NCT01522144

Brief Summary

The Children's Hospital of Philadelphia's ambulatory network uses an electronic health record (EHR) to document clinical information. Using the EHR, a clinical decision support tool will be designed to help the primary care physician's in caring for children with asthma. The goal will be to improve the primary care physician's use of the national Institutes of Health guidelines for the best care for asthma. To study this EHR decision support tool, it will be introduced into 5 practices while 5 other practices will have the existing asthma care information. It will be determined whether the physicians in the practices with the decision support tool are better at following the asthma guidelines. If the decision support tool works...then it will be offered to others to use with their EHR systems.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,030

participants targeted

Target at P75+ for not_applicable asthma

Timeline
Completed

Started Jul 2006

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

July 1, 2006

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2008

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2008

Completed
3.5 years until next milestone

First Submitted

Initial submission to the registry

January 19, 2012

Completed
12 days until next milestone

First Posted

Study publicly available on registry

January 31, 2012

Completed
Last Updated

January 31, 2012

Status Verified

January 1, 2012

Enrollment Period

1.8 years

First QC Date

January 19, 2012

Last Update Submit

January 27, 2012

Conditions

Asthma

Outcome Measures

Primary Outcomes (1)

  • The proportion of patients on appropriate asthma controller medication at the end of the trial

    each patient who is classified as having persistant asthma should be on at least one appropriate controller medication for asthma.

    assessed at each visit

Secondary Outcomes (3)

  • 1) an updated asthma action plan

    updated at least once per year

  • 2)documentation of spirometry(6 to 18 yrs)in those with asthma

    spirometry should be done once per year

  • 3) an updated problem list that reflects an assessment of asthma severity

    tthe asthma severity should be on the problem list

Study Arms (1)

Asthma clinical decision support

EXPERIMENTAL

decision support compared to no decision support in a cluster-randomized trial by practise

Behavioral: Computerized Decision support

Interventions

Computerized Decision supportBEHAVIORAL

Using a clustered randomized method, computerized decision support, embedded in the electronic health record, was offered to selected primary care practices and outcomes of asthma care were compared to those practices without the computerized decision support.

Also known as: electronic health record
Asthma clinical decision support

Eligibility Criteria

Age1 Year - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Children with the diagnosis of asthma
  • Children enrolled in one of 10 selected primary care practices in the PeRC practice-based research network

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (3)

  • Asthma mortality and hospitalization among children and young adults--United States, 1980-1993. From the Centers for Disease Control and Prevention. JAMA. 1996 May 22-29;275(20):1535-7. No abstract available.

    PMID: 8622235BACKGROUND

  • Lieu TA, Quesenberry CP Jr, Capra AM, Sorel ME, Martin KE, Mendoza GR. Outpatient management practices associated with reduced risk of pediatric asthma hospitalization and emergency department visits. Pediatrics. 1997 Sep;100(3 Pt 1):334-41. doi: 10.1542/peds.100.3.334.

    PMID: 9282702BACKGROUND

  • Landry P, Tremblay S, Darioli R, Genton B. Inactivated hepatitis A vaccine booster given >/=24 months after the primary dose. Vaccine. 2000 Oct 15;19(4-5):399-402. doi: 10.1016/s0264-410x(00)00188-2.

    PMID: 11027799BACKGROUND

MeSH Terms

Conditions

Asthma

Interventions

Electronic Health Records

Condition Hierarchy (Ancestors)

Bronchial DiseasesRespiratory Tract DiseasesLung Diseases, ObstructiveLung DiseasesRespiratory HypersensitivityHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Intervention Hierarchy (Ancestors)

Medical Records Systems, ComputerizedMedical RecordsRecordsData CollectionEpidemiologic MethodsInvestigative TechniquesOrganization and AdministrationHealth Services AdministrationHealth Care Evaluation MechanismsQuality of Health CareHealth Care Quality, Access, and EvaluationPublic HealthEnvironment and Public Health

Study Officials

  • Louis M Bell, MD

    Children's Hospital of Philadelphia

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Intervention Model
SINGLE GROUP
Sponsor Type
FED
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Medical Director of PeRC

Study Record Dates

First Submitted

January 19, 2012

First Posted

January 31, 2012

Study Start

July 1, 2006

Primary Completion

April 1, 2008

Study Completion

August 1, 2008

Last Updated

January 31, 2012

Record last verified: 2012-01

Locations

US(1)