Trial Outcomes & Findings for Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3 (NCT NCT01966068)
NCT ID: NCT01966068
Last Updated: 2016-10-17
Results Overview
Implementation success was measure by comparing the of the number of enrolled families (parent/guardian) who logged on to the MyAsthma Portal once (adoption) with the number of enrolled families (parent/guardian) who logged on more than once (sustained use). Parents/guardians were asked to log on and complete the same survey on the MyAsthma Portal 3 times during a 6 month period.
COMPLETED
NA
294 participants
Up to 6 Months
2016-10-17
Participant Flow
Subjects were recruited from 2 practice-based research networks. To ensure low-income children were represented, practices were required to have at least 20% insured by Medicaid or the Children's Health Insurance Program. 9,133 families were invited to enroll.
294 parents/guardians of 294 children consented to participate in the study. Of these, 237 logged onto the MyAsthma portal at least once.
Participant milestones
| Measure |
MyAsthma Web Portal
The portal, MyAsthma, provided asthma education, collected patient-reported outcomes, evaluated medication use and side effects, and tracked parents' concerns and goals. Parents logged into the web portal each month, and the information entered by parents was shared through the electronic health record with the child's primary care provider.
|
|---|---|
|
Overall Study
STARTED
|
294
|
|
Overall Study
Used the MyAsthma Portal at Least Once
|
237
|
|
Overall Study
Use the MyAsthma Portal More Than Once
|
156
|
|
Overall Study
COMPLETED
|
156
|
|
Overall Study
NOT COMPLETED
|
138
|
Reasons for withdrawal
| Measure |
MyAsthma Web Portal
The portal, MyAsthma, provided asthma education, collected patient-reported outcomes, evaluated medication use and side effects, and tracked parents' concerns and goals. Parents logged into the web portal each month, and the information entered by parents was shared through the electronic health record with the child's primary care provider.
|
|---|---|
|
Overall Study
Withdrawal by Subject
|
57
|
|
Overall Study
Lost to Follow-up
|
81
|
Baseline Characteristics
Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3
Baseline characteristics by cohort
| Measure |
MyAsthma Web Portal Sustained Use
n=156 Participants
Subject (parent/guardian) logged on to the MyAsthma Web Portal and completed surveys more than once
|
MyAsthma Web Portal Adoption
n=81 Participants
Subject (parent/guardian) logged on to the MyAsthma Web Portal and completed surveys only once
|
Total
n=237 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
38.1 years
STANDARD_DEVIATION 5.5 • n=5 Participants
|
37.1 years
STANDARD_DEVIATION 6.5 • n=7 Participants
|
37.6 years
STANDARD_DEVIATION 6.0 • n=5 Participants
|
|
Age, Customized
6-9 Years
|
115 participants
n=5 Participants
|
60 participants
n=7 Participants
|
175 participants
n=5 Participants
|
|
Age, Customized
10-12 Years
|
41 participants
n=5 Participants
|
21 participants
n=7 Participants
|
62 participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
71 Participants
n=5 Participants
|
30 Participants
n=7 Participants
|
101 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
85 Participants
n=5 Participants
|
51 Participants
n=7 Participants
|
136 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
White
|
89 participants
n=5 Participants
|
55 participants
n=7 Participants
|
144 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Black/African American
|
54 participants
n=5 Participants
|
21 participants
n=7 Participants
|
75 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Asian
|
4 participants
n=5 Participants
|
0 participants
n=7 Participants
|
4 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other
|
7 participants
n=5 Participants
|
4 participants
n=7 Participants
|
11 participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Unkown
|
2 participants
n=5 Participants
|
1 participants
n=7 Participants
|
3 participants
n=5 Participants
|
|
Parent Education
High School or Less
|
17 participants
n=5 Participants
|
17 participants
n=7 Participants
|
34 participants
n=5 Participants
|
|
Parent Education
Some College/Associates
|
46 participants
n=5 Participants
|
35 participants
n=7 Participants
|
81 participants
n=5 Participants
|
|
Parent Education
Bachelor's or Higher
|
93 participants
n=5 Participants
|
29 participants
n=7 Participants
|
122 participants
n=5 Participants
|
|
Parent Employment Status
Working Outside the Home
|
111 participants
n=5 Participants
|
46 participants
n=7 Participants
|
157 participants
n=5 Participants
|
|
Parent Employment Status
Self-Employed
|
5 participants
n=5 Participants
|
8 participants
n=7 Participants
|
13 participants
n=5 Participants
|
|
Parent Employment Status
Working Without Pay
|
25 participants
n=5 Participants
|
18 participants
n=7 Participants
|
43 participants
n=5 Participants
|
|
Parent Employment Status
Unemployed
|
15 participants
n=5 Participants
|
9 participants
n=7 Participants
|
24 participants
n=5 Participants
|
|
Parent's Relation to Child
Mother
|
149 participants
n=5 Participants
|
79 participants
n=7 Participants
|
228 participants
n=5 Participants
|
|
Parent's Relation to Child
Other
|
7 participants
n=5 Participants
|
2 participants
n=7 Participants
|
9 participants
n=5 Participants
|
|
Child's Asthma Severity
Intermittent
|
37 participants
n=5 Participants
|
12 participants
n=7 Participants
|
49 participants
n=5 Participants
|
|
Child's Asthma Severity
Mild Persistent
|
39 participants
n=5 Participants
|
12 participants
n=7 Participants
|
51 participants
n=5 Participants
|
|
Child's Asthma Severity
Moderate/Severe Persistent
|
17 participants
n=5 Participants
|
2 participants
n=7 Participants
|
19 participants
n=5 Participants
|
|
Child's Asthma Severity
Unknown
|
63 participants
n=5 Participants
|
55 participants
n=7 Participants
|
118 participants
n=5 Participants
|
|
Medical Practice Setting
Urban
|
44 participants
n=5 Participants
|
20 participants
n=7 Participants
|
64 participants
n=5 Participants
|
|
Medical Practice Setting
Rural
|
29 participants
n=5 Participants
|
23 participants
n=7 Participants
|
52 participants
n=5 Participants
|
|
Medical Practice Setting
Suburban
|
83 participants
n=5 Participants
|
38 participants
n=7 Participants
|
121 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: Up to 6 MonthsPopulation: Analysis population included every subject (parent/guardian) who logged on to the MyAsthma Web Portal at least once.
Implementation success was measure by comparing the of the number of enrolled families (parent/guardian) who logged on to the MyAsthma Portal once (adoption) with the number of enrolled families (parent/guardian) who logged on more than once (sustained use). Parents/guardians were asked to log on and complete the same survey on the MyAsthma Portal 3 times during a 6 month period.
Outcome measures
| Measure |
MyAsthma Web Portal Sustained Use
n=237 Participants
Subject (parent/guardian) logged on to the MyAsthma Web Portal and completed surveys more than once
|
MyAsthma Portal Adoption
n=237 Participants
Subject (parent/guardian) logged on to the MyAsthma Web Portal and completed surveys only once.
|
|---|---|---|
|
Difference Between Number of Families Who Adopted MyAsthma Portal Use and Number of Families With Sustained Use
|
156 participants
|
81 participants
|
Adverse Events
MyAsthma Web Portal
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Alexander Fiks, MD, MSCE
Children's Hospital of Philadelphia
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place