Improving Asthma Outcomes Through Spirometry Distance Learning

NCT01168635 | Completed DMC

• 1 other identifier: 13169
• Study Type: interventional
• Target: 660
• Locations: 1 country
• Sites: 4

Brief Summary

Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, yet few providers report its routine use for children with asthma. Misclassification of asthma severity occurs when assessment is based on symptoms alone. This misclassification can lead to inadequate treatment, increased morbidity, and increased healthcare utilization/cost. The goal of this study is to test the effectiveness of a distance learning quality improvement program called Spirometry 360 developed by the interactive Medical Training Resources (iMTR) group at the University of Washington Child Health Institute. The Spirometry 360 program aims to improve care for children with asthma by enhancing provider knowledge and self-efficacy related to the use and interpretation of office-based spirometry.

Conditions

Asthma

Keywords

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

Outcome Measures

Primary Outcomes (3)

• Healthcare utilization

  Parent report of number of Emergency Room/Emergency Department (ER/ED) visits, unplanned outpatient visits, and number of hospitalizations due to asthma in the last month.

  Assessed monthly for 1 year

• Cost of asthma care

  Cost in inflation-adjusted dollars for unplanned healthcare utilization due to asthma exacerbation, including unplanned office visits, ED visits, and asthma-related hospitalization.

  Every 6 months

• Asthma-specific health-related quality of life

  Parent report of child's asthma-specific health-related quality of life. Measured using )Pediatric Quality of Life Inventory (PedsQL)(TM) 3.0 Short Form (SF)-22 Asthma Module. The tool consists of an 11-item symptoms scale and an 11-item treatment problems scale.

  Every 6 months

Secondary Outcomes (2)

• Acceptable spirometry testing sessions

  Assessed monthly for 1 year

• Appropriate prescription of controller therapy

  Assessed monthly for 1 year

Study Arms (2)

Intervention

EXPERIMENTAL

Virtually-delivered spirometry quality improvement program

Behavioral: Spirometry 360 program - Virtually-delivered spirometry quality improvement program

Standard of Care

NO INTERVENTION

Interventions

Spirometry 360 program - Virtually-delivered spirometry quality improvement program BEHAVIORAL

The Spirometry 360 program includes: 1. "Spirometry Fundamentals™: A basic guide to lung function testing," a computer-based training program that teaches primary care providers how to coach patients to produce high-quality spirometry tests and accurately interpret spirometric data; 2. Spirometry Learning Lab: Case-based teaching of spirometry in practice guides test administrators and interpreters through clinical examples in an interactive virtual classroom setting. These sessions are led by expert clinical faculty and are archived for future reference and review; 3. Spirometry Feedback: Tailored analysis of providers' spirometry testing sessions offers monthly individualized feedback reports by clinical experts on spirometry tests performed in the clinic.

Intervention

Eligibility Criteria

• Age: 5 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Parents must have a child who has had at least one visit for asthma with a participating provider during the 12 months before the study start date
• Must have monthly access to email and the Internet
• Must have child aged 5-16 years
• Aged 5-16 years
• Must have access to email and the Internet

You may not qualify if:

• Parents with children who are outside our target age range of 5-16 years old
• Parents with children who haven't had a clinic visit for asthma care in the last year
• Parents without monthly access to the Internet
• Children who are outside our target age range of 5-16 years
• Children without monthly access to email and the Internet

Sponsors & Collaborators

• Seattle Children's Hospital: lead
• University of Washington: collaborator
• Boston University: collaborator

Study Sites (4)

Slone Center Office-based Research Network (SCOR) - Boston University

Boston, Massachusetts, 02215, United States

Location

Seattle Children's Hospital Research Institute

Seattle, Washington, 98101, United States

Location

Child Health Institute - Unversity of Washington

Seattle, Washington, 98195, United States

Location

Puget Sound Pediatric Research Network

Seattle, Washington, 98195, United States

Location

Related Links

• Site for primary care physicians to learn about Spirometry

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

• Rita Mangione-Smith, MD, MPH

  Seattle Children's Hospital/University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 20, 2010
• First Posted: July 23, 2010
• Study Start: June 1, 2010
• Primary Completion: January 1, 2012
• Study Completion: January 1, 2012
• Last Updated: May 20, 2015

Record last verified: 2015-05

Locations

US (4)