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

2010年7月9日 更新者：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.

研究概览

地位

完全的

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (实际的)

36

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 美国
    • Washington
      • Seattle、Washington、美国、98195
        • University of Washington

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 90年 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

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

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：卫生服务研究
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
无干预：护理标准
实验性的：Intervention
Virtually delivered spirometry quality improvement program
行为的：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.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Spirometry test quality
大体时间：Seven months
Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.
Seven months

次要结果测量

结果测量
措施说明
大体时间
Presence of asthma care plan
大体时间：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
大体时间：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
大体时间：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
大体时间：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

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

University of Washington

调查人员

  • 首席研究员：Rita Mangione-Smith, MD, MPH、University of Washington/Seattle Children's Hospital
  • 首席研究员：James W Stout, MD, MPH、University of Washington

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2007年10月1日

初级完成 (实际的)

2008年9月1日

研究完成 (实际的)

2008年9月1日

研究注册日期

首次提交

2010年6月15日

首先提交符合 QC 标准的

2010年7月9日

首次发布 (估计)

2010年7月13日

研究记录更新

最后更新发布 (估计)

2010年7月13日

上次提交的符合 QC 标准的更新

2010年7月9日

最后验证

2010年7月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 32583-E/B
  • HHSA290200600022, Task order 2 (其他赠款/资助编号：Agency for Healthcare Research and Quality)

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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