Using Action Research to Implement an Integrated Pediatric Asthma Case Management and eHealth Intervention for Low-Income Families

Wise, Meg; Pulvermacher, Alice; Shanovich, K.K.; Gustafson, David H.; Sorkness, Christine A.; Bhattacharya, Abhik

doi:10.1177/1524839909334621

Cited by 9 publications

(21 citation statements)

References 20 publications

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“…The Internet Telehealth for Pediatric Asthma Case Management intervention (Wise et al, 2007) offers online opportunities for parents to post messages on bulletin boards as well as monthly professional support for parents via telephone. However, the protocol has been difficult to implement because it is staff-intensive and time consuming (Wise et al, 2010).…”

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confidence: 99%

Online Solutions to Support Needs and Preferences of Parents of Children With Asthma and Allergies

et al. 2011

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Many families of children with asthma and allergies experience support deficits and isolation. However, support interventions have not been designed to meet their needs. Consequently, parents' intervention preferences were elicited, and an online peer support group intervention was designed based on these preferences and piloted in the study described. In-depth interviews with 44 parents elicited preferences for support interventions for both children and parents. Many said they felt alone and wanted support from others in similar situations. Based on the parents' preferences for accessible online peer support groups, a pilot online intervention was designed and implemented. Parents received information and reassurance from other parents in peer support sessions. Parents appreciated the accessibility and anonymity of the online support group. This innovative online peer support intervention, informed by parents' preferences, could be adapted and tested in intervention trials and guide programs and practice for families affected by asthma, allergies, and other chronic conditions.

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confidence: 99%

Online Solutions to Support Needs and Preferences of Parents of Children With Asthma and Allergies

et al. 2011

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“…Patient-centered care was another strength of CM. In the studies reviewed, CM interventions provided patient- or participant-centered care because NCMs could assess needs and deliver care plans based on those needs (Brennan-Ing et al, 2016; Kneipp et al, 2011; Wise et al, 2011). These and other researchers reported that NCMs’ activities were uniquely suited to effective care transitions, which resulted in continuity of care (Baldwin et al, 2014; Gary et al, 2009; Joo, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, research into how CM might be affected by technological development is recommended. One study accessed electronic health records to check patients’ discharge information and record intervention dosage (Baldwin et al, 2014), and other studies used telephonic or online-based education (Kahn et al, 2009; Wise et al, 2011). Applying technologies such as these is one way to make CM more efficient.…”

Section: Discussionmentioning

confidence: 99%

Scoping Review of Nursing Case Management in the United States

Joo

Huber

2017

Clin Nurs Res

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The purpose of this study is to identify issues of case management (CM) interventions in the United States in recent studies and to identify implications for future research into CM. This study was guided by the following framework for a scoping review. Multiple electronic databases were searched to identify studies published between 2007 and 2016 in the United States and related to nursing CM. Five weaknesses were identified: no clear and consistent definition of CM, lack of theoretical frameworks, lack of standard guidelines in CM practice, lack of precise CM dosage and of process measures, and limited reports of explicit role of nurse case managers and role confusion by nurses. Three strengths were also identified. More rigorous and continuous efforts to develop theoretical frameworks and evaluation tools, as well as clear definitions and precise role descriptions, are required for future research and practice into CM.

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“…The study team traveled twice a month to the community center to conduct intakes after school and into the early evening [40]. At all locations, childcare, snacks, and transportation were provided as needed.…”

Section: Methodsmentioning

confidence: 99%

“…Randomization occurred upon receipt of the run in diaries for MCO 1-4 subject and after just the intake for MCO 5 participants [40]. The CHESS+CM group received a 45-minute training session.…”

Section: Methodsmentioning

confidence: 99%

The Effects of Combining Web-Based eHealth With Telephone Nurse Case Management for Pediatric Asthma Control: A Randomized Controlled Trial

Gustafson¹,

Wise²,

Bhattacharya³

et al. 2012

J Med Internet Res

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128

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BackgroundAsthma is the most common pediatric illness in the United States, burdening low-income and minority families disproportionately and contributing to high health care costs. Clinic-based asthma education and telephone case management have had mixed results on asthma control, as have eHealth programs and online games.ObjectivesTo test the effects of (1) CHESS+CM, a system for parents and children ages 4–12 years with poorly controlled asthma, on asthma control and medication adherence, and (2) competence, self-efficacy, and social support as mediators. CHESS+CM included a fully automated eHealth component (Comprehensive Health Enhancement Support System [CHESS]) plus monthly nurse case management (CM) via phone. CHESS, based on self-determination theory, was designed to improve competence, social support, and intrinsic motivation of parents and children.MethodsWe identified eligible parent–child dyads from files of managed care organizations in Madison and Milwaukee, Wisconsin, USA, sent them recruitment letters, and randomly assigned them (unblinded) to a control group of treatment as usual plus asthma information or to CHESS+CM. Asthma control was measured by the Asthma Control Questionnaire (ACQ) and self-reported symptom-free days. Medication adherence was a composite of pharmacy refill data and medication taking. Social support, information competence, and self-efficacy were self-assessed in questionnaires. All data were collected at 0, 3, 6, 9, and 12 months. Asthma diaries kept during a 3-week run-in period before randomization provided baseline data.ResultsOf 305 parent–child dyads enrolled, 301 were randomly assigned, 153 to the control group and 148 to CHESS+CM. Most parents were female (283/301, 94%), African American (150/301, 49.8%), and had a low income as indicated by child’s Medicaid status (154/301, 51.2%); 146 (48.5%) were single and 96 of 301 (31.9%) had a high school education or less. Completion rates were 127 of 153 control group dyads (83.0%) and 132 of 148 CHESS+CM group dyads (89.2%). CHESS+CM group children had significantly better asthma control on the ACQ (d = –0.31, 95% confidence limits [CL] –0.56, –0.06, P = .011), but not as measured by symptom-free days (d = 0.18, 95% CL –0.88, 1.60, P = 1.00). The composite adherence scores did not differ significantly between groups (d = 1.48%, 95% CL –8.15, 11.11, P = .76). Social support was a significant mediator for CHESS+CM’s effect on asthma control (alpha = .200, P = .01; beta = .210, P = .03). Self-efficacy was not significant (alpha = .080, P = .14; beta = .476, P = .01); neither was information competence (alpha = .079, P = .09; beta = .063, P = .64).ConclusionsIntegrating telephone case management with eHealth benefited pediatric asthma control, though not medication adherence. Improved methods of measuring medication adherence are needed. Social support appears to be more effective than information in improving pediatric asthma control.Trial RegistrationClinicaltrials.gov NCT00214383; http://clinicaltrials.gov/ct2/show/NCT0021...

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Using Action Research to Implement an Integrated Pediatric Asthma Case Management and eHealth Intervention for Low-Income Families

Cited by 9 publications

References 20 publications

Online Solutions to Support Needs and Preferences of Parents of Children With Asthma and Allergies

Online Solutions to Support Needs and Preferences of Parents of Children With Asthma and Allergies

Scoping Review of Nursing Case Management in the United States

The Effects of Combining Web-Based eHealth With Telephone Nurse Case Management for Pediatric Asthma Control: A Randomized Controlled Trial

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