Telemedicine Enhanced Asthma Management - Uniting Providers for Teens (TEAM-UP for Teens)

Last updated: May 2, 2025
Sponsor: University of Rochester
Overall Status: Active - Recruiting

Phase

N/A

Condition

Asthma

Treatment

Enhanced Care (EC)

TEAM-UP for Teens

Clinical Study ID

NCT04089046
00004160
  • Ages 12-17
  • All Genders

Study Summary

Low-income, minority teenagers have disproportionately high rates of asthma morbidity, including excess risk of emergency department visits, hospitalizations, and death from asthma. Despite well established guidelines, under-treatment for asthma is common, particularly for poor urban teens. This study aims to test a novel, developmentally appropriate and scalable model of care to ensure optimal guideline-based treatment for urban teens with difficult to control asthma. The Telemedicine Enhanced Asthma Management-Uniting Providers for Teens (TEAM-UP for Teens) program includes 3 core components: 1- An individualized asthma management plan developed at the start of the school year via a real-time, synchronous school-based telemedicine visit that directly connects the teen to an asthma specialist, 2- School-based or video supported directly observed therapy (DOT) to implement the medication plan and allow for teens to experience the benefits of consistent therapy, 3- Follow-up telehealth visits with a nurse asthma educator to facilitate ongoing care and provide developmentally appropriate self-management support. This study is a randomized trial of TEAM-UP for Teens vs an enhanced care (EC) control group (n=360, 12-16 years). We will assess the effectiveness of the program in reducing morbidity and improving guideline-based asthma care. Our main hypothesis is that Teens receiving the TEAM-UP for Teens intervention will have more symptom-free days at 3, 5, 7, and 12-months compared to EC. We will assess a number of secondary outcomes, including additional clinical outcomes, functional outcomes, airway inflammation, and receipt of specific care measures including medication adjustments and treatment of and other comorbidities. We will also identify potential mediators and moderators of the intervention effect, and will evaluate the process of intervention implementation. At the completion of the study, the program will be better defined as a sustainable means to improve care and reduce morbidity for high risk teens with difficult to control asthma.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Physician-diagnosed asthma (based on caregiver report with validation from teen'sphysician).

  2. Moderate-severe persistent severity (requiring Step 3 or higher care) or asthma thatis uncontrolled despite therapy

  3. Age >=12 and =<17 years

  4. Residence in the City of Rochester and surrounding metro area.

Exclusion

Exclusion Criteria:

  1. Inability to speak and understand either English or Spanish. (*Participants unableto read will be eligible, and all instruments will be given verbally.)

  2. Current participation in an asthma study

  3. Planning to move outside of Rochester in less than 6 months

  4. If they have received asthma specialist care in the prior 3 months, they will beasked if they would be comfortable seeing an additional asthma specialist for ourstudy if their current specialist is unable to participate in the study. If thefamily is not comfortable with seeing an additional asthma specialist for the study,they will be excluded.

  5. Having other significant medical conditions (congenital heart disease, cysticfibrosis, other chronic lung disease) that could interfere with the assessment ofasthma-related measures

  6. In foster care or other situations in which consent cannot be obtained from aguardian

Study Design

Total Participants: 360
Treatment Group(s): 2
Primary Treatment: Enhanced Care (EC)
Phase:
Study Start date:
February 18, 2021
Estimated Completion Date:
June 30, 2027

Connect with a study center

  • Department of Pediatrics, University of Rochester

    Rochester, New York 14642
    United States

    Active - Recruiting

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