Trial Outcomes & Findings for Using Question Prompt Lists During Pediatric Asthma Visits to Increase Adolescent Involvement (NCT NCT02498834)

NCT ID: NCT02498834

Last Updated: 2019-01-16

Results Overview

This will be measured via the 5-item Asthma Control Test, responses are summed to indicate a score ranging from 5 (poor asthma control) to 25 (complete asthma control). A higher score means a better outcome. A score of above 19 is considered "well controlled".

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

359 participants

Primary outcome timeframe

12 month follow-up

Results posted on

2019-01-16

Participant Flow

Participant milestones

Participant milestones
Measure
Educational Video and Question Prompt List
Parents and adolescents in this group will watch a short educational video in English or Spanish on an iPad about the importance of encouraging adolescents to ask questions and to be involved during their pediatric asthma visits to improve their self-management skills. Also, the adolescents in this group will be handed a question prompt list to complete, which will be collected after the medical visit. Educational Video and Question Prompt List: Educational Video and Question Prompt List
Control Group
Standard of care will be used
Overall Study
STARTED
185
174
Overall Study
COMPLETED
175
164
Overall Study
NOT COMPLETED
10
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Using Question Prompt Lists During Pediatric Asthma Visits to Increase Adolescent Involvement

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Educational Video and Question Prompt List
n=185 Participants
Parents and adolescents in this group will watch a short educational video in English or Spanish on an iPad about the importance of encouraging adolescents to ask questions and to be involved during their pediatric asthma visits to improve their self-management skills. Also, the adolescents in this group will be handed a question prompt list to complete, which will be collected after the medical visit. Educational Video and Question Prompt List: Educational Video and Question Prompt List
Control Group
n=174 Participants
Standard of care will be used
Total
n=359 Participants
Total of all reporting groups
Age, Continuous
13.2 years
STANDARD_DEVIATION 1.9 • n=5 Participants
13.2 years
STANDARD_DEVIATION 1.9 • n=7 Participants
13.2 years
STANDARD_DEVIATION 1.9 • n=5 Participants
Sex: Female, Male
Female
76 Participants
n=5 Participants
78 Participants
n=7 Participants
154 Participants
n=5 Participants
Sex: Female, Male
Male
109 Participants
n=5 Participants
96 Participants
n=7 Participants
205 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
26 Participants
n=5 Participants
19 Participants
n=7 Participants
45 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
159 Participants
n=5 Participants
155 Participants
n=7 Participants
314 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
24 Participants
n=5 Participants
17 Participants
n=7 Participants
41 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
71 Participants
n=5 Participants
63 Participants
n=7 Participants
134 Participants
n=5 Participants
Race (NIH/OMB)
White
60 Participants
n=5 Participants
70 Participants
n=7 Participants
130 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
30 Participants
n=5 Participants
20 Participants
n=7 Participants
50 Participants
n=5 Participants
Region of Enrollment
United States
185 Participants
n=5 Participants
174 Participants
n=7 Participants
359 Participants
n=5 Participants
Number of Participants Achieving Asthma Control
Controlled
101 Participants
n=5 Participants
105 Participants
n=7 Participants
206 Participants
n=5 Participants
Number of Participants Achieving Asthma Control
Not controlled
84 Participants
n=5 Participants
69 Participants
n=7 Participants
153 Participants
n=5 Participants
Adolescent asthma management self-efficacy score
55.9 score on a scale
STANDARD_DEVIATION 8.0 • n=5 Participants
56.0 score on a scale
STANDARD_DEVIATION 8.2 • n=7 Participants
55.9 score on a scale
STANDARD_DEVIATION 8.1 • n=5 Participants
Asthma quality-of-life score
5.7 score on a scale
STANDARD_DEVIATION 1.2 • n=5 Participants
5.8 score on a scale
STANDARD_DEVIATION 1.2 • n=7 Participants
5.7 score on a scale
STANDARD_DEVIATION 1.2 • n=5 Participants

PRIMARY outcome

Timeframe: 12 month follow-up

Population: One intervention group patient was excluded because they had to leave immediately after the final visit and did not complete the 12-month survey.

This will be measured via the 5-item Asthma Control Test, responses are summed to indicate a score ranging from 5 (poor asthma control) to 25 (complete asthma control). A higher score means a better outcome. A score of above 19 is considered "well controlled".

Outcome measures

Outcome measures
Measure
Educational Video and Question Prompt List
n=174 Participants
Parents and adolescents in this group will watch a short educational video in English or Spanish on an iPad about the importance of encouraging adolescents to ask questions and to be involved during their pediatric asthma visits to improve their self-management skills. Also, the adolescents in this group will be handed a question prompt list to complete, which will be collected after the medical visit. Educational Video and Question Prompt List: Educational Video and Question Prompt List
Control Group
n=164 Participants
Standard of care will be used
Number of Participants Achieving Asthma Control
Controlled
121 Participants
128 Participants
Number of Participants Achieving Asthma Control
Not controlled
53 Participants
36 Participants

PRIMARY outcome

Timeframe: 12 month follow-up

Population: One intervention group patient was excluded because they had to leave immediately after the final visit and did not complete the 12-month survey.

Adolescent asthma management self-efficacy was measured using a 14-item scale that has been shown to have a reliability of 0.87. Prior work in asthma has found asthma management self-efficacy to change in response to an intervention. Scores range from 14 to 70 and a higher score means a better outcome.

Outcome measures

Outcome measures
Measure
Educational Video and Question Prompt List
n=174 Participants
Parents and adolescents in this group will watch a short educational video in English or Spanish on an iPad about the importance of encouraging adolescents to ask questions and to be involved during their pediatric asthma visits to improve their self-management skills. Also, the adolescents in this group will be handed a question prompt list to complete, which will be collected after the medical visit. Educational Video and Question Prompt List: Educational Video and Question Prompt List
Control Group
n=164 Participants
Standard of care will be used
Adolescent Asthma Management Self-efficacy Score
58.9 score on a scale
Standard Deviation 8.6
59.7 score on a scale
Standard Deviation 7.2

PRIMARY outcome

Timeframe: 12 month follow-up

Population: One intervention group patient was excluded because they had to leave immediately after the final visit and did not complete the 12-month survey.

Adolescent quality-of-life was measured as a continuous variable. The investigators used the standardized version of the Juniper pediatric asthma quality-of-life questionnaire. The questionnaire contains 23 items and has a reliability of 0.84. Scores can range from 1.0 to 7.0, and a higher score means a better outcome.

Outcome measures

Outcome measures
Measure
Educational Video and Question Prompt List
n=174 Participants
Parents and adolescents in this group will watch a short educational video in English or Spanish on an iPad about the importance of encouraging adolescents to ask questions and to be involved during their pediatric asthma visits to improve their self-management skills. Also, the adolescents in this group will be handed a question prompt list to complete, which will be collected after the medical visit. Educational Video and Question Prompt List: Educational Video and Question Prompt List
Control Group
n=164 Participants
Standard of care will be used
Asthma Quality-of-life Score
6.1 score on a scale
Standard Deviation 1.2
6.2 score on a scale
Standard Deviation 0.98

Adverse Events

Educational Video and Question Prompt List

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Betsy Sleath, PhD

University of North Carolina at Chapel Hill

Phone: (919) 962-0079

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place