# Improving Asthma Care Together (IMPACT): A Shared Management Pilot Study

> **NIH NIH R21** · UNIVERSITY OF WASHINGTON · 2021 · $193,951

## Abstract

PROJECT SUMMARY/ABSTRACT
 Asthma is the most common chronic condition of childhood, and is the leading cause of hospitalizations
and school absences among school-age children. More than 50% of children are nonadherent to asthma
management regimens, leading to worsened quality of life, school absences, higher healthcare utilization, and
permanent airway damage. There is a critical gap in childhood asthma management interventions wherein the
majority focus primarily on parents and use a prescriptive, top-down approach. Failure to include the child is a
critical omission. School-age children spend increasing time away from their parents and have the
developmental capacity to be active participants in their own asthma management. Furthermore, existing
interventions fail to account for the variability among family management priorities. Not only are families lacking
the tools they need to manage asthma successfully, but also to gradually shift responsibility to the youth who
eventually will assume sole responsibility for their lifelong condition.
 To meet the asthma management needs of children and parents, successful interventions need to
target management skills of both parent and child, tailor the intervention to the priorities of the family, and use
an accessible format. Previously, our team worked with parent-child dyads to design a tailored asthma shared
management mobile health application, Improving Asthma Care Together (IMPACT) that pairs the parent
and child together as a team to manage the child's asthma. For the proposed study, we aim to refine and test
IMPACT with 7-11-year-old children with persistent asthma and their parents. The initial feasibility,
acceptability and efficacy of IMPACT will be tested in a pilot randomized controlled trial comparing IMPACT to
an enhanced usual care control with a sample of 46 children with persistent asthma and their parents. Parent
and child asthma self-efficacy, shared management (asthma responsibility) and quality of life will be measured
in both study groups before and after the intervention.
 Development of an effective, tailored shared management health application has the potential to
improve health outcomes of children living with asthma, as well as establish lifelong self-management skills.
Results from this study will guide future intervention refinement, inform assessment and recruitment strategies,
and provide preliminary evidence for the design of a full-scale clinical trial. IMPACT is an accessible and
scalable intervention that addresses a critical clinical gap: shared asthma management among children with
asthma and their parents.

## Key facts

- **NIH application ID:** 10259848
- **Project number:** 5R21NR019328-02
- **Recipient organization:** UNIVERSITY OF WASHINGTON
- **Principal Investigator:** Jennifer Sonney
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $193,951
- **Award type:** 5
- **Project period:** 2020-09-09 → 2023-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10259848

## Citation

> US National Institutes of Health, RePORTER application 10259848, Improving Asthma Care Together (IMPACT): A Shared Management Pilot Study (5R21NR019328-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10259848. Licensed CC0.

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