Mobile CHESS Research on Emergency Medical Services for Children

移动CHESS儿童急救医疗服务研究

• 批准号: 7371301
• 负责人: DAVID H GUSTAFSON
• 金额: $ 65.9万
• 依托单位: UNIVERSITY OF WISCONSIN-MADISON
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-29 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7371301
• 关键词: Absenteeism; Adherence; Adolescent; Age; Asthma; Attitude; Caring; Case Manager; Characteristics; Child; Childhood Asthma; Clinical; Clinical Research; Collaborations; Collection; Communication; Competence; Computer Systems; Condition; Control Groups; County; Coupled; Daily; Data; Disease Management; Dropout; Education; Educational Materials; Effectiveness; Effectiveness of Interventions; Electronics; Emergency Care; Emergency Situation; Emergency medical service; Face; Family; Feedback; Health; Healthcare; Home environment; Hospitalization; Human Resources; Individual; Internet; Intervention; Just-in-time-concept; Low income; Managed Care; Measures; Mediator of activation protein; Medicaid; Medical; Modeling; Nature; Nurses; Outcome; Outcome Study; Parents; Personal Computers; Personal Digital Assistant; Pharmaceutical Preparations; Psychosocial Assessment and Care; Randomized; Randomized Controlled Trials; Rate; Recruitment Activity; Research; Resources; Schools; Score; Severities; Stress; Support Groups; Support System; System; Teenagers; Testing; Text; Tobacco smoke; Universities; Upper arm; Visit; Wisconsin; base; cost effectiveness; ethnic minority population; experience; follow-up; health care service utilization; improved; inner city; insight; intervention program; literacy; medication compliance; peer; pressure; programs; response; skills; skills training

DESCRIPTION (provided by applicant): This is a resubmission of Mobile CHESS Research on Emergency Medical Services for Children by the University of Wisconsin's Center for Health Enhancement Systems Studies in collaboration with the University of Wisconsin Pediatric Asthma Clinical Research Program and five managed care organizations (MCO's) in Milwaukee County. This randomized control trial's primary aims are to test whether an interactive PDA supporting low income teenagers (ages 12-18) with significant asthma and MCO nurse case managers can improve: asthma control and reduce asthma-related emergency, urgent care visits, and hospitalizations. Secondary aims include testing whether this system increases adherence to asthma control medication and reduces school absenteeism. We will also examine a mediational model to help explain mechanisms by which this system has its effects. Four hundred Medicaid recipients (ages 12-18) with an asthma related urgent care or emergency visit in the last 12-months will be recruited into this study. All will receive their care (and be identified through electronic claims data) from the five participating MCO's serving Medicaid recipients in Milwaukee County. We anticipate a 20% dropout rate during the 12 month intervention. Subjects will be randomly assigned to one of two study arms and will participate in a 12-month intervention plus a 12-month follow-up period. All subjects will receive PDAs. Control group PDAs will offer limited asthma information, and collect and transmit posttest data. The experimental group's PDA will also: 1-access the internet, 2-deliver extensive text, audio and video asthma-related educational material, 3-deliver automated reminders and 4-allow communication with support groups and case manager.

描述（由申请人提供）：这是威斯康星大学健康增强系统研究中心与威斯康星大学小儿哮喘临床研究计划和密尔沃基县五个管理式护理组织 (MCO) 合作重新提交的关于儿童紧急医疗服务的移动 CHESS 研究。这项随机对照试验的主要目的是测试交互式 PDA 是否可以为患有严重哮喘的低收入青少年（12-18 岁）和 MCO 护士病例管理者提供支持，从而改善：哮喘控制并减少与哮喘相关的紧急情况、紧急护理就诊和住院治疗。次要目标包括测试该系统是否可以提高哮喘控制药物的依从性并减少缺勤率。我们还将研究一个中介模型，以帮助解释该系统发挥作用的机制。本研究将招募 400 名在过去 12 个月内接受过哮喘相关紧急护理或紧急就诊的医疗补助受益者（12-18 岁）。所有人都将从密尔沃基县参与 MCO 的五个医疗补助接受者那里获得护理（并通过电子索赔数据进行识别）。我们预计在 12 个月的干预期间，辍学率为 20%。受试者将被随机分配到两个研究组之一，并参加为期 12 个月的干预和 12 个月的随访期。所有受试者都将收到 PDA。对照组 PDA 将提供有限的哮喘信息，并收集和传输测试后数据。实验组的 PDA 还将： 1- 访问互联网， 2- 提供大量与哮喘相关的文本、音频和视频教育材料， 3- 提供自动提醒， 4- 允许与支持小组和病例经理进行沟通。