Preference for and impact of telehealth vs in-person asthma visits among Black and Latinx adults

Background: Black and Latinx adults experience disproportionate asthma-related morbidity and limited spe-cialty care access. The severe acute respiratory syndrome coronavirus 2 pandemic expanded telehealth use. Objective: To evaluate visit type (telehealth [TH] vs in-person [IP]) preferences and the impact of visit type on asthma outcomes among Black and Latinx adults with moderate-to-severe asthma.Methods: For this PREPARE trial ancillary study, visit type preference was surveyed by e-mail or telephone post -trial. Emergency medical record data on visit types and asthma outcomes were available for a subset (March 2020 to April 2021). Characteristics associated with visit type preferences, and relationships between visit typeResults: A total of 866 participants consented to be surveyed, with 847 respondents. Among the participants with asthma care experience with both visit types, 42.0% preferred TH for regular checkups, which associated tion adherence (OR = 1.06; 95% CI, 1.01-1.11; P = .03), and having more historical emergency department and urgent care asthma visits (OR = 1.10 for each additional visit; 95% CI, 1.02-1.18; P = .02), after adjustment. Emergency medical record data were available for 98 participants (62 TH, 36 IP). Those with TH visits were more likely Latinx, from the Southwest, employed, using inhaled corticosteroid-only controller therapy, with lower body mass index, and lower self-reported asthma medication adherence vs those with IP visits only. Both groups had Conclusion: TH may be similarly efficacious as and often preferred over IP among Black and Latinx adults with (c) 2023 American College of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.