A randomized controlled trial of an interactive voice response telephone system and specialist nurse support for childhood asthma management

Xu, Cathy, Jackson, Mary, Scuffham, Paul A., Wootton, Richard, Simpson, Pamela, Whitty, Jennifer, Wolfe, Rory and Wainwright, Claire E. (2010) A randomized controlled trial of an interactive voice response telephone system and specialist nurse support for childhood asthma management. Journal of Asthma, 47 7: 768-773.


Author Xu, Cathy
Jackson, Mary
Scuffham, Paul A.
Wootton, Richard
Simpson, Pamela
Whitty, Jennifer
Wolfe, Rory
Wainwright, Claire E.
Title A randomized controlled trial of an interactive voice response telephone system and specialist nurse support for childhood asthma management
Journal name Journal of Asthma  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2010-09
Sub-type Article
DOI 10.3109/02770903.2010.493966
Volume number 47
Issue number 7
ISSN 0277-0903
1532-4303
Start page 768
End page 773
Total pages 6
Place of publication New York, N.Y., United States
Publisher Marcel Dekker
Language eng
Formatted abstract Objectives. To evaluate the effects of an automated interactive voice response system (IVR) and Specialist Nurse Support to reduce health care utilization and improve health-related quality of life in children with asthma. Study Design. A randomized controlled trial in 121 children with doctor-diagnosed asthma and an acute presentation with asthma in the previous 12 months aged between 3 and 16 years. Children were randomized to one of three groups for a 6-month intervention receiving asthma education and management support from a Specialist Nurse by telephone or e-mail (N=41), from IVR (N=39), or receiving usual care (control group; N=41). Outcomes included health care utilization and use of oral steroid rescue. Health-related quality of life (HRQOL) data using the Pediatric Asthma Quality of Life Questionnaire and Pediatric Quality of Life Inventory were collected at baseline and at the end of the study. Results: There was no statistically significant benefit identified for either the IVR or the Nurse Support interventions for health care utilization, use of oral steroid rescue, or HRQOL compared with controls. Relative to controls, the incremental costs were-A$225.73 (95% confidence interval CI:-A$840, A$391) per child for the Nurse Support intervention and-A$451.45 (-A$1075, A$173) per child for IVR. The results were most sensitive to the frequency of admissions to hospital. Conclusion. This study suggested that both IVR and Nurse Support interventions may be cost-saving from a health system perspective, with IVR providing the greatest benefit and this pilot study provides a strong basis for developing larger trials with longer follow-up.
© 2010 Informa Healthcare USA, Inc.
Keyword Childhood asthma management
Economic evaluation
Health Services Research
Telemedicine
Burden
Care
Education
Childern
Symptoms
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article
Collections: Official 2011 Collection
School of Medicine Publications
Centre for Online Health Publications
 
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Created: Sun, 24 Oct 2010, 00:12:38 EST