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

¹ an assistant scientist at the Center for Health Systems Research and Analysis and co-investigator for the CHESS project at the University of Wisconsin-Madison in Madison, Wisconsin.
² a research professor at the University of Wisconsin-Madison and PI and inventor of CHESS, also in Madison, Wisconsin.
³ a professor of pharmacy and medicine at the University of Wisconsin-Madison, and a clinical investigator with the Division of Allergy, Pulmonary, and Critical Care Medicine in Madison, Wisconsin.
⁴ an assistant scientist for the Center for Health System's Research and Analysis and the deputy director for the Network for the Improvement of Addiction Treatment in Madison, Wisconsin.
⁵ clinical coordinator at Navitus Health Solutions in Madison, Wisconsin.
⁶ a consultant for the CHESS Project of the University of Wisconsin-Madison who works in Dakota Dunes, South Dakota.
⁷ a Maier-Bascom Professor Emeritus in the School of Journalism and Mass Communication at the University of Wisconsin-Madison in Madison, Wisconsin.
⁸ a pediatric nurse practitioner in the Department of Asthma and Allergy of the School of Medicine at the University of Wisconsin-Madison in Madison, Wisconsin.
⁹ a doctoral student and Information and Public Services Librarian at the General Library System at the University of Wisconsin-Madison in Madison, Wisconsin.

^* To whom correspondence should be addressed.

	Abstract

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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