeler J, Goel R, Feild CR, Tilford JM, Jones SM. Characteristics of children with asthma who are enrolled in a Head Start program. J Allergy Clin Immunol. 2004 Sep;114(3):499-504. doi: 10.1016/j.jaci.2004.05.025.
Vargas PA, Simpson PM, Bushmiaer M, Goel R, Jones CA, Magee JS, Feild CR, Jones SM. Symptom profile and asthma control in school-aged children. Ann Allergy Asthma Immunol. 2006 Jun;96(6):787-93. doi: 10.1016/S1081-1206(10)61340-3.
Nash C, Ochoa ER. Arkansas Racial and Ethnic Health Disparity Study Report. Little Rock, AR: Arkansas Minority Health Commission, 2004.
National Asthma Education and Prevention Program Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. National Heart Lung and Blood Insitutute. 2007.
Butz A, Pham L, Lewis L, Lewis C, Hill K, Walker J, Winkelstein M. Rural children with asthma: impact of a parent and child asthma education program. J Asthma. 2005 Dec;42(10):813-21. doi: 10.1080/02770900500369850.
Bursch B, Schwankovsky L, Gilbert J, Zeiger R. Construction and validation of four childhood asthma self-management scales: parent barriers, child and parent self-efficacy, and parent belief in treatment efficacy. J Asthma. 1999;36(1):115-28. doi: 10.3109/02770909909065155.
Other Identifiers
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110807
Identifier Type: -
Identifier Source: org_study_id
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