Evidence Table 2

Description of RCTs addressing the impact of CHI applications on health care processes (KQ1a)

Author, yearConsumer under studyCHI Application typeLocationYear data collected/ duration of interventionInclusion criteriaExclusion criteriaControlInterventionJadad score
Asthma
Bartholomew, 2000 1Inner-city elementary and middle school–age 6–17 children with moderate to severe asthmaWatch, Discover, Think and Act (An Interactive multimedia application on CD-ROM)Physician office4 to 15.6Age 6–17 years, Moderate-to-severe asthma, English speaking parents, No chronic disease other than asthmaNot speaking English, co-existing disease, inadequate reading level, parent inability to understand the studyParticipant assigned to usual-careParticipant assigned to Watch, Discover, Think and Act
Guendelman, 2002 2Inner-city children as having asthma by a physician.Personal and interactive communication device (Health BuddyHome and in an outpatient hospital clinic.April 8, 1999, and July 5, 2000Children age 8–16 years, had an English- speaking caregiver, had a telephone at home, and were diagnosed as having persistent asthma, Patient with 2 or more emergency department (ED) visits and/or at least 1 inpatient admission during the year before the studyPatients involved in other asthma or drug efficacy studies, Involved in research that required behavior modification, Mental or physical challenges that made difficult to use Health Buddy. Children with co- morbid conditions that could affect their quality of life.Participants using asthma diaryParticipants using Health Buddy
Jan, 20073Individuals interested in their own health care
Caregiver, childhood asthma
Personal monitoring deviceHome/ residence2004/ January to December6 – 12 yr, Caregivers have Internet access, persistent asthma diagnosis (GINA clinical practice guidelines)Diagnosed with Bronchopulmonary dysplasia, Diagnosed with other chronic co morbid conditions that could affect quality of lifeVerbal information and booklet for asthma education with written asthma diary.Blue Angel for Asthma Kids
An Internet-based diary record for peak expiratory flow rate (PEFR)
Symptomatic support information, and an action plan suggestion, and telecommunication technologies for uploading and retrieving the storage data
1
Krishna, 20034Individuals interested in their own health
Parents/caregivers
Personal monitoring deviceHome/ residence1999/ NS< 18 yr, Confirmed asthmaCystic fibrosis, Bronchopulmonary dysplasia, Other chronic lung diseaseTraditional careInternet-enabled interactive multimedia asthma education program 3
Use of Contraception
Chewining, 19995Individuals interested in their own health careComputer- Based Decision AidClinician officeNS≤ 20 yr, Female, ability to read and understand English, Expressed interest in getting a contraceptiveStandard informationComputer- Based Interactive Decision Aid 0

Yr = Year, NS = not specified, PEFR = Peak expiratory flow rate

Reference List

1

Bartholomew LK, Gold RS, Parcel GS et al. Watch, Discover, Think, and Act: Evaluation of computer-assisted instruction to improve asthma self-management in inner-city children. 2000; 39(2–3):269–80.

2

Guendelman S, Meade K, Benson M, Chen YQ, Samuels S. Improving asthma outcomes and self-management behaviors of inner-city children: A randomized trial of the Health Buddy interactive device and an asthma diary. 2002; 156(2):114–20.

3

Jan RL, Wang JY, Huang MC, Tseng SM, Su HJ, Liu LF. An internet-based interactive telemonitoring system for improving childhood asthma outcomes in Taiwan. Telemed J E Health 2007; 13(3):257–68.

4

Krishna S, Francisco BD, Balas EA, Konig P, Graff GR, Madsen RW. Internet-enabled interactive multimedia asthma education program: a randomized trial. Pediatrics 2003; 111(3):503–10.

5

Chewning B, Mosena P, Wilson D et al. Evaluation of a computerized contraceptive decision aid for adolescent patients. Patient Educ Couns 1999; 38(3):227–39.

From: Appendix G

Cover of Impact of Consumer Health Informatics Applications
Impact of Consumer Health Informatics Applications.
Evidence Reports/Technology Assessments, No. 188.
Gibbons MC, Wilson RF, Samal L, et al.

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