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Telemedicine Enhanced Asthma Management - Uniting Providers for Teens (TEAM-UP for Teens)

2019-09-18 03:27:34 | BioPortfolio

Summary

Low-income, minority teenagers have disproportionately high rates of asthma morbidity, including excess risk of emergency department visits, hospitalizations, and death from asthma. Despite well established guidelines, under-treatment for asthma is common, particularly for poor urban teens. This study aims to test a novel, developmentally appropriate and scalable model of care to ensure optimal guideline-based treatment for urban teens with difficult to control asthma. The Telemedicine Enhanced Asthma Management-Uniting Providers for Teens (TEAM-UP Teens) program includes 3 core components: 1) An individualized asthma management plan developed at the start of the school year via a real-time, synchronous school-based telemedicine visit that directly connects the teen to an asthma specialist, 2) School-based directly observed therapy (DOT) to implement the medication plan and allow for teens to experience the benefits of consistent therapy, 3) Follow-up telehealth visits with a nurse asthma educator to facilitate ongoing care and provide developmentally appropriate self-management support. This study is a randomized trial of TEAM-UP for Teens vs an enhanced care (EC) control group (n=360, 12-16yrs). The study will capitalize on the existing community infrastructure by implementing both telemedicine visits and DOT in schools, and maintaining collaboration with the teen's primary care provider. The investigators will assess the effectiveness of TEAM-UP for Teens in reducing morbidity and improving guideline-based care (primary outcome: symptom-free days at 3, 6, 9, and 12 months) versus EC. At the study's completion, the program will be better defined as a sustainable means to improve care and reduce morbidity for high risk teens with moderate to severe persistent asthma.

Study Design

Conditions

Asthma in Children

Intervention

TEAM-UP for Teens, Enhanced Care (EC)

Status

Not yet recruiting

Source

University of Rochester

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-09-18T03:27:34-0400

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