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IMPACT Asthma Kids CD © Software for Administering Asthma Self Management Education to Groups of Children Ages 6-12 years Robi Kahaklau, “Every Child A Promise” IMPACT Asthma Kids © I nteractive M ultimedia P rogram for A sthma C ontrol & T racking Self Regulation Theory
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IMPACT Asthma Kids CD© Software for Administering Asthma Self Management Education to Groups of Children Ages 6-12 years Robi Kahaklau, “Every Child A Promise” (c) Benjamin D. Francisco
IMPACT Asthma Kids © • Interactive • Multimedia • Program for • Asthma • Control & • Tracking (c) Benjamin D. Francisco
Self Regulation Theory (c) Benjamin D. Francisco
44 Lessons & a Triggers Game (c) Benjamin D. Francisco
RCCT Design -228 children, 6-18 -A parent present -Specialty care for all -Caring for Kids info -3 visits, one year -Knowledge gain -Self report, Sx, Rx, days missed, ER, etc http://www.pediatrics.org/cgi/content/abstract/111/3/503 (c) Benjamin D. Francisco
IMPACT RCCT Results • Significant between group differences • Greater knowledge gain, children and caregivers • Greater decrease days of asthma symptoms • Greater reduction in ER visits (savings of $907 vs $291) • Markedly lower ICS dose (434 vs 754 mcg beclo equiv.) (c) Benjamin D. Francisco
IMPACT RCCT Results • Significant within group differences (IMPACT) • Decreased school days missed (5 days, $195 funding) • Decreased days of quick relief medicine use (64/yr) • Decreased nights of disturbed sleep (50/yr) • Decreased days of limited activity (39/yr) (expressed as annual rates) (c) Benjamin D. Francisco
The Real Results (c) Benjamin D. Francisco
How Do I Use the CD? • Insert CD into any computer you plan to use for training kids or checking records • You must have an Internet connection • IMPACT loads automatically - movies are put on the computer’s hard drive • The CD does not have to be in the computer after it is loaded and you can load it on as many computers as you like! (c) Benjamin D. Francisco
IMPACT Asthma Kids CD© • IMPACT “talks” to a special computer over the Internet • Info is exchanged between computers • So records can be viewed from any computer on which you load IMPACT • IMPACT will be updated automatically as needed (c) Benjamin D. Francisco
How Are My Records Protected? • Each IMPACT training site has a unique “CD key” that protects records • No one else can access your records • IMPACT is a HIPAA compliant medical records system, secure/encrypted • You will select your own IMPACT ID & password (c) Benjamin D. Francisco
One Time Set Up Procedure • Arrange to install the CD with a computer support person at your school • Enter YOUR exact CD key (case Sensitive)SL2K-2dRt-41Pc-9jJk (an example) • At the prompts enter info about your siteSchool Name, address, e-mail, etc • Choose your administrator ID and password (c) Benjamin D. Francisco
Make up an “administrator” ID & password.Write these down along with your CD key. Keep in a place that you can readily access!ID= Iwillremember PW= mydog’sname (c) Benjamin D. Francisco
What Do I Need To Do To Start? • Insert CD into each computer you plan to use for training kids or checking records • You must have an Internet connection • IMPACT loads automatically - movies are put on the computer’s hard drive • The CD does not have to be in the computer after IMPACT© is loaded (c) Benjamin D. Francisco
Double Click “Mr. O2” Icon To Open (c) Benjamin D. Francisco
Click the Admin Button (c) Benjamin D. Francisco
The “Admin” Button • You need enter the ID & password you chose when you installed IMPACT • The ID & PW are required whenever you want to register a new child or review records (c) Benjamin D. Francisco
Administrative Functions • Register a new child • Edit demographic info • Check records • A child’s ed. progress • Progress of all learners • Child’s symptom report • Medication use table (c) Benjamin D. Francisco
Register a Child to Use IMPACT My School Training List (c) Benjamin D. Francisco
Edit Demographic Info (c) Benjamin D. Francisco
Check Records (c) Benjamin D. Francisco
Not Yet Completed Tutorial (c) Benjamin D. Francisco
A Completed Tutorial (c) Benjamin D. Francisco
Check Records (c) Benjamin D. Francisco
Review Child’s Reports Firstname Lastname Pick a date Click “Submit” (c) Benjamin D. Francisco
Education Progress All Children (c) Benjamin D. Francisco
Medication Use Table (c) Benjamin D. Francisco
To Start a Tutorial Click “Go” (c) Benjamin D. Francisco
“Go” Starts a Tutorial Session • A child will click “Go” to start a tutorial • Each child has their own assigned ID & password • IMPACT knows which “movie” to play next • The movies are on the local computer • A web server manages tutorials & keeps records (c) Benjamin D. Francisco
Types of Vignettes (movies) Instructional Challenge Survey Scenario (c) Benjamin D. Francisco
A One Page Report Generator • % content mastery (#correct/44 x 100) • What am I doing about my asthma • My symptom pattern • My Rx use • Asthma severity • Level of ICS therapy (c) Benjamin D. Francisco
Child Responds to Survey Screens (c) Benjamin D. Francisco
Extra Resources for Asthma Care (c) Benjamin D. Francisco
Extra Resources • Medication reference • Screeening program • Asthma websites • Future additions (school forms) (c) Benjamin D. Francisco
Detailed Medication Info • Links to FDA Rx info • Photos of many meds • Details for labeled use • Not always consistent with Expert Guidelines • Helpful list of potential side effects (c) Benjamin D. Francisco
Asthma Screening Program • IMPACT & ISAAC • Wellington Asthma Research Group • 5 video vignettes & 3 animated vignettes • Print child’s response • Parent survey (c) Benjamin D. Francisco
Asthma Screening Program Demo Multimedia questionnaire for the child with a “paper” screening form for parents. To expose undiagnosed asthma. (c) Benjamin D. Francisco
Asthma WWW Links • Quick links to reliable websites for asthma • Asthma & Allergy Network, Mothers of Asthmatics • American Academy of Allergy Asthma & Immunology • Asthma & Allergy Foundation (c) Benjamin D. Francisco
Click Admin & select the child’s name Print the information screen, circle CD key Copy the IMPACT CD Send CD w/key home DO NOT give out your site key (SL….. ) You Can Copy the CD To Send It Home For Children To Use There (c) Benjamin D. Francisco
THE END Now it’s up to you… Israel Kamakawino’ole “Somewhere Over the Rainbow –What a Wonderful World” (c) Benjamin D. Francisco