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This version was published on July 1, 2007
Health Promotion Practice, Vol. 8, No. 3, 282-291 (2007)
DOI: 10.1177/1524839906289983
© 2007 Society for Public Health Education

Internet Telehealth for Pediatric Asthma Case Management: Integrating Computerized and Case Manager Features for Tailoring a Web-Based Asthma Education Program

Meg Wise, PhD

Center for Health Systems Research and Analysis, University of Wisconsin-Madison in Madison, Wisconsin

David H. Gustafson, PhD

University of Wisconsin-Madison, Madison, Wisconsin

Christine A. Sorkness, PharmD

University of Wisconsin-Madison, Division of Allergy, Pulmonary, and Critical Care Medicine in Madison, Wisconsin

Todd Molfenter, PhD

Center for Health System's Research and Analysis Network for the Improvement of Addiction Treatment in Madison, Wisconsin

Anthony Staresinic, PharmD

Navitus Health Solutions in Madison, Wisconsin

Tracy Meis, MS

University of Wisconsin-Madison who works in Dakota Dunes, South Dakota

Robert P. Hawkins, PhD

School of Journalism and Mass Communication at the University of Wisconsin-Madison in Madison, Wisconsin

Kathleen Kelly Shanovich, RN, MS

Department of Asthma and Allergy of the School of Medicine at the University of Wisconsin-Madison in Madison, Wisconsin

Nola P. Walker, MS

General Library System at the University of Wisconsin-Madison in Madison, Wisconsin

This article reports on the development of a personalized, Web-based asthma-education program for parents whose 4- to 12-year-old children have moderate to severe asthma. Personalization includes computer-based tailored messages and a human coach to build asthma self-management skills. Computerized features include the Asthma Manager, My Calendar/Reminder, My Goals, and a tailored home page. These are integrated with monthly asthma-education phone calls from an asthma-nurse case manager. The authors discuss the development process and issues and describe the current randomized evaluation study to test whether the year-long integrated intervention can improve adherence to a daily asthma controller medication, asthma control, and parent quality of life to reduce asthma-related healthcare utilization. Implications for health education for chronic disease management are raised.

Key Words: asthma case management • medication adherence—pediatric asthma • pediatric asthma • program development—pediatric asthma • nurse case management • chronic disease self-management • eHealth • interactive health communication


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