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This project seeks to test and refine an adapted/expanded version of a previously created ASTHMAXcel app.
The study will test the adapted app on participants ages 15-21 (recruited from outpatient primary and specialty care sites at Montefiore) with asthma, for a period of 4 and a half months, and will conduct formative and summative evaluation of the application's functionality and usability. The investigators will also be collecting process and clinical outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | This group will download the ASTHMAXcel application and use it for the duration of the study |
|
| Usual Care Arm | No Intervention | This group will just receive normal provider care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ASTHMAXcel App | Other | ASTHMAXcel includes interactive games, educational videos, quizzes and personalized feedback to teach different aspects of asthma management. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline Asthma Control to 3 Month Asthma Control | Asthma symptom burden as measured by the Asthma Control Test Score Scale: 5 (min = worse); 25 (max = better outcome) | Post-Refinement Baseline, 3 Months |
| Change from Baseline Asthma Control to 3 Month Asthma Control | Asthma symptom burden as measured by the Asthma Control Test Score Scale: 5 (min = worse); 25 (max = better outcome) | Post-Refinement Baseline, 4 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Asthma Symptom Perception | Ability of participants to perceive their asthma symptoms by using the ASTHMAXcel app and a peak flowmeter | Week 2, Week 4 , Week 6 (Pre and Post Refinement) |
| Asthma Knowledge |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sunit Jariwala, MD | Montefiore Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Montefiore Medical Center | The Bronx | New York | 10467 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35691614 | Derived | Chan A, De Simoni A, Wileman V, Holliday L, Newby CJ, Chisari C, Ali S, Zhu N, Padakanti P, Pinprachanan V, Ting V, Griffiths CJ. Digital interventions to improve adherence to maintenance medication in asthma. Cochrane Database Syst Rev. 2022 Jun 13;6(6):CD013030. doi: 10.1002/14651858.CD013030.pub2. |
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| ID | Term |
|---|---|
| D001249 | Asthma |
| ID | Term |
|---|---|
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
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Study will eventually compare health outcomes between a group given the ASTHMAXcel intervention and a group given Usual Care
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Will use the Child Asthma Illness Representation Survey (AIRS) to asses patients knowledge on asthma as well as their attitudes towards their condition.
Score Scale: 4 (min = worse outcome); 20 (max = better outcome)
| Post-Refinement Baseline, 3 Month |
| Medication Adherence | Self-reported adherence by patient using Medication Adherence Report Scale Score Scale: 10 (min = worse outcome); 50 (max = better outcome) | Post-Refinement Baseline, 3 Month |
| Asthma Quality of Life | Quality of life of participants, measured by mini-Asthma Quality of Life Questionnaire Score Scale: 15 (min = worse outcome); 105 (max = better outcome) | Post-Refinement Baseline, 3 Month |
| Emergency Department Visits | Self-Reported Emergency Department (ED) visits | Post-Refinement Baseline, 3 Month |
| Patient Satisfaction | Patient satisfaction with study measured by the Client Satisfaction Questionnaire-8 Score Scale: 8 (min = worse outcome); 32 (max = better outcome) | Post-Refinement Baseline, 3 Month |
| Patient Interface Satisfaction | Patient satisfaction with ASTHMAXcel app interface measured by Questionnaire for User Interface Survey (QUIS) Score Scale: 0 (min = worse outcome); 261 (max = better outcome) Answers scale from 0 (terrible/hard to understand)) to 9 (wonderful/easy to understand) | Post-Refinement Baseline, 3 Month |
| Patient Usage | Time spent on app and different screens of app, measured using Google Analytics | Baseline, 3 Month |
| Health Literacy | Ability for patients to comprehend Newest Vital Sign screening tool | Post-Refinement Baseline |
| D012130 |
| Respiratory Hypersensitivity |
| D006969 | Hypersensitivity, Immediate |
| D006967 | Hypersensitivity |
| D007154 | Immune System Diseases |