267111 LungtropolisTM: Where kids with asthma learn to play

Monday, October 29, 2012

Barbara Kaplan, MPH, CHES , American Lung Association, Washington, DC
Susan Schroeder, MPH, MCHES , ORCAS, Eugene, OR
Asthma is one of most common chronic disorders in children and the third leading cause of hospitalization among children. Asthma can be properly managed if the child and their caregiver(s) have the information they need and know what to do during an asthma episode. We conducted a randomized clinical trial to determine if children and parents who used Lungtropolis would have improved asthma self-management behaviors, knowledge, self-efficacy, and attitudes about managing their asthma. We assessed the child's asthma control pre- and post-intervention using the Childhood Asthma Control Test (C-ACT). The intervention group received access to the Lungtropolis website for 45 days and comparison group members were provided an educational booklet on asthma. Participants were asked to complete online assessments at pretest, 10-day and 45-day posttests. Children, aged 5-10, with physician-diagnosed asthma and prescribed asthma medication were enrolled along with a parent. 298 child-parent pairs had been enrolled in the evaluation trial. There were no significant differences between intervention and comparison participants on demographic or baseline study outcomes. Children who used the Lungtropolis game had significantly improved C-ACT scores at both 10-day and 45-day posttest compared to comparison group children. Children who used Lungtropolis also reported improvements in the appropriate use of quick-relief medication, better self-confidence in knowing their warning signs and had higher knowledge scores. The lack of differential results on parent measures suggests that the Lungtropolis Parents website and the print materials were equally sufficient to provide parents the information and confidence they need to manage their child's asthma.

Learning Areas:
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
1. Describe Lungtropolis, a web-based game for children with asthma and an interactive resource for their parents. 2. Discuss the value of collaboration to make the intervention a success. 3. Explain the results of a randomized clinical trial to determine if children and parents who used Lungtropolis would have improved asthma self-management behaviors, knowledge, self-efficacy and attitudes about managing their asthma.

Keywords: Asthma, Internet Tools

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the principal or co-principal on multiple federally-funded grants focusing on reducing the burden of asthma among children and adults. Much of my work focuses on reducing indoor and outdoor air pollutants through policy and education to improve the lives of people living with asthma.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.