Internet Based Patient-Centered Asthma Management System

基于互联网的以患者为中心的哮喘管理系统

• 批准号: 7142118
• 负责人: DIMITRI A CHRISTAKIS
• 金额: $ 77.39万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-25 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7142118
• 关键词: Internet; asthma; behavioral /social science research tag; child (0-11); clinical research; computer assisted patient care; health care service evaluation; health services research tag; human subject; interactive multimedia; motivation; outpatient care; parent offspring interaction; patient care personnel relations; patient oriented research; respiratory disorder chemotherapy; therapy compliance

DESCRIPTION (provided by applicant): From a Health Services perspective, improving the quality of asthma care remains a critical objective. This randomized controlled trial builds on several separate, ongoing, federally-funded research programs to develop and test an evidence-based, interactive internet program's ability to improve the quality of care for young children with asthma by enhancing parents asthma care skills and activating parents to discuss key processes of asthma care with their child's health care provider. A critical feature will be to improve the quality of asthma care delivery by health care providers. AsthmaNet will provide tailored clinical information to parents as well as give them decision aids to share with their providers. This study will gauge the effectiveness of an interactive web-based asthma patient activation system, AsthmaNet, in changing (1) parents' adherence to practices that can improve their children's asthma related quality of life and (2) primary care providers' prescribing behavior and chronic disease management. AsthmaNet differs from other asthma interventions (including computerized interventions) in that it delivers evidence-based guidelines and asthma management tools to parents of children with asthma between the ages of 2 and 10 years mindful of their interest and self-management skills and provides periodic, automated, tailored, feedback to parents and providers to help motivate and maintain asthma management skills and behaviors of both parents and providers during clinical encounters. AsthmaNet will result in improved processes and outcomes of care among subjects randomized to AsthmaNet. Our four specific aims and hypotheses are: Aim 1: To increase the appropriate use of controller medication in children with asthma H1. Children in AsthmaNet families will be more likely to have controller medication prescribed by their provider when appropriate. Aim 2: To improve adherence with prescribed asthma medications. H2. Parents of children in AsthmaNet families will report greater adherence to prescribed asthma medications Aim 3: To increase the use of written asthma care plans H3. Children in AsthmaNet families will be more likely to report using written care plans. Aim 4: to decrease the number of symptom days for children with asthma H4. Children in AsthmaNet families will experience fewer symptom days.

描述（由申请人提供）：从卫生服务的角度来看，提高哮喘护理质量仍然是一个关键目标。这项随机对照试验建立在几个独立的、正在进行的、联邦资助的研究项目的基础上，旨在开发和测试基于证据的交互式互联网项目的能力，通过提高父母的哮喘护理技能并激励父母提高哮喘幼儿的护理质量。与孩子的医疗保健提供者讨论哮喘护理的关键流程。一个关键特征是提高医疗保健提供者提供的哮喘护理质量。 AsthmaNet 将为家长提供量身定制的临床信息，并为他们提供决策帮助，以便与他们的医疗服务提供者分享。这项研究将评估基于网络的交互式哮喘患者激活系统 AsthmaNet 的有效性，它可以改变 (1) 父母对可改善孩子哮喘相关生活质量的做法的坚持，以及 (2) 初级保健提供者的处方行为和慢性病管理。 AsthmaNet 与其他哮喘干预措施（包括计算机化干预措施）的不同之处在于，它为 2 至 10 岁哮喘儿童的家长提供循证指南和哮喘管理工具，关注他们的兴趣和自我管理技能，并定期提供向家长和提供者提供自动化、定制的反馈，以帮助激发和维持父母和提供者在临床接触期间的哮喘管理技能和行为。 AsthmaNet 将改善随机分配到 AsthmaNet 的受试者的护理过程和结果。我们的四个具体目标和假设是： 目标 1：增加 H1 型哮喘儿童控制药物的适当使用。 AsthmaNet 家庭中的儿童更有可能在适当的时候使用其提供者开出的控制药物。目标 2：提高哮喘处方药物的依从性。 H2。 AsthmaNet 家庭中儿童的家长将报告更严格地遵守处方哮喘药物 目标 3：增加书面哮喘护理计划的使用 H3。 AsthmaNet 家庭中的儿童将更有可能使用书面护理计划进行报告。目标 4：减少 H4 型哮喘儿童的症状天数。 AsthmaNet 家庭中的儿童出现症状的天数将会减少。