Telehealth support for children with asthma after emergency room visits

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial evaluates the effectiveness of a Telehealth-Enhanced Asthma Care program for children aged 3-12 who have experienced an acute asthma exacerbation. Participants will receive educational resources in the emergency department, followed by virtual follow-up visits within a week of discharge and additional telehealth sessions to reinforce asthma management. The study aims to enroll 430 children and will track their progress over a 12-month period through caregiver surveys. The goal is to improve asthma control and management at home using telemedicine.

Why it matters

Who can join: the full rules

Inclusion Criteria (all criteria must be met):

* Physician diagnosis of asthma, based on review of medical records and/or caregiver report.
* Current emergency visit for an acute asthma exacerbation, requiring treatment with rescue medication.
* Persistent asthma or poor asthma control for which a daily controller medication is recommended by NHLBI guidelines, defined as any 1 of the following:

  1. \>2 days/wk with asthma symptoms in the past month,
  2. \>2 days/wk with rescue medication use in the past month,
  3. \>2 days/month with nighttime symptoms in the past month (vs. 1-2 nights per month if 3-4 years old), or
  4. ≥1 other episode of asthma during the past year that required systemic corticosteroids (vs. during the past 6 months if 3-4 years old).
* Child age between ≥3 and ≤12 years.
* Child and caregiver live in the greater Rochester, NY metropolitan area (Monroe, Wayne, Ontario, Livingston, Genesee, and Orleans Counties)
* Emergency severity index triage scores of 2-5 (total range 1-5; scores of 1 indicate the highest acuity and likelihood of hospitalization).

Exclusion Criteria:

* An inability to speak and understand English. Parents (and children) with low literacy / health-literacy skills will be eligible, as survey instruments will be administered verbally and educational materials will be designed for low-literacy populations.
* No access to a working phone for follow-up surveys (either at the subject's home or an easily accessible location). If a subject does not have access to an appropriate device for Zoom visits at home, we will provide a device with required data plan.
* Other significant medical conditions, including cystic fibrosis, congenital heart disease, or other chronic lung disease, that could interfere with the assessment of asthma-related measures.
* Children in foster care or other situations in which consent cannot be obtained from a legal guardian.

Where it's running

• University of Rochester Medical Center
  Rochester, New York, United States Recruiting

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.