- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03193242
The Electronic Asthma Management System (eAMS)
eAMS: The Electronic Asthma Management System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Asthma is a common and potentially fatal chronic disease. An asthma action plan (AAP) is a written plan produced by a physician for a patient with asthma, to provide education and guidelines for self-management of worsening asthma symptoms. Studies have shown that AAPs effectively improve asthma control, but physicians fail to provide AAPs due to lack of time and adequate skills. Physicians also often fail to determine if their patients have good asthma control, and to adjust medications in response to patients' control level.
In a pilot study investigators developed and tested a computerized tool to help physicians to determine if their patients' asthma is well controlled, advise them on medication changes required according to the current level of control, and automatically generate an electronic version of the AAP, all based on patient responses to a questionnaire completed by patients on a tablet computer. In the pilot, investigators found that the tablet computers add a level of complexity to clinic flow. In this study patients will have the ability to complete the questionnaire on their smartphones, through a pre-downloaded app. Patients will also have access to an electronic asthma self-management tool called Breathe through which they can view their AAP and other asthma educational information.
The investigators hope that this system will eliminate the barriers that physicians face in determining asthma control, adjusting medications, and delivering an AAP, and will increase the frequency with which physicians are able to achieve these goals in patients with asthma. The objectives of the study are to determine the impact of this system on asthma action plan delivery by primary care physicians, the frequency of checking control level, and the frequency and appropriateness of asthma medication changes (in accordance with control). The investigators will also attempt to determine the impact of the system on hospitalisations, emergency room (ER) visits, unscheduled visits to the doctor, total visits to the doctor, days off work or school, nocturnal asthma symptoms, daytime asthma symptoms, daytime rescue puffer use, and quality of life, and to measure physicians' perceptions of and satisfaction with the system.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Ontario
-
Brampton, Ontario, Canada, L6X 1N3
- Wise Elephant Family Health Team
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Toronto, Ontario, Canada, M5B 1W8
- St. Michael's Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Eligible physicians will include all primary care physicians at the 4 sites.
- Eligible patients will include:
patients with asthma, as determined by a validated electronic chart record search algorithm for asthma; patients >/= 16 years of age.
Exclusion Criteria:
- Patients who received an AAP within the last 6 months (from their primary care physician, a respirologist, or any other source).
- Pregnant patients will be excluded given that conventional AAP recommendations may not be appropriate in this population.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
Electronic Asthma Management System: eAMS Intervention eAMS consists of simple questionnaire completed either through an app on a patient's smartphone or tablet computer, a computerized clinical decision support system which then processes these data to produce a set of asthma care recommendations for the clinician, and a printable asthma action plan that is given to patients. eAMS will also provide access to a patient-oriented asthma management tool called Breathe. |
Electronic Asthma Management System: eAMS Intervention eAMS consists of simple questionnaire completed either through an app on a patient's smartphone or tablet computer, a computerized clinical decision support system which then processes these data to produce a set of asthma care recommendations for the clinician, and a printable asthma action plan that is given to patients. eAMS will also provide access to a patient-oriented asthma management tool called Breathe. |
No Intervention: Control
Electronic Asthma Management System: eAMS - Control At control sites, eligible clinicians will be offered access to the web-based clinician-oriented asthma action plan (AAP) educational module produced by the Lung Association, copies of the Canadian Asthma Guidelines, and standard fillable paper-based AAPs (the eAMS will be offered after study end). |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of Received AAP
Time Frame: 12 Months
|
The study's primary outcome will be the proportion of patients currently on a controller medication who received an AAP in the intervention sites compared to the control sites, over 1 year (as determined through an electronic chart review).
|
12 Months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Documented Asthma Control
Time Frame: 12 months
|
The proportion of eligible patients who had asthma control documented
|
12 months
|
Any Medication Change
Time Frame: 12 months
|
The proportion of eligible patients who had a medication change made
|
12 months
|
Appropriate Medication Change
Time Frame: 12 months
|
The proportion of eligible patients who had an appropriate medication change made (based on asthma control, where ascertainable)
|
12 months
|
Healthcare utilization rate
Time Frame: 12 months
|
Secondary outcomes collected through patient questionnaire will measure healthcare utilization.
|
12 months
|
Quality of life
Time Frame: 12 months
|
Secondary outcomes collected through patient questionnaires will measure quality of life.
|
12 months
|
Health Care Utilization
Time Frame: 12 months
|
Health care utilization will also be validated through linkage with health administrative databases.
|
12 months
|
System Use
Time Frame: 12 months
|
Quantitative assessment of system use
|
12 months
|
System usability
Time Frame: First 6 months of intervention
|
Specific questionnaire to collect data on tool usability.
|
First 6 months of intervention
|
Tool learnability
Time Frame: First 6 months of intervention
|
Focus group/interview to collect qualitative data on tool usability
|
First 6 months of intervention
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 10-052A
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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