Improving Asthma Outcomes Through Spirometry Distance Learning

NCT ID: NCT01168635

Last Updated: 2015-05-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 660 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-06-30
• Study Completion Date: 2012-01-31

Brief Summary

Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, yet few providers report its routine use for children with asthma. Misclassification of asthma severity occurs when assessment is based on symptoms alone. This misclassification can lead to inadequate treatment, increased morbidity, and increased healthcare utilization/cost.

The goal of this study is to test the effectiveness of a distance learning quality improvement program called Spirometry 360 developed by the interactive Medical Training Resources (iMTR) group at the University of Washington Child Health Institute. The Spirometry 360 program aims to improve care for children with asthma by enhancing provider knowledge and self-efficacy related to the use and interpretation of office-based spirometry.

Detailed Description

The Spirometry 360 program includes:

1. "Spirometry Fundamentals™: A basic guide to lung function testing," a computer-based training program that teaches primary care providers how to coach patients to produce high-quality spirometry tests and accurately interpret spirometric data;

2. Spirometry Learning Lab: Case-based teaching of spirometry in practice guides test administrators and interpreters through clinical examples in an interactive virtual classroom setting. These sessions are led by expert clinical faculty and are archived for future reference and review;

3. Spirometry Feedback: Tailored analysis of providers' spirometry testing sessions offers monthly individualized feedback reports by clinical experts on spirometry tests performed in the clinic.

This is a cluster randomized controlled trial to test the effectiveness of the Spirometry 360 program. The Spirometry 360 program will be provided to 25 primary care pediatric practices from two practice-based research networks. A separate group of 25 matched control practices recruited from these same networks will receive standard training from the equipment vendor during the study and the Spirometry 360 training program at the end of the study.

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

Spirometry 360 program - Virtually-delivered spirometry quality improvement program

Intervention Type: BEHAVIORAL

The Spirometry 360 program includes:

1. "Spirometry Fundamentals™: A basic guide to lung function testing," a computer-based training program that teaches primary care providers how to coach patients to produce high-quality spirometry tests and accurately interpret spirometric data;

2. Spirometry Learning Lab: Case-based teaching of spirometry in practice guides test administrators and interpreters through clinical examples in an interactive virtual classroom setting. These sessions are led by expert clinical faculty and are archived for future reference and review;

3. Spirometry Feedback: Tailored analysis of providers' spirometry testing sessions offers monthly individualized feedback reports by clinical experts on spirometry tests performed in the clinic.

Standard of Care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Spirometry 360 program - Virtually-delivered spirometry quality improvement program

The Spirometry 360 program includes:

1. "Spirometry Fundamentals™: A basic guide to lung function testing," a computer-based training program that teaches primary care providers how to coach patients to produce high-quality spirometry tests and accurately interpret spirometric data;

2. Spirometry Learning Lab: Case-based teaching of spirometry in practice guides test administrators and interpreters through clinical examples in an interactive virtual classroom setting. These sessions are led by expert clinical faculty and are archived for future reference and review;

3. Spirometry Feedback: Tailored analysis of providers' spirometry testing sessions offers monthly individualized feedback reports by clinical experts on spirometry tests performed in the clinic.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Parents must have a child who has had at least one visit for asthma with a participating provider during the 12 months before the study start date
• Must have monthly access to email and the Internet
• Must have child aged 5-16 years

• Aged 5-16 years
• Must have access to email and the Internet

Exclusion Criteria

• Parents with children who are outside our target age range of 5-16 years old
• Parents with children who haven't had a clinic visit for asthma care in the last year
• Parents without monthly access to the Internet

• Children who are outside our target age range of 5-16 years
• Children without monthly access to email and the Internet

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 17 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Washington

OTHER

Sponsor Role: collaborator

Boston University

OTHER

Sponsor Role: collaborator

Seattle Children's Hospital

OTHER

Sponsor Role: lead

Responsible Party

Rita Mangione-Smith

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Rita Mangione-Smith, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

Seattle Children's Hospital/University of Washington

Locations

Slone Center Office-based Research Network (SCOR) - Boston University

Boston, Massachusetts, United States

Seattle Children's Hospital Research Institute

Seattle, Washington, United States

Child Health Institute - Unversity of Washington

Seattle, Washington, United States

Puget Sound Pediatric Research Network

Seattle, Washington, United States

Countries

United States

Related Links

http://www.spirometrytraining.org/

Site for primary care physicians to learn about Spirometry

Other Identifiers

13169

Identifier Type: -

Identifier Source: org_study_id