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Randomized Controlled Trial
. 2015 Apr;135(4):e965-73.
doi: 10.1542/peds.2014-3167. Epub 2015 Mar 9.

Parent-reported outcomes of a shared decision-making portal in asthma: a practice-based RCT

Alexander G Fiks  1 , Stephanie L Mayne  2 , Dean J Karavite  3 , Andrew Suh  2 , Ryan O'Hara  3 , A Russell Localio  4 , Michelle Ross  4 , Robert W Grundmeier  5
Affiliations
Randomized Controlled Trial

Parent-reported outcomes of a shared decision-making portal in asthma: a practice-based RCT

Alexander G Fiks et al. Pediatrics. 2015 Apr.

Abstract

Background: Electronic health record (EHR)-linked patient portals are a promising approach to facilitate shared decision-making between families of children with chronic conditions and pediatricians. This study evaluated the feasibility, acceptability, and impact of MyAsthma, an EHR-linked patient portal supporting shared decision-making for pediatric asthma.

Methods: We conducted a 6-month randomized controlled trial of MyAsthma at 3 primary care practices. Families were randomized to MyAsthma, which tracks families' asthma treatment concerns and goals, children's asthma symptoms, medication side effects and adherence, and provides decision support, or to standard care. Outcomes included the feasibility and acceptability of MyAsthma for families, child health care utilization and asthma control, and the number of days of missed school (child) and work (parent). Descriptive statistics and longitudinal regression models assessed differences in outcomes between study arms.

Results: We enrolled 60 families, 30 in each study arm (mean age 8.3 years); 57% of parents in the intervention group used MyAsthma during at least 5 of the 6 study months. Parents of children with moderate to severe persistent asthma used the portal more than others; 92% were satisfied with MyAsthma. Parents reported that use improved their communication with the office, ability to manage asthma, and awareness of the importance of ongoing attention to treatment. Parents in the intervention group reported that children had a lower frequency of asthma flares and intervention parents missed fewer days of work due to asthma.

Conclusions: Use of an EHR-linked asthma portal was feasible and acceptable to families and improved clinically meaningful outcomes.

Keywords: asthma; patient portal; shared decision-making.

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Figures

FIGURE 1
FIGURE 1
Consort diagram. The study population was a convenience sample based largely on clinician recommendation and was not designed to be representative of all children with asthma in the care network.
See this image and copyright information in PMC

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