Effectiveness of Telemedicine Home Assessments for Identification and Reduction of Asthma Triggers

Asthma in Children Clinical Trial

Official title:

Effectiveness of Telemedicine Home Assessments for Identification and Reduction of Asthma Triggers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04896502
• Other study ID #: 239759
• Status: Completed
• Phase: N/A
• Start date: September 26, 2019
• Est. completion date: September 1, 2022

Study information

• Verified date: April 2022
• Source: University of Arkansas
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study is about comparing asthma home assessments/interventions by telemedicine compared to providing education alone. Interactive Video (IAV) defines telemedicine. It allows two-way communication in real-time with both audio and visual communication between the subject and someone from the study team. It is similar to using Face Time on a mobile device. Asthma home assessments/interventions are used to identify things in a home that can make asthma symptoms worse, called triggers. Reducing these triggers in the home can improve asthma.

Description:

In this study, supplies will be given to some participants to help reduce or remove triggers from the home. One example is dust mites. These are microscopic bugs that are found in every home, cannot be seen by the naked eye, and make asthma symptoms worse. Part of the study includes collecting two dust samples from home to check dust mite levels at the beginning of the study and at the end. This study may help elucidate whether telemedicine home assessments work better than education alone at lowering dust mite levels and improving a child's asthma symptoms.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: September 1, 2022
• Est. primary completion date: August 8, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 5 Years to 18 Years

Eligibility

Inclusion Criteria:

1. Age = 5 years and = 18 years

2. Have a diagnosis of persistent asthma as defined by national guidelines criteria1

3. Patient receives care in Arkansas Children's Hospital (ACH) primary care, in patient and/or specialty clinics

4. Patient has had at least one or more acute exacerbations of asthma within the 12 months prior to enrollment that led to an emergency department visit, hospital admission, or prescription for systemic steroids

5. English speaking participants/parents

6. Access to WIFI, smartphone or mobile device (tablet)

Exclusion Criteria:

1. Age <5 or >18 years

2. Non-English speaking participants/parents

3. Patients not receiving primary and/or asthma specialty care or inpatient services at ACH

4. Inability of patient or family to participate in TM evaluation due to lack of access to WIFI or smartphone or mobile device

Related Conditions & MeSH terms

• Asthma
• Asthma in Children

Intervention

Behavioral:
• Standard of Care Education
Education regarding recognition and removal of in-home asthma triggers

Other:
• Interactive Video (IAV) Telemedicine
Interactive video assessment of asthma triggers in the home.

Locations

Country	Name	City	State
United States	Arkansas Children's Hospital	Little Rock	Arkansas

Sponsors (1)

Lead Sponsor	Collaborator
University of Arkansas

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in asthma-related triggers	Changes in dust mite levels in home collected dust	4 months
Secondary	Changes in Asthma Control Test (ACT)	from baseline to 6 months	6 months
Secondary	Changes in healthcare utilization	measured as either an increase or decrease in visits to a healthcare provider and/or medication pick-up from baseline to end of study	6 months
Secondary	Patient Satisfaction	as assessed via survey	6 months