School-Based Telemedicine Enhanced Asthma Management (SB-TEAM)
The SB-TEAM program builds on the School-Based Asthma Therapy (SBAT) Trial and the School-Based Preventive Asthma Care Technology (SB-PACT) study with a new focus on directly observed therapy of preventive medications, and ongoing monitoring and tailoring of therapy using telemedicine to facilitate guideline-based asthma care for children.
School-Based Asthma Care for Teens (SB-ACT)
In an attempt to ameliorate disproportionately high asthma morbidity and mortality rates among low income minority adolescents, the School-Based Asthma Care for Teens (SB-ACT) program partners with the Rochester City School District to provide Directly Observed Therapy (DOT) of preventive asthma medications and Motivational Interviewing (MI) counseling sessions in schools. These components, in combination, are designed to promote optimal medication adherence and enhance preventive asthma care for inner city teenagers.
Telemedicine Enhanced Asthma Management through the Emergency Department (TEAM-ED)
The TEAM-ED study focuses on reducing asthma-related pediatric emergency room visits by using telemedicine to link children back to their primary care provider for preventive asthma care.
Telemedicine Enhanced Asthma Management-Uniting
The TEAM-UP program enhances our school-based, primary care directed asthma program with telemedicine visits, to ensure access to specialist-supported care for urban children (ages 4-12 years) with moderate to severe persistent or difficult to control asthma.
TEAM-UP combines school-based directly observed therapy (DOT) of preventive asthma medications and telemedicine visits to link children to needed specialist care, so that appropriate adjustments in treatments and further recommendations can be made. The first telemedicine specialist visit is scheduled after 4 weeks of DOT, in order to allow for accurate guideline-based assessments of medication and care needs once adherence with a daily controller medication is established. There will also be 2 telemedicine follow-up specialist visits to assess the child’s response to treatment and make adjustments as needed. This program is designed to capitalize on the existing community infrastructure by implementing both telemedicine and DOT in school, and maintaining collaboration with PCPs.