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A Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting

9. juli 2010 opdateret af: University of Washington

Implementing Evidence-based Quality Improvement Strategies to Improve Asthma Care for Children

Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, however, few primary care providers report routine use of spirometry in the provision of care for their asthma patients. Even when spirometry is used to aid in asthma severity classification, primary care providers have a high rate of failing to meet the quality goals for testing established by the American Thoracic Society.

The goal of this study is to evaluate the effectiveness of a virtually delivered quality improvement (QI) program. The program is designed to train primary care providers and their medical staff in the use of spirometry to improve pediatric primary care management for children with asthma.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

A cluster randomized trial with matched practice pairs. All practices receive a spirometer and standard vendor training. Those randomized to the intervention group receive a 7-month QI program, which includes:

  1. Spirometry Fundamentals™ CD-ROM;
  2. Case-based, interactive webinars; and
  3. an Internet-based spirometry quality feedback reporting system.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

36

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Forenede Stater
    • Washington
      • Seattle, Washington, Forenede Stater, 98195
        • University of Washington

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 90 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Internet access on a computer running Windows XP SP2
  • Access to a computer with Windows 2000 /Mac OS 10 or higher

  • Practices must match another enrolled practice on the following parameters.

    1. Number of providers in practice (same number +/- 1 provider)
    2. Location - both practices must either be urban or rural
    3. % of patients eligible for Medicaid (same percentage +/- 15%)
    4. Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)
    5. Geographic distance (minimum of 10 miles away from matched pair practice)

Exclusion Criteria:

  • Lack of Internet access on a computer running Windows XP SP2
  • Lack of access to a computer with Windows 2000 /Mac OS 10 or higher
  • Practices that were unable to be matched to another similar practice

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: Standard for pleje
Eksperimentel: Intervention
Virtually delivered spirometry quality improvement program
Adfærdsmæssigt: Virtually delivered spirometry quality improvement program

Sites in the intervention arm receive the virtually delivered QI program.

The program includes:

  1. Spirometry Fundamentals™ CD-ROM, a computer-based CD-ROM training program that teaches primary care providers and their staff techniques required to perform high-quality spirometry tests, and proper interpretation of spirometric data;
  2. Case-based, interactive webinars; and
  3. an Internet-based spirometry quality feedback reporting system.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Spirometry test quality
Tidsramme: Seven months
Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.
Seven months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Presence of asthma care plan
Tidsramme: Seven months
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which written asthma action plans are completed.
Seven months
Asthma severity documentation
Tidsramme: Seven months
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which asthma severity is appropriately documented.
Seven months
Appropriate prescription of controller therapy
Tidsramme: Seven months
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which appropriate controller therapy is prescribed.
Seven months
Frequency of office-based spirometry
Tidsramme: Seven months
To test whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which office-based spirometry is used in the management of children with asthma.
Seven months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

University of Washington

Efterforskere

  • Ledende efterforsker: Rita Mangione-Smith, MD, MPH, University of Washington/Seattle Children's Hospital
  • Ledende efterforsker: James W Stout, MD, MPH, University of Washington

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. oktober 2007

Primær færdiggørelse (Faktiske)

1. september 2008

Studieafslutning (Faktiske)

1. september 2008

Datoer for studieregistrering

Først indsendt

15. juni 2010

Først indsendt, der opfyldte QC-kriterier

9. juli 2010

Først opslået (Skøn)

13. juli 2010

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

13. juli 2010

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. juli 2010

Sidst verificeret

1. juli 2010

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 32583-E/B
  • HHSA290200600022, Task order 2 (Andet bevillings-/finansieringsnummer: Agency for Healthcare Research and Quality)

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Virtually delivered spirometry quality improvement program

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Sponsorer og samarbejdspartnere

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Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner