NCT02761837

The Breathe Well Program for Adults With Asthma

The Breathe Well Program to Improve Asthma Outcomes

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 14,978 (actual)
• Sponsor: National Jewish Health · Academic / Other
• Sex: All
• Age: 19 Years – 99 Years
• Healthy volunteers: Not accepted

Summary

The Breathe Well Study is a pragmatic, controlled trial to assess the effectiveness, cost-effectiveness, and implementation of the Breathe Well intervention, which combines evidence-based EHR and interactive behavior-change technologies (IBCT) and team-based care to improve asthma outcomes.

Detailed description

Breathe Well uses the Kaiser Permanente Electronic Health Record (EHR) to identify asthma exacerbation risk factors. For patients with a history of frequent exacerbations or B-agonist overuse, the EHR notifies a nurse who uses an EHR-generated tailored clinical report and patient directed decision support tool to engage and empower patients to develop an action plan in collaboration with providers. EHR-templated notes and order sets facilitate care plan execution. Poor controller medication adherence or unaddressed smoking results in the patient being automatically enrolled in an IBCT medication refill or smoking cessation program. Breathe Well uses multiple EHR functions and a patient and provider team to address barriers to evidence-based asthma care for providers.The study will be conducted in 26 primary care clinics of Kaiser Permanente Colorado (KPCO) using a pragmatic clinical trial design. Up to 15,000 high-risk asthma patients will be assigned to Breathe Well or guideline-based usual care based on their clinic.

Conditions

• Asthma

Interventions

Type	Name	Description
BEHAVIORAL	IVR call/text	For patients under filling their inhaled corticosteroid or overusing B-agonist, the patient is contacted via IVR call or text
BEHAVIORAL	Email	Patients under filling their inhaled corticosteroid or overusing B-agonist, the the patient is contacted via email

Timeline

• Start date: 2016-10-01
• Primary completion: 2023-06-01
• Completion: 2023-06-01
• First posted: 2016-05-04
• Last updated: 2023-11-09

Locations

1 site across 1 country: United States