Asthma Care from Home: Study protocol for an effectiveness-implementation evaluation of a virtually enabled asthma care initiative in children in rural NSW.

Mackle, R; Crespo Gonzalez, C; Chan, M; Hodgins, M; Hu, N; Angell, B; Owens, L; Fletcher, J; McCrossin, T; Piper, S; Doyle, AK; Woolfenden, S; Gould, B; Ward, F; Lingam, R; Jaffe, A; Gray, M; Homaira, N; Asthma Care from Home Collaborative Group,

Asthma Care from Home: Study protocol for an effectiveness-implementation evaluation of a virtually enabled asthma care initiative in children in rural NSW.

Mackle, R Crespo Gonzalez, C

Chan, M Hodgins, M Hu, N Angell, B Owens, L Fletcher, J McCrossin, T Piper, S Doyle, AK Woolfenden, S Gould, B Ward, F Lingam, R Jaffe, A Gray, M Homaira, N Asthma Care from Home Collaborative Group,

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Publisher:: PUBLIC LIBRARY SCIENCE
Publication Type:: Journal Article
Citation:: PLoS One, 2024, 19, (6), pp. e0304711
Issue Date:: 2024

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Field	Value	Language
dc.contributor.author	Mackle, R
dc.contributor.author	Crespo Gonzalez, C https://orcid.org/0000-0002-2520-8890
dc.contributor.author	Chan, M
dc.contributor.author	Hodgins, M
dc.contributor.author	Hu, N
dc.contributor.author	Angell, B
dc.contributor.author	Owens, L
dc.contributor.author	Fletcher, J
dc.contributor.author	McCrossin, T
dc.contributor.author	Piper, S
dc.contributor.author	Doyle, AK
dc.contributor.author	Woolfenden, S
dc.contributor.author	Gould, B
dc.contributor.author	Ward, F
dc.contributor.author	Lingam, R
dc.contributor.author	Jaffe, A
dc.contributor.author	Gray, M
dc.contributor.author	Homaira, N
dc.contributor.author	Asthma Care from Home Collaborative Group,
dc.contributor.editor	Sharma, BB
dc.date.accessioned	2024-10-08T01:35:59Z
dc.date.available	2024-05-16
dc.date.available	2024-10-08T01:35:59Z
dc.date.issued	2024
dc.identifier.citation	PLoS One, 2024, 19, (6), pp. e0304711
dc.identifier.issn	1932-6203
dc.identifier.issn	1932-6203
dc.identifier.uri	http://hdl.handle.net/10453/181228
dc.description.abstract	BACKGROUND: Asthma is the leading source of unscheduled hospitalisation in Australian children, with a high burden placed upon children, their parents/families, and the healthcare system. In Australia, there are widening disparities in paediatric asthma care including inequitable access to comprehensive ongoing and planned asthma care for children. METHODS: The Asthma Care from Home Project is a comprehensive virtually enabled asthma model of care that aims to a. supports families, communities and healthcare providers, b. flexible and locally acceptable, and c. allow for adoption of innovations such as digital technologies so that asthma care can be provided "from home", reduce potentially preventable asthma hospitalisation, and ensure satisfaction at a patient, family, and healthcare provider level. The model of care includes standardisation of discharge care through provision of an asthma discharge resource pack containing individual asthma action plan, follow-up letters for the child's general practitioner (GP) and school/child care, and access to online asthma educational sessions and resource; post-discharge care coordination through text message reminders for families for regular GP review, email correspondence with their child's GP and school/childcare; and virtual home visits to discuss home environmental triggers, provide personalised asthma education and respond to parental concerns relating to their child's asthma. This study is comprised of three components: 1) a quasi-experimental pre/post impact evaluation assessing the impact of the model on healthcare utilisation and asthma control measures; 2) a mixed-methods implementation evaluation to understand how and why our intervention was effective or ineffective in producing systems change; 3) an economic evaluation to assess the cost-effectiveness of the proposed model of care from a family and health services perspective. DISCUSSION: This study aims to improve access to asthma care for children in rural and remote areas. Implementation evaluation and economic evaluation will provide insights into the sustainability and scalability of the asthma model of care.
dc.format	Electronic-eCollection
dc.language	eng
dc.publisher	PUBLIC LIBRARY SCIENCE
dc.relation.ispartof	PLoS One
dc.relation.isbasedon	10.1371/journal.pone.0304711
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	General Science & Technology
dc.subject.mesh	Asthma
dc.subject.mesh	Humans
dc.subject.mesh	Child
dc.subject.mesh	New South Wales
dc.subject.mesh	Rural Population
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Telemedicine
dc.subject.mesh	Adolescent
dc.subject.mesh	Humans
dc.subject.mesh	Asthma
dc.subject.mesh	Telemedicine
dc.subject.mesh	Adolescent
dc.subject.mesh	Child
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Rural Population
dc.subject.mesh	New South Wales
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Asthma
dc.subject.mesh	Humans
dc.subject.mesh	Child
dc.subject.mesh	New South Wales
dc.subject.mesh	Rural Population
dc.subject.mesh	Child, Preschool
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Telemedicine
dc.subject.mesh	Adolescent
dc.title	Asthma Care from Home: Study protocol for an effectiveness-implementation evaluation of a virtually enabled asthma care initiative in children in rural NSW.
dc.type	Journal Article
utslib.citation.volume	19
utslib.location.activity	United States
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
dc.date.updated	2024-10-08T01:35:57Z
pubs.issue	6
pubs.publication-status	Published online
pubs.volume	19
utslib.citation.issue	6

Abstract:

BACKGROUND: Asthma is the leading source of unscheduled hospitalisation in Australian children, with a high burden placed upon children, their parents/families, and the healthcare system. In Australia, there are widening disparities in paediatric asthma care including inequitable access to comprehensive ongoing and planned asthma care for children. METHODS: The Asthma Care from Home Project is a comprehensive virtually enabled asthma model of care that aims to a. supports families, communities and healthcare providers, b. flexible and locally acceptable, and c. allow for adoption of innovations such as digital technologies so that asthma care can be provided "from home", reduce potentially preventable asthma hospitalisation, and ensure satisfaction at a patient, family, and healthcare provider level. The model of care includes standardisation of discharge care through provision of an asthma discharge resource pack containing individual asthma action plan, follow-up letters for the child's general practitioner (GP) and school/child care, and access to online asthma educational sessions and resource; post-discharge care coordination through text message reminders for families for regular GP review, email correspondence with their child's GP and school/childcare; and virtual home visits to discuss home environmental triggers, provide personalised asthma education and respond to parental concerns relating to their child's asthma. This study is comprised of three components: 1) a quasi-experimental pre/post impact evaluation assessing the impact of the model on healthcare utilisation and asthma control measures; 2) a mixed-methods implementation evaluation to understand how and why our intervention was effective or ineffective in producing systems change; 3) an economic evaluation to assess the cost-effectiveness of the proposed model of care from a family and health services perspective. DISCUSSION: This study aims to improve access to asthma care for children in rural and remote areas. Implementation evaluation and economic evaluation will provide insights into the sustainability and scalability of the asthma model of care.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/181228