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. Author manuscript; available in PMC: 2018 Jun 1.
Published in final edited form as: Contemp Clin Trials. 2017 Mar 31;57:10–22. doi: 10.1016/j.cct.2017.03.015

Table 2.

Data collection schedule


Source
Baseline Follow-up visit

Location ED Phone Phone Home Phone

Time since ED discharge 0 1 month 3 months 6 months 12 months

Informed assent, consent X Child, caregiver
Demographics
 Gender, race/ethnicity, date of birth of child, caregiver's marital status, caregiver's highest level of education, caregiver's employment status, health insurance, household income X EHR, caregiver
 Contact information, including alternates X X X X X Caregiver
 Name and contact information of primary asthma provider X X X X X Caregiver
 Preferred language at home X Caregiver
Medical history (child)
 Height and weight X EHR
 Comorbid conditions X EHR
 Medications prescribed X EHR
 Attendance at follow-up appointments X EHR
Self-management skills
 Pharmacy dispensations for child X X X X Pharmacy records
 Inhaler technique X X ED coordinator review
Outcomes
 Primary outcomes (PROMIS Asthma Impact Scale; PROMIS Satisfaction with participation in social roles); and secondary outcomes X X X X X Child, caregiver, EHR

   Estimated duration of each visit 60minutes 20 minutes 20 minutes 45 minutes 20 minutes

Data collection occurs on enrollment (in the ED), and then over a follow-up period of up to 12 months. Children enrolled in the first half of the 15-month recruitment periods complete follow-up assessments at 1 month (via phone), 3 months (via phone), and 6 months (home visit or via phone). Children enrolled early in the recruitment period are also invited to complete a follow-up visit at 12 months (via phone). Data may be collected from the Clinical center electronic health record (EHR), the caregiver, from the child, or from pharmacies. See 2.4 Outcomes, and 3.5 Data collection schedule for details. cACT=Childhood Asthma Control Test; ED= emergency department; EHR=Electronic health record; PACQLQ=Pediatric Asthma Caregiver Quality of Life; PROMIS= Patient-Reported Outcomes Measurement Information System.