Web System for Engaging Families & Doctors in Continuous Asthma Quality Improvement

NCT ID: NCT02435394

Last Updated: 2016-04-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2016-07-31

Brief Summary

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Asthma, one of the most common pediatric illnesses, is optimally managed according to National Heart Lung and Blood Institute (NHLBI) guidelines yet this is not often done in primary care. This project is to develop and test the effects of using a module for guideline based care in the Child Health and Development Interactive System (CHADIS) online system by prompting and incorporating patient symptom/control and adherence data from standard questionnaires to inform visits and providing automated patient specific education and Asthma Action Plans in individual Care Portals.

Detailed Description

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We will complete the formative work collecting professional opinion to create and pilot the initial CHADIS Asthma Intervention module (CHADIS-AI), an innovative decision support system. CHADIS-AI content will be assembled and vetted by asthma experts and primary care providers (PCPs). Parent and teen focus groups will vet the content and language of the adherence materials and Care Portal. A system will also be established for points for patient participation, to give clinicians Maintenance of Certification (MOC) credit, and ongoing run chart reports of their patients' asthma status for continual Quality Improvement (QI) feedback. The resulting system will be pilot tested and refined by clinician feedback. Practices will be randomly assigned to intervention vs control. Control practices will use CHADIS for asthma care without the A-I module. Intervention practices will be further randomized to have remote coach support for patients or not. Outcomes will be examined of asthma severity/control, match of severity with guideline based medication management, numbers of Emergency Department (ED) visits, hospitalizations and oral steroid use. Effect of remote coaching will also be assessed.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Remote Coach plus Asthma Module

The intervention is for practices to have remote coach support for patients with asthma in addition to doctors using CHADIS-Asthma module. Practices will start sequentially for a time series analysis.

Group Type EXPERIMENTAL

Remote Coach plus Asthma Module

Intervention Type BEHAVIORAL

The intervention is for a remote coach to assist patients with asthma for practices which will use Asthma module for guidance for asthma care.

Asthma Module- No Coach

The intervention is for practices to use CHADIS-Asthma module to improve patient care without a remote coach assisting patient adherence.

Group Type EXPERIMENTAL

Asthma Module- No Coach

Intervention Type BEHAVIORAL

The intervention is for practices to use the Asthma module for guidance for asthma care without assistance by a remote coach.

CHADIS- no Asthma module

Practices using CHADIS but no Asthma module as a control condition.

Group Type ACTIVE_COMPARATOR

CHADIS- no Asthma Module

Intervention Type BEHAVIORAL

The practices will use the general CHADIS tool without access to the Asthma Module add-on to assist in asthma care.

Interventions

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Remote Coach plus Asthma Module

The intervention is for a remote coach to assist patients with asthma for practices which will use Asthma module for guidance for asthma care.

Intervention Type BEHAVIORAL

Asthma Module- No Coach

The intervention is for practices to use the Asthma module for guidance for asthma care without assistance by a remote coach.

Intervention Type BEHAVIORAL

CHADIS- no Asthma Module

The practices will use the general CHADIS tool without access to the Asthma Module add-on to assist in asthma care.

Intervention Type BEHAVIORAL

Other Intervention Names

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Remote Coach

Eligibility Criteria

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Inclusion Criteria

* Asthma diagnosis

Exclusion Criteria

* Not English or Spanish speaking
Maximum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role collaborator

Total Child Health, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Barbara J Howard, MD

Role: PRINCIPAL_INVESTIGATOR

Total Child Health

Locations

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Total Child Health

Baltimore, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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1R44HL117482

Identifier Type: NIH

Identifier Source: org_study_id

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