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

NCT01161433 | Completed

• 2 other identifiers: 32583-E/BHHSA290200600022, Task order 2
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Asthma

Keywords

Asthma; Spirometry; Pediatric; Primary Health Care; Education, Distance

Outcome Measures

Primary Outcomes (1)

• Spirometry test quality

  Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.

  Seven months

Secondary Outcomes (4)

• Presence of asthma care plan

  Seven months

• Asthma severity documentation

  Seven months

• Appropriate prescription of controller therapy

  Seven months

• Frequency of office-based spirometry

  Seven months

Study Arms (2)

Intervention

EXPERIMENTAL

Virtually delivered spirometry quality improvement program

Behavioral: Virtually delivered spirometry quality improvement program

Standard of Care

NO INTERVENTION

Interventions

Virtually delivered spirometry quality improvement program BEHAVIORAL

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.

Intervention

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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.
• Number of providers in practice (same number +/- 1 provider)
• Location - both practices must either be urban or rural
• % of patients eligible for Medicaid (same percentage +/- 15%)
• Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)
• Geographic distance (minimum of 10 miles away from matched pair practice)

You may not qualify if:

• 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

Sponsors & Collaborators

• University of Washington: lead

Study Sites (1)

University of Washington

Seattle, Washington, 98195, United States

Location

Related Links

• Spirometry 360 Training Program

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Officials

• James W Stout, MD, MPH

  University of Washington

  PRINCIPAL INVESTIGATOR

• Rita Mangione-Smith, MD, MPH

  University of Washington/Seattle Children's Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: June 15, 2010
• First Posted: July 13, 2010
• Study Start: October 1, 2007
• Primary Completion: September 1, 2008
• Study Completion: September 1, 2008
• Last Updated: July 13, 2010

Record last verified: 2010-07

Locations

US (1)