Asthma Patient Education in the Emergency Room
Trial of Asthma Patient Education in the Emergency Room
調査の概要
詳細な説明
BACKGROUND:
Many urban asthma emergency room patients lack effective self-management. Most current training programs are administered in outpatient settings and have low attendance rates for emergency room patients. There is a great need to develop effective programs that can be easily administered in the emergency room for patients who, in many cases, are not present in other settings to receive education. This proposal builds on preliminary studies and is tailored to provide emergency room patients with basic education during "a teachable moment" when they may be most receptive to asthma information.
DESIGN NARRATIVE:
Patients will be recruited from two New York City urban emergency rooms or inpatient settings and randomized to the intervention or control groups. Intervention patients will receive a protocol focusing on asthma self-management, education, self-efficacy, and social support, with telephone reinforcement for 8 weeks. Control patients will receive standard emergency room education about asthma.
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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New York
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New York、New York、アメリカ
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-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Patients will be eligible if they are 18 years of age or older
- Fluent in English
- Have a known diagnosis of asthma
- Will receive treatment for asthma during the current hospitalization or emergency room visit.
Exclusion Criteria:
- Cognitive deficits
- Other pulmonary diseases or severe comorbidity
- Do not have out-patient access to a telephone
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：1
Intervention participants will receive information focusing on asthma self-management, education, self-efficacy, and social support while in the hospital emergency room.
Telephone reinforcement will occur for 8 weeks following study entry.
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The intervention involves enhancing asthma education, asthma self-efficacy and asthma-related social support and is administered during a single in-person session in the ED (or hospital for admitted patients) followed by telephone reinforcement.
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アクティブコンパレータ：2
Participants in the control group will receive standard emergency room education about asthma.
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Participants will receive standard emergency room education about asthma.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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Quality of life
時間枠：Measured at 8 weeks
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Measured at 8 weeks
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二次結果の測定
結果測定 |
時間枠 |
|---|---|
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Rescue inhaled beta agonist use
時間枠：Measured at 8 weeks
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Measured at 8 weeks
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Peak flow meter rates
時間枠：Measured at 8 weeks
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Measured at 8 weeks
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Number of days lost from work or school due to asthma
時間枠：Measured at 8 weeks
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Measured at 8 weeks
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Decreasing urgent resource utilization for asthma
時間枠：Measured at 16 weeks and 1 year
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Measured at 16 weeks and 1 year
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Cost effectiveness
時間枠：Measured at 16 weeks and 1 year
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Measured at 16 weeks and 1 year
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協力者と研究者
捜査官
- スタディチェア：Carol A. Mancuso, MD、Hospital for Special Surgery, New York
出版物と役立つリンク
一般刊行物
- Mancuso CA, Peterson MG. Different methods to assess quality of life from multiple follow-ups in a longitudinal asthma study. J Clin Epidemiol. 2004 Jan;57(1):45-54. doi: 10.1016/S0895-4356(03)00248-8.
- Mancuso CA, Rincon M, Robbins L, Charlson ME. Patients' expectations of asthma treatment. J Asthma. 2003 Dec;40(8):873-81. doi: 10.1081/jas-120023578.
- Mancuso CA, Rincon M, Charlson ME. Adverse work outcomes and events attributed to asthma. Am J Ind Med. 2003 Sep;44(3):236-45. doi: 10.1002/ajim.10257.
- Mancuso CA, Rincon M, McCulloch CE, Charlson ME. Self-efficacy, depressive symptoms, and patients' expectations predict outcomes in asthma. Med Care. 2001 Dec;39(12):1326-38. doi: 10.1097/00005650-200112000-00008.
- Mancuso CA, Peterson MG, Charlson ME. Effects of depressive symptoms on health-related quality of life in asthma patients. J Gen Intern Med. 2000 May;15(5):301-10. doi: 10.1046/j.1525-1497.2000.07006.x.
- Peterson MG, Gaeta TJ, Birkhahn RH, Fernandez JL, Mancuso CA. History of symptom triggers in patients presenting to the emergency department for asthma. J Asthma. 2012 Aug;49(6):629-36. doi: 10.3109/02770903.2012.690480. Epub 2012 Jun 28.
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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