Pilot Study of an Interdisciplinary Mobile Model to Deliver Asthma Care to Inner-City School Children in the Pittsburgh Region.
Sunday, March 6, 2016: 4:45 PM
Concourse Foyer (Convention Center)
Jennifer Elliott, PharmD, Najwa Al-Ghamedi, PharmD, Paige E. Dewhirst, MPH, Joseph Lombardo, PharmD, David P. Skoner, MD, Deborah A. Gentile, MD
Rationale: A high rate of uncontrolled asthma was reported among Pittsburgh’s inner city school children.  Contributors may include poor asthma knowledge and lack of transportation.  The purpose of this pilot study was to determine if the use of combined mobile physician and pharmacy visits would impact asthma knowledge, and compliance with medical visits and controller medication. 

Methods: This study was approved by the IRB at Duquesne University and informed consent/assent was obtained from each subject prior to enrollment.  Subjects aged 7-11 years with a diagnosis of asthma were recruited from six Pittsburgh schools.  At enrollment, a pharmacist assessed asthma knowledge and an asthma specialist assessed disease severity and prescribed/adjusted controller medications where applicable.  Subjects were seen at five follow-up visits over a three month period.  Asthma knowledge and compliance with medical visits and controller therapy was assessed at each of these visits.  

Results: Sixteen subjects were enrolled and 15 completed the study.  One subject was discontinued due to inability to contact the parent/guardian for follow-up.  Seven of the participants were prescribed controller therapy for persistent asthma.  Among subjects completing the study, compliance with visits was 100% and asthma knowledge improved in 67%.    Among those on controller therapy, 71% achieved > 80% compliance with dosing.

Conclusions: An interdisciplinary mobile model improved asthma knowledge and compliance with visits and controller therapy in this at-risk population.  Future studies need to expand this sample size, assess impact on asthma control and determine sustainability of this model.