- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04951102
An Electronic Shared Decision-Making Application to Improve Asthma Outcomes
November 16, 2022 updated by: Alan Baptist, University of Michigan
This study will increase knowledge about the feasibility and effect on patient satisfaction and clinical outcomes of using an electronic Shared Decision Making (SDM) application (app) for patients with asthma in the allergy/immunology clinic visit setting.
SDM is defined as an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options and make informed choices.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
81
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Michigan Medicine, University of Michigan
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- English speaking
- Diagnosis of persistent asthma
- Have an in-person visit or telehealth encounter at the allergy/clinical immunology clinics participating in this study
Exclusion Criteria:
- Diagnosis of intermittent asthma
- Any other lung disease
- Smoking greater than 20 pack years or current smoking
- Mental impairment such that participation would not be possible
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Group A Patients who receive SDM intervention
Group A patients will complete a pre-visit electronic Asthma SDM App.
They may also receive educational information regarding asthma, medication management, smoking cessation, COVID-19 and COVID-19 vaccines.
|
The electronic Asthma SDM App will ask questions related to medicine-related, non-medicine-related, and COVID-19-related concerns about patients' asthma, the patients' personal goals for asthma control and expectation for their upcoming visit, and the patients' preferred level of details and involvement in coming to a decision about their asthma treatment.
They may also use the Asthma SDM app to find information about asthma, medication management, COVID-19 and COVID-19 vaccines.
|
Active Comparator: Group B Patients who receive standard care
Group B patients will receive standard care.
|
Standard Care for asthma.
|
Experimental: Group A Physicians who receive SDM training and electronic Asthma SDM App data
Group A physicians will view an SDM Physician Training Video and receive the patients' reported data from the pre-visit asthma SDM App prior to the patients' visits.
|
Training video to educate physicians on Shared Decision-Making and the use of Shared Decision-Making tools.
Data from the pre-visit electronic Asthma SDM app completed by the patients.
Data includes medicine-related, non-medicine-related, and COVID-related concerns about patients' asthma, the patients' personal goals for asthma control and expectation for their upcoming visit, and the patients' preferred level of details and involvement in coming to a decision about their asthma treatment.
|
Active Comparator: Group B Physicians who provide standard care
Group B physicians will provide standard care.
|
Standard Care for asthma.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient satisfaction
Time Frame: Within 1 week of completing asthma shared decision making app worksheet and their asthma clinic visit
|
Patient satisfaction as determined by Patient Satisfaction Questionnaire responses.
Questions will consist of the SDM-Q-9 (psychometrically validated measures for shared decision-making from the perspectives of patients), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician.
|
Within 1 week of completing asthma shared decision making app worksheet and their asthma clinic visit
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Physician satisfaction
Time Frame: Within 1 week of patient visit
|
Physician satisfaction as determined by Physician Satisfaction Questionnaire responses.
Questions will consist of the SDM-Q-DOC (psychometrically validated measures for shared decision-making from the perspectives of health care providers), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician.
Physicians will receive a small number of satisfaction questionnaires, randomly assigned after patient visits, no more than one a week.
|
Within 1 week of patient visit
|
Change in level of asthma control will be determined
Time Frame: Up to 6 months
|
Change in level of asthma control as determined by patient follow up asthma control test questionnaire responses regarding interval changes in asthma control, use of systemic steroids, and urgent care and emergency visits for asthma.
|
Up to 6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 3, 2021
Primary Completion (Actual)
March 28, 2022
Study Completion (Actual)
September 14, 2022
Study Registration Dates
First Submitted
June 4, 2021
First Submitted That Met QC Criteria
June 30, 2021
First Posted (Actual)
July 6, 2021
Study Record Updates
Last Update Posted (Actual)
November 17, 2022
Last Update Submitted That Met QC Criteria
November 16, 2022
Last Verified
November 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- HUM00193830
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Asthma
-
Vanderbilt University Medical CenterNot yet recruitingAsthma in Children | Asthma Attack | Asthma Acute | Acute Asthma Exacerbation | Asthma; StatusUnited States
-
University of California, San FranciscoCompletedAsthma in Children | Asthma Attack | Asthma Acute | Asthma ChronicUnited States
-
SingHealth PolyclinicsNot yet recruitingAsthma | Asthma in Children | Asthma Attack | Asthma Acute | Asthma Chronic
-
Johann Wolfgang Goethe University HospitalCompleted
-
Universita di VeronaCompleted
-
Parc de Salut MarActive, not recruitingAsthma in Children | Persistent Asthma | Asthma ExacerbationSpain
-
Forest LaboratoriesCompleted
-
Brunel UniversityKarolinska InstitutetUnknown
-
Value Outcomes Ltd.AstraZenecaCompletedAsthma, Bronchial | Bronchial Asthma | Asthma Chronic | Asthma; EosinophilicCzechia
Clinical Trials on Electronic Asthma Shared Decision-Making App
-
Columbia UniversityNational Heart, Lung, and Blood Institute (NHLBI)RecruitingDepressive Symptoms | Coronary Heart DiseaseUnited States
-
The University of Texas Health Science Center,...TerminatedPregnancy Related | Elective InductionUnited States
-
Wake Forest University Health SciencesPatient-Centered Outcomes Research InstituteCompleted
-
Ain Shams UniversityCompleted
-
Shalvata Mental Health CenterUnknownShared Decision Making With PatientsIsrael
-
Umeå UniversityUnknownPsychosis | Participation, Patient | Psychiatric HospitalizationSweden
-
AstraZenecaBrigham Women's HealthCompletedDiabetes Mellitus Type 2United States
-
National Heart, Lung, and Blood Institute (NHLBI)CompletedLung Diseases | Asthma
-
Yokohama City UniversityCompleted
-
Christiana Care Health ServicesNational Institute of General Medical Sciences (NIGMS); Thomas Jefferson University and other collaboratorsCompleted