Telemedicine Enhanced Asthma Management - Uniting Providers for Teens (TEAM-UP for Teens)
Asthma in Children
About this trial
This is an interventional health services research trial for Asthma in Children
Eligibility Criteria
Inclusion Criteria:
- Physician-diagnosed asthma (based on caregiver report with validation from teen's physician).
- Moderate-severe persistent severity (requiring Step 3 or higher care) or asthma that is uncontrolled despite therapy
- Age >=12 and =<16 years
- Residence in the City of Rochester
Exclusion Criteria:
- Inability to speak and understand either English or Spanish. (*Participants unable to read will be eligible, and all instruments will be given verbally.)
- Current participation in an asthma study
- Received specialist care in prior 3 months
- Planning to move outside of Rochester in less than 6 months
- Having other significant medical conditions (congenital heart disease, cystic fibrosis, other chronic lung disease) that could interfere with the assessment of asthma-related measures
- In foster care or other situations in which consent cannot be obtained from a guardian
Sites / Locations
- Department of Pediatrics, University of RochesterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
TEAM-UP for Teens Intervention
Enhanced Care Comparison
TEAM-UP for Teens pairs school-based and video-supported directly observed therapy (DOT) of daily preventive asthma medications with specialist care and ongoing self-management support using live, real-time telemedicine through school.
Teens in the EC group will receive a symptom assessment and asthma education materials at baseline, and their PCPs will be contacted by facsimile or email to recommend DOT of preventive asthma medication through school as well as referral to an asthma specialist. Systematic reminders will be sent to the family and PCPs to schedule recommended healthcare visits and consider specialist referral at the same intervals as the TEAM-UP group's virtual visits.