Clinical trial NCT02435394: Web System for Engaging Families & Doctors in Continuous Asthma Quality Improvement
Official title: Web System for Engaging Families & Doctors in Continuous Asthma Quality Improvement
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Asthma
Lead sponsor: Total Child Health, Inc.
Sponsor class: INDUSTRY
Collaborators: name: University of California, Los Angeles
First posted: 2015-05-06
Enrollment: 0
Sex: ALL
Maximum age (years): 19
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: CROSSOVER
Primary purpose: TREATMENT

Brief summary: Asthma, one of the most common pediatric illnesses, is optimally managed according to National Heart Lung and Blood Institute (NHLBI) guidelines yet this is not often done in primary care. This project is to develop and test the effects of using a module for guideline based care in the Child Health and Development Interactive System (CHADIS) online system by prompting and incorporating patient symptom/control and adherence data from standard questionnaires to inform visits and providing automated patient specific education and Asthma Action Plans in individual Care Portals.

Detailed description: We will complete the formative work collecting professional opinion to create and pilot the initial CHADIS Asthma Intervention module (CHADIS-AI), an innovative decision support system. CHADIS-AI content will be assembled and vetted by asthma experts and primary care providers (PCPs). Parent and teen focus groups will vet the content and language of the adherence materials and Care Portal. A system will also be established for points for patient participation, to give clinicians Maintenance of Certification (MOC) credit, and ongoing run chart reports of their patients' asthma status for continual Quality Improvement (QI) feedback. The resulting system will be pilot tested and refined by clinician feedback. Practices will be randomly assigned to intervention vs control. Control practices will use CHADIS for asthma care without the A-I module. Intervention practices will be further randomized to have remote coach support for patients or not. Outcomes will be examined of asthma severity/control, match of severity with guideline based medication management, numbers of Emergency Department (ED) visits, hospitalizations and oral steroid use. Effect of remote coaching will also be assessed.

Eligibility criteria: Inclusion Criteria:

* Asthma diagnosis

Exclusion Criteria:

* Not English or Spanish speaking

Primary outcomes:
measure: NHLBI recommended controller meds used
timeFrame: 3-12 months
Secondary outcomes:
measure: Emergency department visits
timeFrame: 3-12 months
measure: Asthma trigger mitigation
timeFrame: 3-12 months
measure: Hospitalizations for asthma
timeFrame: 3-12 months
measure: Steroid bursts
timeFrame: 3-12 months
measure: Influenza vaccine receipt
timeFrame: 3-12 months
measure: asthma symptom control
timeFrame: 3-12 months
Other outcomes:
Locations:
city: Baltimore
country: United States
facility: Total Child Health
state: Maryland
Study officials:
affiliation: Total Child Health
name: Barbara J Howard, MD
role: PRINCIPAL_INVESTIGATOR
References: