A Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting

NCT ID: NCT01161433

Last Updated: 2010-07-13

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2007-10-31
• Study Completion Date: 2008-09-30

Brief Summary

Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, however, few primary care providers report routine use of spirometry in the provision of care for their asthma patients. Even when spirometry is used to aid in asthma severity classification, primary care providers have a high rate of failing to meet the quality goals for testing established by the American Thoracic Society.

The goal of this study is to evaluate the effectiveness of a virtually delivered quality improvement (QI) program. The program is designed to train primary care providers and their medical staff in the use of spirometry to improve pediatric primary care management for children with asthma.

Detailed Description

A cluster randomized trial with matched practice pairs. All practices receive a spirometer and standard vendor training. Those randomized to the intervention group receive a 7-month QI program, which includes:

1. Spirometry Fundamentals™ CD-ROM;

2. Case-based, interactive webinars; and

3. an Internet-based spirometry quality feedback reporting system.

Conditions

Asthma

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Intervention

Virtually delivered spirometry quality improvement program

Group Type: EXPERIMENTAL

Virtually delivered spirometry quality improvement program

Intervention Type: BEHAVIORAL

Sites in the intervention arm receive the virtually delivered QI program.

The program includes:

1. Spirometry Fundamentals™ CD-ROM, a computer-based CD-ROM training program that teaches primary care providers and their staff techniques required to perform high-quality spirometry tests, and proper interpretation of spirometric data;

2. Case-based, interactive webinars; and

3. an Internet-based spirometry quality feedback reporting system.

Standard of Care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Virtually delivered spirometry quality improvement program

Sites in the intervention arm receive the virtually delivered QI program.

The program includes:

1. Spirometry Fundamentals™ CD-ROM, a computer-based CD-ROM training program that teaches primary care providers and their staff techniques required to perform high-quality spirometry tests, and proper interpretation of spirometric data;

2. Case-based, interactive webinars; and

3. an Internet-based spirometry quality feedback reporting system.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Internet access on a computer running Windows XP SP2
• Access to a computer with Windows 2000 /Mac OS 10 or higher
• Practices must match another enrolled practice on the following parameters.

1. Number of providers in practice (same number +/- 1 provider)

2. Location - both practices must either be urban or rural

3. % of patients eligible for Medicaid (same percentage +/- 15%)

4. Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)

5. Geographic distance (minimum of 10 miles away from matched pair practice)

Exclusion Criteria

• Lack of Internet access on a computer running Windows XP SP2
• Lack of access to a computer with Windows 2000 /Mac OS 10 or higher
• Practices that were unable to be matched to another similar practice

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Washington

OTHER

Sponsor Role: lead

Responsible Party

University of Washington

Principal Investigators

James W Stout, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington

Rita Mangione-Smith, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Washington/Seattle Children's Hospital

Locations

University of Washington

Seattle, Washington, United States

Countries

United States

Related Links

http://depts.washington.edu/imtr/spiro360/

Spirometry 360 Training Program

Other Identifiers

HHSA290200600022, Task order 2

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

32583-E/B

Identifier Type: -

Identifier Source: org_study_id