Improving the Quality of Asthma Care Using the Internet
2 other identifiers
interventional
408
1 country
1
Brief Summary
It is important for people with asthma to become involved in their asthma care and management. This study will evaluate an interactive Web site that provides tailored feedback and information to asthma patients and encourages them to ask their doctor specific questions about their asthma care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2 asthma
Started Aug 2009
Longer than P75 for phase_2 asthma
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 15, 2009
CompletedFirst Posted
Study publicly available on registry
June 16, 2009
CompletedStudy Start
First participant enrolled
August 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2013
CompletedMay 7, 2013
May 1, 2013
2.3 years
June 15, 2009
May 6, 2013
Conditions
Outcome Measures
Primary Outcomes (1)
Asthma control - as measured by the Asthma Control Test
Measured at Year 1
Secondary Outcomes (3)
Medication adherence, as measured by claims data
Measured at Year 1
Outpatient provider visits, as measured by claims data
Measured at Year 1
Asthma-related emergency department visits, as measured by claims data
Measured at Year 1
Study Arms (2)
Asthma Feedback
EXPERIMENTALEach 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.
Preventive Feedback
ACTIVE COMPARATOREach 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.
Interventions
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.
Eligibility Criteria
You may qualify if:
- 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)
- 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
You may not qualify if:
- 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
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Milton S. Hershey Medical Centerlead
- National Heart, Lung, and Blood Institute (NHLBI)collaborator
- Penn State Universitycollaborator
Study Sites (1)
Penn State Hershey Medical Center, Penn State College of Medicine
Hershey, Pennsylvania, 17033, United States
Related Publications (1)
Pool AC, Kraschnewski JL, Poger JM, Smyth J, Stuckey HL, Craig TJ, Lehman EB, Yang C, Sciamanna CN. Impact of online patient reminders to improve asthma care: A randomized controlled trial. PLoS One. 2017 Feb 3;12(2):e0170447. doi: 10.1371/journal.pone.0170447. eCollection 2017.
PMID: 28158200DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Christopher N Sciamanna, MD, MPH
Penn State University
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine and Public Health Sciences
Study Record Dates
First Submitted
June 15, 2009
First Posted
June 16, 2009
Study Start
August 1, 2009
Primary Completion
December 1, 2011
Study Completion
February 1, 2013
Last Updated
May 7, 2013
Record last verified: 2013-05