Results of an asthma education program delivered via telemedicine in rural schools

Perry, Tamara T.; Halterman, Jill S.; Brown, Rita; Luo, Cheng; Randle, Shemeka M.; Hunter, Cassandra R.; Rettiganti, Mallikarjuna

doi:10.1016/j.anai.2018.02.013

Cited by 52 publications

(88 citation statements)

References 41 publications

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“…34 Another program in Arkansas enrolled 7-to 14-year-old students to receive asthma education by an asthma specialist via TM with follow-up treatment recommendations. 35 This program demonstrated improved use of peak flows and medication use compared with usual care, but there was no change in asthma outcomes. This was felt to be due to the low (61%) participation rate of participants.…”

Section: School-based Tmmentioning

confidence: 92%

Telemedicine and emerging technologies for health care in allergy/immunology

Portnoy

Pandya

Waller

et al. 2020

Journal of Allergy and Clinical Immunology

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Telemedicine (TM) has become a popular method of accessing medical services between providers and patients and is viewed as a cost-effective alternative to more traditional episodic faceto-face encounters. TM overcomes 2 barriers that patients face when seeking health care: distance and time. It is as effective as in-person visits for outpatient treatment of asthma, and it is a convenient way to provide inpatient consultations for patients when the allergist practices outside of the hospital. TM also has been used to manage patients with asthma in schools. Patients tend to be as satisfied with TM or they prefer TM over in-person visits, but infrequently they do prefer in-person visits. In addition to virtual visits using TM, there are several emerging technologies that are relevant to the practice of allergy/ immunology including electronic diaries (eg, symptoms and medication use), wearable technology (eg, to monitor activity and vital signs), remote patient monitoring (eg, environmental exposures and medication adherence) as well as electronic medical records augmented with clinical decision support. We believe that the use of TM, particularly when combined with information technologies such as electronic health records, has the potential to cause a transformational change in the way care is delivered by altering the process of interaction between patient and provider. TM addresses the shortage of allergy specialists in rural and underserved urban communities and facilitates patient access to allergy services. As patients take more control of their health care, use of TM is likely to increase because a large part of the move to adopt TM is driven by patient preference. (J Allergy Clin Immunol 2020;145:445-54.)

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Section: School-based Tmmentioning

confidence: 92%

Telemedicine and emerging technologies for health care in allergy/immunology

Portnoy

Pandya

Waller

et al. 2020

Journal of Allergy and Clinical Immunology

View full text Add to dashboard Cite

show abstract

“…21 Outcomes reported included SFDs, symptom(s) frequency, QOL measures, health care utilization, school absences, and spirometry. Interventions included asthma education and management programs delivered and/or monitored via telemedicine visits, 14,18,19 direct asthma provider visits delivered via telemedicine, 15,16,19 and direct observed therapy of asthma medications at school supplemented with telemedicine visits and monitoring. 17 Outcome measures presented in only 1 study are not discussed in this review.…”

Section: T a G G E D H 2 Study Quality Assessment And Data Collectionmentioning

confidence: 99%

“…Three studies examined asthma SFDs, reporting results as a mean number of SFDs per 2-week 17,18 or 1-week recall period. 19 We standardized these means to 1-week periods for graphical comparison across studies (Supplemental Fig.…”

Section: T a G G E D H 2 Study Quality Assessment And Data Collectionmentioning

confidence: 99%

“…19 Perry 2018 showed no significant difference in mean SFDs per 2-week recall period in either intervention or control clusters from baseline. 18 T…”

Section: T a G G E D H 2 Study Quality Assessment And Data Collectionmentioning

confidence: 99%

“…Six studies evaluated QOL using measures such as the Child Health Survey for Asthma (CHSA), 14,15,18 the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) for patients, 18,19 the Pediatric Asthma Caregiver Quality of Life Questionnaire for caregivers (PACQLQ), 17,19,20 and the Pediatric Quality of Life Inventory 3.0 Asthma Module (PedsQL). 18 A detailed description and comparison of these pediatric asthma-related QOL measures has been previously published. 22 Romano 2001 showed increased caregiver total QOL at week 4 (mean PACQLQ score 5.75, P = .02) and 24 (6.2, P < .01) compared to week 0 (5.15), as well as increased patient QOL score at week 24 compared to week 0 (mean PAQLQ scores 5.75 vs 5.2, P < .01).…”

Section: T a G G E D H 2 Study Quality Assessment And Data Collectionmentioning

confidence: 99%

See 2 more Smart Citations

School-Based Telemedicine Interventions for Asthma: A Systematic Review

Kim

Lieng

Gee

et al. 2020

Academic Pediatrics

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Asthma academy: A student nurse‐led telehealth education program for low‐income family caregivers of children with asthma

et al. 2021

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Asthma is the most common long-term illness in children in the UnitedStates that affects 8.5% of all children (Miller et al., 2016). According to the Agency for Healthcare Research and Quality, asthma represented the most common and most expensive reason for potentially preventable hospital stays in children in 2017, with 53,900 hospital stays and $278.1 million in aggregate costs (McDermott & Jiang, 2020). Asthma is associated with high Emergency Department (ED) and Urgent Care Clinic (UCC) utilization in children-almost twice as many compared to adults (Pate et al., 2021). Research hasshown that avoidable ED visits for acute asthma are prevalent in children, which contributes to a heavy cost burden of paediatric asthma on governments, healthcare systems, and on patients and families (Beydon et al., 2016).Health disparities are an important factor to consider in paediatric asthma. Paediatric asthma is more prevalent among children from low-income families and among non-Hispanic Black children and those of Puerto Rican descent when compared to non-Hispanic White children (Zahran et al., 2018). Furthermore, health disparities are implicated in asthma-related ED visits and eventual hospitalizations. In low-income families, Black children were less likely to be

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Results of an asthma education program delivered via telemedicine in rural schools

Abstract: ClinicalTrials.gov Identifier: NCT01167855.

Cited by 52 publications

References 41 publications

Telemedicine and emerging technologies for health care in allergy/immunology

Telemedicine and emerging technologies for health care in allergy/immunology

School-Based Telemedicine Interventions for Asthma: A Systematic Review

Asthma academy: A student nurse‐led telehealth education program for low‐income family caregivers of children with asthma

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