Initiating an online asthma management program in urban emergency departments

The recruitment experience

Christine L.M. Joseph, Mei Lu, Stephanie Stokes-Bruzzelli, Dayna A. Johnson, Elizabeth Duffy, Michele Demers, Talan Zhang, Dennis Randall Ownby, Edward Zoratti, Prashant Mahajan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background The emergency department could represent a means of identifying patients with asthma who could benefit from asthma interventions. Objective To assess the initiation of a Web-based tailored asthma intervention in the emergency department of 2 urban tertiary care hospitals. Methods In addition to awareness strategies for emergency department staff (eg, attending nursing huddles, division meetings, etc), recruitment experiences are described for 2 strategies: (1) recruitment during an emergency department visit for acute asthma and (2) recruitment from patient listings (mail or telephone). Patient enrollment was defined as baseline completion, randomization, and completion of the first of 4 online sessions. Results Of 499 eligible patients 13 to 19 years old visiting the emergency department for asthma during the study period, 313 (63%) were contacted in the emergency department (n = 65) or by mail or telephone (n = 350). Of these, 121 (38.6%) were randomized. Mean age of the study sample was 15.4 years and 88.4% were African American. Refusal rates for emergency department recruitment and mail or telephone were 18.5% (12 of 65) and 16.6% (58 of 350), respectively. On average, emergency department enrollment took 44 to 67 minutes, including downtime. When surveyed, emergency department providers were more positive about awareness activities and emergency department recruitment than were research staff. Conclusion Emergency department recruitment was feasible but labor intensive. Refusal rates were similar for the 2 strategies. Targeting patients with acute asthma in the emergency department is one way of connecting with youth at risk of future acute events.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalAnnals of Allergy, Asthma and Immunology
Volume116
Issue number1
DOIs
StatePublished - Jan 1 2016

Fingerprint

Hospital Emergency Service
Asthma
Postal Service
Telephone
Urban Hospitals
Tertiary Healthcare
Random Allocation
Tertiary Care Centers
African Americans
Patient Selection
Nursing

ASJC Scopus subject areas

  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

Cite this

Joseph, C. L. M., Lu, M., Stokes-Bruzzelli, S., Johnson, D. A., Duffy, E., Demers, M., ... Mahajan, P. (2016). Initiating an online asthma management program in urban emergency departments: The recruitment experience. Annals of Allergy, Asthma and Immunology, 116(1), 43-48. https://doi.org/10.1016/j.anai.2015.10.021

Initiating an online asthma management program in urban emergency departments : The recruitment experience. / Joseph, Christine L.M.; Lu, Mei; Stokes-Bruzzelli, Stephanie; Johnson, Dayna A.; Duffy, Elizabeth; Demers, Michele; Zhang, Talan; Ownby, Dennis Randall; Zoratti, Edward; Mahajan, Prashant.

In: Annals of Allergy, Asthma and Immunology, Vol. 116, No. 1, 01.01.2016, p. 43-48.

Research output: Contribution to journalArticle

Joseph, CLM, Lu, M, Stokes-Bruzzelli, S, Johnson, DA, Duffy, E, Demers, M, Zhang, T, Ownby, DR, Zoratti, E & Mahajan, P 2016, 'Initiating an online asthma management program in urban emergency departments: The recruitment experience', Annals of Allergy, Asthma and Immunology, vol. 116, no. 1, pp. 43-48. https://doi.org/10.1016/j.anai.2015.10.021
Joseph, Christine L.M. ; Lu, Mei ; Stokes-Bruzzelli, Stephanie ; Johnson, Dayna A. ; Duffy, Elizabeth ; Demers, Michele ; Zhang, Talan ; Ownby, Dennis Randall ; Zoratti, Edward ; Mahajan, Prashant. / Initiating an online asthma management program in urban emergency departments : The recruitment experience. In: Annals of Allergy, Asthma and Immunology. 2016 ; Vol. 116, No. 1. pp. 43-48.
@article{de6d6de532024165b113f83ded23e1fc,
title = "Initiating an online asthma management program in urban emergency departments: The recruitment experience",
abstract = "Background The emergency department could represent a means of identifying patients with asthma who could benefit from asthma interventions. Objective To assess the initiation of a Web-based tailored asthma intervention in the emergency department of 2 urban tertiary care hospitals. Methods In addition to awareness strategies for emergency department staff (eg, attending nursing huddles, division meetings, etc), recruitment experiences are described for 2 strategies: (1) recruitment during an emergency department visit for acute asthma and (2) recruitment from patient listings (mail or telephone). Patient enrollment was defined as baseline completion, randomization, and completion of the first of 4 online sessions. Results Of 499 eligible patients 13 to 19 years old visiting the emergency department for asthma during the study period, 313 (63{\%}) were contacted in the emergency department (n = 65) or by mail or telephone (n = 350). Of these, 121 (38.6{\%}) were randomized. Mean age of the study sample was 15.4 years and 88.4{\%} were African American. Refusal rates for emergency department recruitment and mail or telephone were 18.5{\%} (12 of 65) and 16.6{\%} (58 of 350), respectively. On average, emergency department enrollment took 44 to 67 minutes, including downtime. When surveyed, emergency department providers were more positive about awareness activities and emergency department recruitment than were research staff. Conclusion Emergency department recruitment was feasible but labor intensive. Refusal rates were similar for the 2 strategies. Targeting patients with acute asthma in the emergency department is one way of connecting with youth at risk of future acute events.",
author = "Joseph, {Christine L.M.} and Mei Lu and Stephanie Stokes-Bruzzelli and Johnson, {Dayna A.} and Elizabeth Duffy and Michele Demers and Talan Zhang and Ownby, {Dennis Randall} and Edward Zoratti and Prashant Mahajan",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.anai.2015.10.021",
language = "English (US)",
volume = "116",
pages = "43--48",
journal = "Annals of Allergy, Asthma and Immunology",
issn = "1081-1206",
publisher = "American College of Allergy, Asthma and Immunology",
number = "1",

}

TY - JOUR

T1 - Initiating an online asthma management program in urban emergency departments

T2 - The recruitment experience

AU - Joseph, Christine L.M.

AU - Lu, Mei

AU - Stokes-Bruzzelli, Stephanie

AU - Johnson, Dayna A.

AU - Duffy, Elizabeth

AU - Demers, Michele

AU - Zhang, Talan

AU - Ownby, Dennis Randall

AU - Zoratti, Edward

AU - Mahajan, Prashant

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Background The emergency department could represent a means of identifying patients with asthma who could benefit from asthma interventions. Objective To assess the initiation of a Web-based tailored asthma intervention in the emergency department of 2 urban tertiary care hospitals. Methods In addition to awareness strategies for emergency department staff (eg, attending nursing huddles, division meetings, etc), recruitment experiences are described for 2 strategies: (1) recruitment during an emergency department visit for acute asthma and (2) recruitment from patient listings (mail or telephone). Patient enrollment was defined as baseline completion, randomization, and completion of the first of 4 online sessions. Results Of 499 eligible patients 13 to 19 years old visiting the emergency department for asthma during the study period, 313 (63%) were contacted in the emergency department (n = 65) or by mail or telephone (n = 350). Of these, 121 (38.6%) were randomized. Mean age of the study sample was 15.4 years and 88.4% were African American. Refusal rates for emergency department recruitment and mail or telephone were 18.5% (12 of 65) and 16.6% (58 of 350), respectively. On average, emergency department enrollment took 44 to 67 minutes, including downtime. When surveyed, emergency department providers were more positive about awareness activities and emergency department recruitment than were research staff. Conclusion Emergency department recruitment was feasible but labor intensive. Refusal rates were similar for the 2 strategies. Targeting patients with acute asthma in the emergency department is one way of connecting with youth at risk of future acute events.

AB - Background The emergency department could represent a means of identifying patients with asthma who could benefit from asthma interventions. Objective To assess the initiation of a Web-based tailored asthma intervention in the emergency department of 2 urban tertiary care hospitals. Methods In addition to awareness strategies for emergency department staff (eg, attending nursing huddles, division meetings, etc), recruitment experiences are described for 2 strategies: (1) recruitment during an emergency department visit for acute asthma and (2) recruitment from patient listings (mail or telephone). Patient enrollment was defined as baseline completion, randomization, and completion of the first of 4 online sessions. Results Of 499 eligible patients 13 to 19 years old visiting the emergency department for asthma during the study period, 313 (63%) were contacted in the emergency department (n = 65) or by mail or telephone (n = 350). Of these, 121 (38.6%) were randomized. Mean age of the study sample was 15.4 years and 88.4% were African American. Refusal rates for emergency department recruitment and mail or telephone were 18.5% (12 of 65) and 16.6% (58 of 350), respectively. On average, emergency department enrollment took 44 to 67 minutes, including downtime. When surveyed, emergency department providers were more positive about awareness activities and emergency department recruitment than were research staff. Conclusion Emergency department recruitment was feasible but labor intensive. Refusal rates were similar for the 2 strategies. Targeting patients with acute asthma in the emergency department is one way of connecting with youth at risk of future acute events.

UR - http://www.scopus.com/inward/record.url?scp=84954078013&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84954078013&partnerID=8YFLogxK

U2 - 10.1016/j.anai.2015.10.021

DO - 10.1016/j.anai.2015.10.021

M3 - Article

VL - 116

SP - 43

EP - 48

JO - Annals of Allergy, Asthma and Immunology

JF - Annals of Allergy, Asthma and Immunology

SN - 1081-1206

IS - 1

ER -