Study Results
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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COMPLETED
NA
22 participants
INTERVENTIONAL
2015-04-30
2019-03-31
Brief Summary
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The purpose of this study is to improve the prescription and use of evidenced-based preventative therapies for children with asthma with the goal to significantly improve their disease control and quality of life, while reducing unnecessary ED visits and hospitalizations. The investigators will achieve this by: i) installing a primary care clinical pathway for managing childhood asthma into clinicians' electronic medical record (EMR) to facilitate the use of best-evidence by practitioners, and ii) training chronic disease management (CDM) health professionals to provide targeted and timely asthma education to parents and children with asthma. The investigators will test this pathway and education project in a representative sample of 22 Alberta primary care practices, using a pragmatic cluster controlled trial methodology.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Intervention group
Embedding a primary care clinical pathway for managing childhood asthma into clinicians' electronic medical record (EMR) to facilitate practitioners utilizing best-evidence; training these practices' chronic disease management (CDM) professionals to provide asthma education to children with asthma and their parents; and clinicians receiving an EMR embedded dashboard.
Primary care clinical pathway
Installing a primary care clinical pathway for managing childhood asthma into clinicians' electronic medical record (EMR) to facilitate the use of best-evidence by practitioners.
Asthma education
Physicians will receive web-based education through an interactive learning module regarding best management for childhood asthma and use of the primary care clinical pathway. Chronic disease management (CDM) health professionals in practices will attend asthma education sessions delivered by an asthma educator. This training will be then used by the CDM professional to provide targeted and timely asthma education to parents and children with asthma.
EMR embedded dashboard
An EMR embedded dashboard will deliver real-time feedback to clinicians.
Control group
Practice will continue with routine care. Control group will be offered the intervention at study completion, if successful.
No interventions assigned to this group
Interventions
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Primary care clinical pathway
Installing a primary care clinical pathway for managing childhood asthma into clinicians' electronic medical record (EMR) to facilitate the use of best-evidence by practitioners.
Asthma education
Physicians will receive web-based education through an interactive learning module regarding best management for childhood asthma and use of the primary care clinical pathway. Chronic disease management (CDM) health professionals in practices will attend asthma education sessions delivered by an asthma educator. This training will be then used by the CDM professional to provide targeted and timely asthma education to parents and children with asthma.
EMR embedded dashboard
An EMR embedded dashboard will deliver real-time feedback to clinicians.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Children of parents who have opted out of CPCSSN data collection
* Children with validated asthma who have not attended practices in the last 2 years, or have not received bronchodilator therapy in the last 12 months
1 Year
17 Years
ALL
No
Sponsors
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Alberta Innovates Health Solutions
OTHER
Alberta Health Services, Calgary
OTHER
Health Quality Council of Alberta (HQCA)
UNKNOWN
University of Calgary
OTHER
Ottawa Hospital Research Institute
OTHER
TELUS
UNKNOWN
University of Alberta
OTHER
Responsible Party
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Principal Investigators
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Andrew Cave, FCFP, FRCGP
Role: PRINCIPAL_INVESTIGATOR
Department of Family Medicine, University of Alberta
Locations
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University of Alberta
Edmonton, Alberta, Canada
Countries
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References
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Sharpe H, Potestio M, Cave A, Johnson DW, Scott SD. Facilitators and barriers to the implementation of the Primary Care Asthma Paediatric Pathway: a qualitative analysis. BMJ Open. 2022 May 12;12(5):e058950. doi: 10.1136/bmjopen-2021-058950.
Cave AJ, Sharpe H, Anselmo M, Befus AD, Currie G, Davey C, Drummond N, Graham J, Green LA, Grimshaw J, Kam K, Manca DP, Nettel-Aguirre A, Potestio ML, Rowe BH, Scott SD, Williamson T, Johnson DW. Primary Care Pathway for Childhood Asthma: Protocol for a Randomized Cluster-Controlled Trial. JMIR Res Protoc. 2016 Mar 8;5(1):e37. doi: 10.2196/resprot.5261.
Other Identifiers
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201400389
Identifier Type: -
Identifier Source: org_study_id
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