Research Projects
Telemedicine Enhanced Asthma Management-Uniting
Providers (TEAM-UP)
Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) (NCT03545906)
The TEAM-UP program enhances our school-based, primary care directed asthma program with telemedicine visits, to ensure access to specialist-supported care for children living in the city (ages 4-12 years) with moderate to severe persistent or difficult to control asthma.
TEAM-UP combines school-based directly observed therapy (DOT) of preventive asthma medications and telemedicine visits to link children to needed specialist care, so that appropriate adjustments in treatments and further recommendations can be made. The first telemedicine specialist visit is scheduled after 4 weeks of DOT, in order to allow for accurate guideline-based assessments of medication and care needs once adherence with a daily controller medication is established. There will also be 2 telemedicine follow-up specialist visits to assess the child’s response to treatment and make adjustments as needed. This program is designed to capitalize on the existing community infrastructure by implementing both telemedicine and DOT in school, and maintaining collaboration with PCPs.
Telemedicine Enhanced Asthma Management-Uniting
Providers for Teens (TUFT)
The Telemedicine Enhanced Asthma Management – Uniting Provider for Teen’s (TUFT) program builds on the School-Based Asthma Control for Teens (SB-ACT) study in which we adapted a school-based model of care to make it developmentally appropriate for adolescents with a focus on promoting independence in taking medications. TUFT aims to improve asthma morbidity in teens by targeting a high-risk population (teens living in historically marginalized communities with moderate-severe persistent asthma), and use real-time telemedicine to facilitate access to specialist directed, guideline-based stepwise care and adaptable, self-management education, along with school-based and/or video-supported directly observed therapy to promote adherence and optimize treatment plans.