NCT02435394

Web System for Engaging Families & Doctors in Continuous Asthma Quality Improvement

• Status: Withdrawn
• Phase: N/A
• Study type: Interventional
• Enrollment: 0 (actual)
• Sponsor: Total Child Health, Inc. · Industry
• Sex: All
• Age: 19 Years
• Healthy volunteers: Not accepted

Summary

Asthma, one of the most common pediatric illnesses, is optimally managed according to National Heart Lung and Blood Institute (NHLBI) guidelines yet this is not often done in primary care. This project is to develop and test the effects of using a module for guideline based care in the Child Health and Development Interactive System (CHADIS) online system by prompting and incorporating patient symptom/control and adherence data from standard questionnaires to inform visits and providing automated patient specific education and Asthma Action Plans in individual Care Portals.

Detailed description

We will complete the formative work collecting professional opinion to create and pilot the initial CHADIS Asthma Intervention module (CHADIS-AI), an innovative decision support system. CHADIS-AI content will be assembled and vetted by asthma experts and primary care providers (PCPs). Parent and teen focus groups will vet the content and language of the adherence materials and Care Portal. A system will also be established for points for patient participation, to give clinicians Maintenance of Certification (MOC) credit, and ongoing run chart reports of their patients' asthma status for continual Quality Improvement (QI) feedback. The resulting system will be pilot tested and refined by clinician feedback. Practices will be randomly assigned to intervention vs control. Control practices will use CHADIS for asthma care without the A-I module. Intervention practices will be further randomized to have remote coach support for patients or not. Outcomes will be examined of asthma severity/control, match of severity with guideline based medication management, numbers of Emergency Department (ED) visits, hospitalizations and oral steroid use. Effect of remote coaching will also be assessed.

Conditions

• Asthma

Interventions

Type	Name	Description
BEHAVIORAL	Remote Coach plus Asthma Module	The intervention is for a remote coach to assist patients with asthma for practices which will use Asthma module for guidance for asthma care.
BEHAVIORAL	Asthma Module- No Coach	The intervention is for practices to use the Asthma module for guidance for asthma care without assistance by a remote coach.
BEHAVIORAL	CHADIS- no Asthma Module	The practices will use the general CHADIS tool without access to the Asthma Module add-on to assist in asthma care.

Timeline

• Start date: 2015-07-01
• Primary completion: 2016-06-01
• Completion: 2016-07-01
• First posted: 2015-05-06
• Last updated: 2016-04-21

Locations

1 site across 1 country: United States