Telehealth-Enhanced Asthma Care for Home After the Emergency Room (TEACH-ER)

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: >2 days/wk with asthma symptoms in the past month, >2 days/wk with rescue medication use in the past month, >2 days/month with nighttime symptoms in the past month (vs. 1-2 nights per month if 3-4 years old), or ≥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 Monroe County, NY. Exclusion Criteria: An inability to speak and understand either English or Spanish. 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.