Technology Enhanced integrAted asthMa care. TEAM-care

Research question Can outcomes for children with asthma be improved by enhancing integrated care with technology?

Background This project seeks to improve outcomes among children with asthma by enhancing newly developed integrated care pathways with technology for improving remote symptom and treatment monitoring.

If successful, the combined technology-enhanced integrated care pathway has the potential to transform outcomes for children with asthma.

We will provide high quality evidence addressing important gaps in knowledge about effective interventions to improve prevention, self-management, risk stratification, treatment, and monitoring, which are key to improving health and wellbeing outcomes for children with asthma. Effectiveness, cost-effectiveness, and implementation evidence will support NHS adoption.

The technologies we will test are designed to: 1) improve symptom monitoring 2) improve treatment monitoring and adherence and the intervention is designed to: Prevent emergency care (the primary outcome) and other health service use Reduce associated NHS costs Reduce associated family stress Improve health and prevent deaths Improve school attendance and participation Aim: to assess outcomes for children with asthma using technologically enhanced integrated care.

Objectives: To assess the effectiveness of integrated care for asthma augmented with remote wheeze monitoring To assess the effectiveness of integrated care for asthma augmented with remote treatment monitoring To assess the reach, effectiveness, adoption, implementation, and maintenance of technology use To investigate patient, parent/carer, and staff experiences To assess technological usability and sustainability To assess cost-effectiveness and model long-term cost-utility Methods We will conduct a three-arm randomised control trial testing each technological component against control, for robust evidence of effectiveness, with nested studies to investigate process, behaviour change, health economics, and technology acceptability. 4 work packages comprising 1) Design, 2) RCT, 3) Nested studies on process, implementation, technology, and health economics, 4) Engagement and Dissemination Timelines The project lasts 32 months, beginning February 2022, concluding September 2024.