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Improving Asthma Care Together (IMPACT) mobile health intervention for school-age children with asthma and their
Jennifer Sonney1, Teresa Ward2, Hilaire J Thompson3
1Child, Family, and Population Health Nursing, University of Washington School of Nursing, Seattle, Washington, USA jsonney@uw.edu.
Insights
This study tested the Improving Asthma Care Together (IMPACT) system, a new approach for pediatric asthma management. IMPACT shows promise for improving how children and parents manage asthma together.
Area of Science:
- Pediatric pulmonology
- Digital health interventions
- Childhood asthma management
Background:
- Asthma is a chronic condition in children, leading to increased hospitalizations and school absences.
- Current pediatric asthma interventions often focus solely on parents and can be overly prescriptive.
- The Improving Asthma Care Together (IMPACT) system is a novel shared management approach using mHealth.
Purpose of the Study:
- To evaluate the feasibility and acceptability of the IMPACT intervention.
- To determine the preliminary efficacy of the IMPACT system in pediatric asthma management.
- To assess the potential for shared asthma management between parents and children.
Main Methods:
- A pilot randomized controlled trial involving 60 children (7-11 years) with asthma and their parents.
- The intervention group (IMPACT) underwent an 8-week program with weekly activities.
- Control group received usual care, with later access to IMPACT. Outcomes measured feasibility, acceptability, and preliminary efficacy.
Main Results:
- Feasibility assessed by enrollment and retention rates.
- Acceptability evaluated using validated questionnaires and interviews.
- Preliminary efficacy determined by changes in parent/child-reported asthma responsibility and self-efficacy.
Conclusions:
- The IMPACT intervention offers a novel approach to pediatric asthma care.
- Shared management empowers children and parents in asthma control.
- Further research is warranted to confirm efficacy in larger trials.
Introduction:
Asthma is an incurable, lifelong condition that places children at increased risk for exacerbation, hospitalisation and school absences. Most paediatric asthma interventions target parents alone and are overly prescriptive. Improving Asthma Care Together (IMPACT) is a novel shared management system comprised of a mobile health (mHealth) application, symptom watch and tailored health intervention that pairs parent and child together as an asthma management team. IMPACT helps families monitor asthma status, tailor asthma management strategies and facilitate intentional transition of asthma management to the child. The purpose of this study is to determine the feasibility, acceptability and preliminary efficacy of the IMPACT intervention.
Methods And Analysis:
This pilot randomised controlled trial will recruit 60 children with asthma (7-11 years) and one parent. All parent-child dyads will complete data collection sessions at baseline, postintervention and follow-up. Dyads randomised to the intervention group (IMPACT) will complete the 8-week intervention comprised of weekly activities including symptom monitoring, goal setting and progress monitoring. Dyads randomised to the control group will receive usual care but then be provided access to IMPACT at the end of the study. Feasibility will be measured by the proportion of eligible dyads enrolled and retained. Acceptability of IMPACT will be assessed using the Acceptability of Intervention Measure, the System Usability Scale and a semistructured interview. Preliminary efficacy is determined based on change in primary outcomes, parent-reported and child-reported asthma responsibility and asthma self-efficacy scores, from baseline.
Ethics And Dissemination:
This study has been approved by the University of Washington Institutional Review Board; study ID: STUDY00010461. Participants gave informed consent to participate in the study before taking part. Study results will be disseminated in peer-reviewed journals and scientific conferences. A lay summary will be provided to study participants.
Trial Registration Number:
NCT04908384 (ClinicalTrials.gov identifier).
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