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Text2Breathe: Text-Message Intervention for Parent Communication and Pediatric Asthma
Tumaini R Coker1, Stephanie J Mitchell2, Sarah J Lowry2
1Division of General Pediatrics, University of Washington School of Medicine (TR Coker, JW Stout, and KS Liljenquist), Seattle, Wash; Seattle Children's Hospital Research Institute (TR Coker, SJ Mitchell, SJ Lowry, EJ Klein, J Brown, KS Liljenquist, E Wingfield, and IB Horn), Seattle, Wash.
Academic Pediatrics
|May 16, 2022
Summary
A text messaging program for parents did not reduce pediatric asthma emergency visits or morbidity. However, it did increase primary care visits, suggesting potential for managing chronic childhood conditions.
Area of Science:
- Pediatric Asthma Care
- Mobile Health Technology
- Health Disparities
Background:
- Mobile health (mHealth) offers potential to reduce disparities in pediatric asthma care.
- Effective parent-provider communication and asthma management are key goals.
- This study evaluated a text messaging intervention for parents.
Purpose of the Study:
- To test the impact of a text messaging program on emergency department (ED) utilization and asthma morbidity in children.
- To assess effects on primary care utilization, parent communication self-efficacy, and asthma self-management knowledge.
Main Methods:
- Randomized controlled trial with 221 parents of children with asthma visiting urban EDs.
- Intervention included brief education and 3 months of educational text messages.
- Outcomes assessed via surveys at baseline and 12 months.
Main Results:
- No significant differences in ED visits or asthma morbidity between groups at 12 months.
- Parent communication self-efficacy and asthma knowledge also showed no significant changes.
- The intervention group had a 35% higher average annual rate of primary care visits for asthma.
Conclusions:
- The parent-focused text message intervention did not significantly impact ED use or asthma morbidity.
- Findings suggest potential for mHealth interventions to improve primary care utilization for pediatric chronic conditions.
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