Trial Outcomes & Findings for Telemedicine Enhanced Asthma Management - Uniting Providers (NCT NCT03545906)

NCT ID: NCT03545906

Last Updated: 2025-09-17

Results Overview

Mean number of symptom-free days in the prior 14 days (range 0-14)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

326 participants

Primary outcome timeframe

3 months after baseline

Results posted on

2025-09-17

Participant Flow

Participant milestones

Participant milestones
Measure
TEAM-UP Intervention Group
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Overall Study
STARTED
163
163
Overall Study
COMPLETED
139
137
Overall Study
NOT COMPLETED
24
26

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Telemedicine Enhanced Asthma Management - Uniting Providers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TEAM-UP Intervention Group
n=162 Participants
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=163 Participants
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Total
n=325 Participants
Total of all reporting groups
Age, Continuous
8.2 years
STANDARD_DEVIATION 2.3 • n=93 Participants
8.5 years
STANDARD_DEVIATION 2.5 • n=4 Participants
8.35 years
STANDARD_DEVIATION 2.4 • n=27 Participants
Sex: Female, Male
Female
62 Participants
n=93 Participants
68 Participants
n=4 Participants
130 Participants
n=27 Participants
Sex: Female, Male
Male
100 Participants
n=93 Participants
95 Participants
n=4 Participants
195 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
54 Participants
n=93 Participants
59 Participants
n=4 Participants
113 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
108 Participants
n=93 Participants
104 Participants
n=4 Participants
212 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
1 Participants
n=4 Participants
1 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
96 Participants
n=93 Participants
91 Participants
n=4 Participants
187 Participants
n=27 Participants
Race (NIH/OMB)
White
8 Participants
n=93 Participants
9 Participants
n=4 Participants
17 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
22 Participants
n=93 Participants
28 Participants
n=4 Participants
50 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
36 Participants
n=93 Participants
34 Participants
n=4 Participants
70 Participants
n=27 Participants
Region of Enrollment
United States
162 participants
n=93 Participants
163 participants
n=4 Participants
325 participants
n=27 Participants
Public Insurance
128 Participants
n=93 Participants
132 Participants
n=4 Participants
260 Participants
n=27 Participants
Symptom-free days over 2 weeks
6.36 days
STANDARD_DEVIATION 5.1 • n=93 Participants
6.84 days
STANDARD_DEVIATION 5.3 • n=4 Participants
6.6 days
STANDARD_DEVIATION 5.2 • n=27 Participants

PRIMARY outcome

Timeframe: 3 months after baseline

Mean number of symptom-free days in the prior 14 days (range 0-14)

Outcome measures

Outcome measures
Measure
TEAM-UP Intervention Group
n=154 Participants
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=149 Participants
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Mean Symptom-Free Days in Prior 14 Days
9.21 days
Standard Deviation 4.8
8.21 days
Standard Deviation 5.0

PRIMARY outcome

Timeframe: 5 months after baseline

Mean number of symptom-free days in the prior 14 days (range 0-14)

Outcome measures

Outcome measures
Measure
TEAM-UP Intervention Group
n=147 Participants
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=150 Participants
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Mean Symptom-Free Days in Prior 14 Days
10.4 days
Standard Deviation 4.5
9.1 days
Standard Deviation 4.8

PRIMARY outcome

Timeframe: 7 months after baseline

Mean number of symptom-free days in the prior 14 days (range 0-14)

Outcome measures

Outcome measures
Measure
TEAM-UP Intervention Group
n=143 Participants
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=142 Participants
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Mean Symptom-Free Days in Prior 14 Days
10.1 days
Standard Deviation 4.9
8.9 days
Standard Deviation 5.0

PRIMARY outcome

Timeframe: 12 months after baseline

Mean number of symptom-free days in the prior 14 days (range 0-14)

Outcome measures

Outcome measures
Measure
TEAM-UP Intervention Group
n=139 Participants
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=137 Participants
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Mean Symptom-Free Days in Prior 14 Days
9.6 days
Standard Deviation 5.1
8.9 days
Standard Deviation 5.4

Adverse Events

TEAM-UP Intervention Group

Serious events: 12 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Care Comparison Group

Serious events: 10 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TEAM-UP Intervention Group
n=163 participants at risk
TEAM-UP Intervention Group: Children randomly assigned to TEAM-UP will have a telemedicine assisted specialist visit scheduled after approximately 4 weeks of initiating DOT at school, as well as up to 2 subsequent follow-up visits. The visits will be performed by a specialist in pediatric asthma, to implement guideline-based care. Prescriptions for asthma medications will be prescribed to be delivered as directly observed therapy in school.
Enhanced Care Comparison Group
n=163 participants at risk
Enhanced Care Comparison: Similar to the TEAM-UP group, children in the Enhanced Care group will receive a symptom assessment and asthma education materials at baseline, and we will contact the PCP by facsimile or email and will recommend DOT of preventive asthma medication through school as well as a referral to specialist. However specialist visits will not be facilitated via telemedicine.
Respiratory, thoracic and mediastinal disorders
Hospitalizations due to asthma
7.4%
12/163 • 1 year
6.1%
10/163 • 1 year

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jill Halterman

University of Rochester

Phone: 5852755798

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place