Trial Outcomes & Findings for Validation of the BREATHE Asthma Intervention Trial (NCT NCT03300752)

NCT ID: NCT03300752

Last Updated: 2021-09-28

Results Overview

Full title: Asthma Control Questionnaire Construct measured: self-reported asthma control Scoring: 0 points = total asthma control/ best outcome, 6 points = completely uncontrolled asthma/ worst outcome

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

Baseline, 1 Month, 2 Months, 3 Months (post-intervention)

Results posted on

2021-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
BREATHE Intervention
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Overall Study
STARTED
40
40
Overall Study
COMPLETED
38
38
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Validation of the BREATHE Asthma Intervention Trial

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
BREATHE Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Total
n=80 Participants
Total of all reporting groups
Age, Continuous
47.35 years
STANDARD_DEVIATION 12.80 • n=5 Participants
42.9 years
STANDARD_DEVIATION 13.06 • n=7 Participants
45.1 years
STANDARD_DEVIATION 13.1 • n=5 Participants
Sex: Female, Male
Female
30 Participants
n=5 Participants
36 Participants
n=7 Participants
66 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
38 Participants
n=5 Participants
35 Participants
n=7 Participants
73 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
40 participants
n=5 Participants
40 participants
n=7 Participants
80 participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline, 1 Month, 2 Months, 3 Months (post-intervention)

Full title: Asthma Control Questionnaire Construct measured: self-reported asthma control Scoring: 0 points = total asthma control/ best outcome, 6 points = completely uncontrolled asthma/ worst outcome

Outcome measures

Outcome measures
Measure
BREATHE Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Asthma Control Questionnaire (ACQ) Score
Baseline
2.94 score on a scale
Standard Error 0.15
2.63 score on a scale
Standard Error 0.15
Asthma Control Questionnaire (ACQ) Score
1-month post
2.17 score on a scale
Standard Error 0.17
2.16 score on a scale
Standard Error 0.16
Asthma Control Questionnaire (ACQ) Score
2-month post
2.22 score on a scale
Standard Error 0.16
2.35 score on a scale
Standard Error 0.16
Asthma Control Questionnaire (ACQ) Score
3-month post
2.40 score on a scale
Standard Error 0.15
2.24 score on a scale
Standard Error 0.15

SECONDARY outcome

Timeframe: Baseline, 1 Month, 2 Months, 3 Months (post-intervention)

Full title: Asthma Quality of Life Questionnaire Construct: quality of life for patients with asthma Scoring: 32 items, each scored 1-7. The total score is calculated as a mean of all 32 items (1= low quality of life/ worse outcome, 7= high quality of life/ best outcome)

Outcome measures

Outcome measures
Measure
BREATHE Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Asthma Quality of Life Questionnaire (AQLQ) Score
2-month post
3.97 score on a scale
Standard Error 0.19
4.18 score on a scale
Standard Error 0.19
Asthma Quality of Life Questionnaire (AQLQ) Score
Baseline
3.50 score on a scale
Standard Error 0.18
3.65 score on a scale
Standard Error 0.18
Asthma Quality of Life Questionnaire (AQLQ) Score
1-month post
4.03 score on a scale
Standard Error 0.20
4.07 score on a scale
Standard Error 0.19
Asthma Quality of Life Questionnaire (AQLQ) Score
3-month post
4.02 score on a scale
Standard Error 0.18
4.22 score on a scale
Standard Error 0.18

SECONDARY outcome

Timeframe: Baseline, 1 Month, 2 Months, 3 Months (post-intervention)

Full title: Medication Adherence Record Scale- Asthma Construct: Adherence to inhaled corticosteroid medications Scoring: Total score is calculated as a mean of the 10 items, scores range from 1-5 (1= low adherence/ worse outcome, 5= high adherence/ best outcome)

Outcome measures

Outcome measures
Measure
BREATHE Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 Participants
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Medication Adherence Record Scale-Asthma (MARS-A) Score
2- month post
4.28 score on a scale
Standard Error 0.12
4.18 score on a scale
Standard Error 0.12
Medication Adherence Record Scale-Asthma (MARS-A) Score
3-month post
4.08 score on a scale
Standard Error 0.12
4.03 score on a scale
Standard Error 0.12
Medication Adherence Record Scale-Asthma (MARS-A) Score
Baseline
3.95 score on a scale
Standard Error 0.12
3.88 score on a scale
Standard Error 0.12
Medication Adherence Record Scale-Asthma (MARS-A) Score
1-month post
4.07 score on a scale
Standard Error 0.13
4.12 score on a scale
Standard Error 0.12

Adverse Events

BREATHE Intervention

Serious events: 1 serious events
Other events: 5 other events
Deaths: 1 deaths

Control Intervention

Serious events: 0 serious events
Other events: 2 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
BREATHE Intervention
n=40 participants at risk
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 participants at risk
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Cardiac disorders
presumed myocardial infarction
2.5%
1/40 • Number of events 1 • Up to 3 months post-intervention
0.00%
0/40 • Up to 3 months post-intervention

Other adverse events

Other adverse events
Measure
BREATHE Intervention
n=40 participants at risk
The patient's primary care provider (PCP) will deliver the active intervention (shared decision-making discussion of asthma control status and treatment) - BREATHE Intervention. BREATHE Intervention: PCPs randomized to BREATHE will receive the tablet which, when the screen is advanced by the PCP, will prompt the PCP through a 7-minute, 4-step brief intervention tailored to respond to the patient's specific beliefs, and shared decision-making discussion of asthma control status and treatment.
Control Intervention
n=40 participants at risk
The patient's primary care provider (PCP) will deliver the control intervention (discussion of healthy lifestyles). Control Intervention: PCP will provide discussion of healthy lifestyles.
Respiratory, thoracic and mediastinal disorders
emergency department visit
12.5%
5/40 • Up to 3 months post-intervention
5.0%
2/40 • Up to 3 months post-intervention

Additional Information

Dr. Maureen George

Columbia University School of Nursing

Phone: 2123051175

Results disclosure agreements

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