Conducting Annual Asthma Reviews Using Telehealthcare: Comparison With Standard Care (Face-to-face Consultations)

NCT02545998 | Completed Results

• 1 other identifier: 15IC2535
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 1

Brief Summary

The National Report of Asthma Deaths published in 2014 highlighted significant deficiencies in both primary and secondary care resulting in one of the highest mortality rates in Europe. A key recommendation in the report is the provision of an annual asthma review in primary care. Telehealthcare is an alternative means of service delivery incorporating the use of telephone and e-mail consultations which may improve access and quality of patient care. There is scant data on the role of teleheathcare in asthma care. This is a single-centre, primary care-based, randomized controlled trial to evaluate the use of telehealthcare to conduct the annual asthma review for adult patients with well-controlled asthma. This will be compared with standard care (face-to-face consultations). Telehealthcare will consist of a telephone consultation followed by an e-mail with an attached personalised asthma action plan and a link to a video demonstrating inhaler technique. Standard care will involve a face-to-face consultation in primary care. The two patient groups will be compared prospectively to determine whether there is a difference in the quality of care evaluated in terms of the patient experience/ satisfaction, health-related quality of life, asthma control and frequency of asthma exacerbations over a 6 month period after the asthma review. The data will be presented in the form of frequency tables, bar charts and pie charts. Non-parametric tests will be applied to determine whether there is a significant difference in the quality of care received.

Conditions

Asthma

Keywords

Telehealthcare

Outcome Measures

Primary Outcomes (1)

• Patient Experience: Overall Patient Experience Score (General Practice Assessment Questionnaire GPAQ Score)

  General Practice Assessment Questionnaire (GPAQ) is a widely used questionnaire to assess the patient experience of general practice in the UK. It is designed to measure satisfaction across four domains: communication (8 items), confidence (3 items), access to care (2 items) and overall satisfaction (2 items). Patients rate their experience by selecting not of usually 5 responses (1= very good to 5= very poor). Response items were linearly rescaled to a 0-100 range (100 = most favourable response). 'Does not apply' responses were excluded from the analysis. This yielded four median domain scores for each patient (range 0-100 per domain). An overall patient experience score was calculated for each patient by adding the four domain scores together to give a total score out of 400 (range 0-400). The median overall patient experience score (+/- interquartile range) was calculated for each group and the scores were compared (tele healthcare vs control)

  Up to 2 weeks after the asthma review

Secondary Outcomes (6)

• Dropout Rate

  Baseline

• Average Consultation Length (Time)

  Baseline

• Health Related Quality of Life Score (Asthma Quality of Life Questionnaire (AQLQ))

  Baseline and 6 months

• Asthma Control Test Score

  6 months after asthma review.

• Number of Exacerbations.

  In the six months after the asthma review.

Study Arms (2)

Standard care

NO INTERVENTION

Patients will receive a face-to-face asthma review

Telehealthcare

ACTIVE COMPARATOR

Patients will receive a telephone consultation and e-mail with attached PAAP and video link

Other: Telehealthcare

Interventions

Telehealthcare OTHER

Telephone consultation plus e-mail with attached PAAP and video link

Telehealthcare

Eligibility Criteria

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

You may qualify if:

• Patients aged 18 and over, registered at Balham Park Surgery
• Patients diagnosed with asthma (patients on the asthma register)
• Patients with well-controlled asthma (ACT score 20 and over; no out of hours/ A\&E attendances/ PO steroids/ hospital admissions since the last asthma review in primary care)

You may not qualify if:

• Patients aged less than 18
• Patients with poorly controlled asthma (ACT score 19 or less; out of hours/ A\&E attendance/ hospital admission/ PO steroids since last asthma review in primary care)
• Patients with a mental health diagnosis
• Patients without an up to date contact telephone number or with communication difficulties that would prevent or restrict their use of the technology.

Sponsors & Collaborators

• Imperial College London: lead

Study Sites (1)

Balham Park Surgery

London, SW17 7AW, United Kingdom

Location

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

Results Point of Contact

• Title: Dr Sarah Glynne
• Organization: Oxshott Medical Practice

sarah.glynne@nhs.net

01372 844000

Study Officials

• Sarah Glynne, MRCP MRCGP

  Balham Park Surgery, Wandsworth CCG

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

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

Study Record Dates

• First Submitted: May 21, 2015
• First Posted: September 10, 2015
• Study Start: June 1, 2015
• Primary Completion: June 1, 2016
• Study Completion: June 1, 2016
• Last Updated: February 8, 2023
• Results First Posted: February 8, 2023

Record last verified: 2023-02

Locations

GB (1)