Internet Based Patient-Centered Asthma Management System

描述(由申请人提供)：从卫生服务的角度来看，改善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、由联邦政府资助的研究项目的基础上，以开发和测试一个基于证据的互动互联网项目的能力，通过提高父母的哮喘护理技能，并激励父母与他们孩子的卫生保健提供者讨论哮喘护理的关键过程，来提高对患有哮喘的幼儿的护理质量。一个关键的特点将是提高卫生保健提供者提供哮喘护理的质量。AsthmaNet将向父母提供量身定做的临床信息，并为他们提供决策帮助，与他们的提供者分享。这项研究将评估基于网络的哮喘患者互动激活系统AsthmaNet在以下方面的有效性：(1)父母遵守可改善其子女哮喘相关生活质量的做法；(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(包括计算机干预)的不同之处在于，它向2至10岁哮喘儿童的父母提供循证指南和哮喘管理工具，考虑到他们的兴趣和自我管理技能，并向父母和提供者提供定期的、自动的、量身定制的反馈，以帮助激励和保持父母和提供者在临床会面期间的哮喘管理技能和行为。AsthmaNet将改善随机接受AsthmaNet治疗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：增加控制药物在患有哮喘H1的儿童中的适当使用。哮喘家庭的儿童更有可能在适当的时候得到提供者开出的控制性药物。目标2：改善哮喘处方药的依从性。H2。哮喘网络家庭儿童的父母将报告更多地遵守处方哮喘药物的目标3：增加书面哮喘护理计划的使用H3。哮喘网络家庭的儿童将更有可能使用书面护理计划进行报告。目的4：减少儿童哮喘H4的症状天数。哮喘家庭中的儿童将经历较少的症状天数。

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.