title: Internet telehealth for pediatric asthma case management: integrating computerized and case manager features for tailoring a Web-based asthma education program.
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.
authors.affiliation: Center for Health Systems Research and Analysis, University of Wisconsin-Madison in Madison, Wisconsin, USA.
authors.forename: Meg
authors.initials: M
authors.lastname: Wise
authors.forename: David H
authors.initials: DH
authors.lastname: Gustafson
authors.forename: Christine A
authors.initials: CA
authors.lastname: Sorkness
authors.forename: Todd
authors.initials: T
authors.lastname: Molfenter
authors.forename: Anthony
authors.initials: A
authors.lastname: Staresinic
authors.forename: Tracy
authors.initials: T
authors.lastname: Meis
authors.forename: Robert P
authors.initials: RP
authors.lastname: Hawkins
authors.forename: Kathleen Kelly
authors.initials: KK
authors.lastname: Shanovich
authors.forename: Nola P
authors.initials: NP
authors.lastname: Walker
mesh_terms: D001249:Asthma / Q000517:prevention & control*; D019090:Case Management; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D005190:Family; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D020407:Internet; D008297:Male; D010290:Parents / Q000193:education*; D010342:Patient Acceptance of Health Care; D010348:Patient Care Team / Q000458:organization & administration; D010358:Patient Participation; D011368:Professional-Family Relations; D012648:Self Care / Q000379:methods; D018434:Sickness Impact Profile; D018511:Systems Integration; D017216:Telemedicine / Q000379:methods*; D013689:Telephone; D014481:United States