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）：从健康服务的角度来看，提高哮喘护理的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计划上，旨在开发和测试循证的互联网计划，通过增强父母哮喘护理技能和激活父母与孩子的医疗保健提供者讨论哮喘的关键过程，以提高哮喘的幼儿的护理质量。一个关键特征将是提高医疗保健提供者哮喘护理的质量。 Asthmanet将为父母提供量身定制的临床信息，并为他们提供与提供者分享的决策辅助工具。这项研究将衡量基于互动网络的哮喘患者激活系统Asthanet在改变（1）父母对可以改善其子女哮喘相关生活质量以及（2）初级保健提供者的处方行为和慢性病管理方面的效率。哮喘与其他哮喘干预措施（包括计算机干预措施）不同，因为它向具有2至10岁儿童的父母提供了基于证据的指南和哮喘管理工具，并注意了他们的兴趣和自我管理技能，并在培养和维持阶段的管理技能和行为方面，为父母和提供者提供了定期，自动化，自动化，自动化，量身定制的，以供态度和行为。哮喘病将导致随机分解为哮喘的受试者之间的过程和护理结果。我们的四个特定目的和假设是：目标1：增加哮喘H1儿童的适当使用控制器药物。哮喘家庭中的儿童将在适当的情况下更有可能将其提供者处方。目标2：通过规定的哮喘药物提高依从性。 H2。哮喘家庭中儿童的父母将报告更大程度地遵守规定的哮喘药物的目的3：增加对书面哮喘护理计划H3的使用。哮喘家庭中的儿童更有可能使用书面护理计划报告。目标4：减少哮喘H4儿童的​​症状天数。哮喘家庭中的儿童会遇到较少的症状日。