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，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，旨在开发和测试一种循证的、互动的互联网项目，通过提高父母的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护理的关键过程，来提高哮喘幼儿护理质量的能力。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将为父母提供量身定制的临床信息，并为他们提供决策辅助，以便与他们的提供者分享。本研究将评估基于网络的哮喘患者激活系统AsthmaNet在改变（1）父母对可以改善其子女哮喘相关生活质量的实践的依从性和（2）初级保健提供者的处方行为和慢性病管理方面的有效性。AsthmaNet与其他哮喘干预措施不同（包括计算机化干预），因为它向2至10岁哮喘儿童的父母提供循证指南和哮喘管理工具，注意他们的兴趣和自我管理技能，并提供定期、自动化、量身定制的，反馈给家长和提供者，以帮助激励和维持哮喘管理技能和行为的家长和提供者在临床相遇。AsthmaNet将改善随机分配至AsthmaNet的受试者的护理过程和结局。我们的四个具体目标和假设是：目标1：增加控制药物在儿童哮喘H1的适当使用。哮喘网络家庭中的儿童更有可能在适当的时候由他们的提供者开出控制药物。目的2：提高处方哮喘药物的依从性。H2。AsthmaNet家庭中儿童的父母将报告更大的依从性处方哮喘药物目标3：增加使用书面哮喘护理计划H3。AsthmaNet家庭的儿童更有可能使用书面护理计划。目的4：减少H4哮喘儿童的症状天数。AsthmaNet家庭的儿童将经历更少的症状日。

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.