Improving the Quality of Asthma Care Using the Internet
調査の概要
詳細な説明
Asthma is a common cause of illness and lost productivity, including missed days of work and school, in the United States. It is important for people with asthma to become involved in their treatment and care. Previous studies have shown that encouraging people to ask their doctor for various medical tests and treatments improves preventive care (e.g., cancer screenings), but more research is needed on the effect this can have on asthma management. This study will involve an interactive Web site that will ask patients questions about their asthma symptoms and medications and provide suggestions and feedback on the types of questions patients may want to ask their doctors. By asking questions about their asthma care and increasing communication with their doctor, patients may experience improved quality of asthma care and better asthma control. The purpose of this study is to evaluate the impact of the interactive Web site on asthma control and other measures of asthma management.
This 12-month study will enroll people with asthma. Participants will be randomly assigned to either the Asthma Feedback group or the Preventive Feedback (control) group. Both groups will log in to the study Web site at least once a month for 12 months and before all doctor visits. After logging in to the Web site, participants in the Asthma Feedback group will answer a series of questions about their asthma care. They will then receive information and feedback on the types of questions they should ask their asthma care provider during their next office visit. Participants in the Preventive Feedback group will answer questions and receive information and feedback regarding preventive services (e.g., cancer screening, cholesterol screening) that they should discuss with their primary care provider. At baseline and Months 6 and 12, all participants will complete online questionnaires regarding their asthma and overall health. Study researchers will review participants' medical records and insurance claims data at the end of the study.
研究の種類
入学 (実際)
段階
- フェーズ2
- フェーズ 3
連絡先と場所
研究場所
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Pennsylvania
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Hershey、Pennsylvania、アメリカ、17033
- Penn State Hershey Medical Center, Penn State College of Medicine
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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:
Only individuals with persistent asthma will be considered for this study. These definitions are made based on definitions from the National Committee for Quality Assurance (NCQA) and include individuals who meet either criteria A or B:
- A: (Four or more prescription medications used for asthma treatment in 1 year) OR (One or more visits to the emergency room with a principal diagnosis of asthma in 1 year) OR (One or more inpatient hospital visits with a principal diagnosis of asthma in 1 year)
- B: (Four or more outpatient visits with any diagnosis of asthma) AND (two or more claims for a prescription drug used for asthma treatment in 1 year)
Other Inclusion Criteria:
- Speaks and reads English fluently
- Member of Highmark
- Has access to the Internet at home or at work
- Has a valid e-mail address
- No history of more than 20 pack-years of cigarette smoking
- Enrolled in a Highmark health plan offering that includes prescription drug coverage
Exclusion Criteria:
- Does not speak English
- Does not have Internet access at home or work
- Smoked more than 20 pack-years (to exclude possible chronic obstructive pulmonary disease [COPD])
- Does not currently have asthma
- Pregnant
- Unwilling to consent
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
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
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：Asthma Feedback
Each month and before all visits with their asthma care provider, participants will be encouraged to go online and answer a series of questions regarding the types of asthma medications they use and how often they use them, asthma symptoms they have experienced, emergency department visits in the past year, the care they have received for their asthma (e.g., specialist visits) in the past year, and the planned date of their next visit with their asthma care provider.
Participants will receive tailored feedback about what questions they should ask their doctor during a subsequent visit, whether or not they should schedule a visit sooner, and links to read more about each recommendation.
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All participants will log in to the study Web site at least once a month and before all doctor visits.
They will answer a series of questions and receive individualized feedback about the types of questions they should ask their doctor.
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アクティブコンパレータ：Preventive Feedback
Each month and before all visits with their primary care provider, participants will be encouraged to go online and answer a series of questions regarding their preventive care.
They will receive tailored feedback regarding preventive services, such as pap testing, cancer screenings, and flu shots.
Participants will receive tailored feedback regarding preventive services (e.g., cancer screening) that they should discuss with their primary care provider.
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All participants will log in to the study Web site at least once a month and before all doctor visits.
They will answer a series of questions and receive individualized feedback about the types of questions they should ask their doctor.
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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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Asthma control - as measured by the Asthma Control Test
時間枠：Measured at Year 1
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Measured at Year 1
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二次結果の測定
結果測定 |
時間枠 |
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Medication adherence, as measured by claims data
時間枠：Measured at Year 1
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Measured at Year 1
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Outpatient provider visits, as measured by claims data
時間枠：Measured at Year 1
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Measured at Year 1
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Asthma-related emergency department visits, as measured by claims data
時間枠：Measured at Year 1
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Measured at Year 1
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協力者と研究者
捜査官
- 主任研究者：Christopher N Sciamanna, MD, MPH、Penn State University
出版物と役立つリンク
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
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Asthma Feedbackの臨床試験
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Vanderbilt UniversityNational Institute of Mental Health (NIMH); Leon Lowenstein Foundation Inc.完了