Back to resultsA Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting
Primary Purpose
Asthma
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Virtually delivered spirometry quality improvement program
Sponsored by
About this trial
This is an interventional health services research trial for Asthma focused on measuring Asthma, Spirometry, Pediatric, Primary Health Care, Education, Distance
Eligibility Criteria
Inclusion Criteria:
- Internet access on a computer running Windows XP SP2
- Access to a computer with Windows 2000 /Mac OS 10 or higher
Practices must match another enrolled practice on the following parameters.
- Number of providers in practice (same number +/- 1 provider)
- Location - both practices must either be urban or rural
- % of patients eligible for Medicaid (same percentage +/- 15%)
- Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)
- Geographic distance (minimum of 10 miles away from matched pair practice)
Exclusion Criteria:
- Lack of Internet access on a computer running Windows XP SP2
- Lack of access to a computer with Windows 2000 /Mac OS 10 or higher
- Practices that were unable to be matched to another similar practice
Sites / Locations
- University of Washington
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
No Intervention
Arm Label
Intervention
Standard of Care
Arm Description
Virtually delivered spirometry quality improvement program
Outcomes
Primary Outcome Measures
Spirometry test quality
Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.
Secondary Outcome Measures
Presence of asthma care plan
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which written asthma action plans are completed.
Asthma severity documentation
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which asthma severity is appropriately documented.
Appropriate prescription of controller therapy
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which appropriate controller therapy is prescribed.
Frequency of office-based spirometry
To test whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which office-based spirometry is used in the management of children with asthma.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01161433
Brief Title
A Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting
Official Title
Implementing Evidence-based Quality Improvement Strategies to Improve Asthma Care for Children
Study Type
Interventional
2. Study Status
Record Verification Date
July 2010
Overall Recruitment Status
Completed
Study Start Date
October 2007 (undefined)
Primary Completion Date
September 2008 (Actual)
Study Completion Date
September 2008 (Actual)
3. Sponsor/Collaborators
Name of the Sponsor
University of Washington
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, however, few primary care providers report routine use of spirometry in the provision of care for their asthma patients. Even when spirometry is used to aid in asthma severity classification, primary care providers have a high rate of failing to meet the quality goals for testing established by the American Thoracic Society.
The goal of this study is to evaluate the effectiveness of a virtually delivered quality improvement (QI) program. The program is designed to train primary care providers and their medical staff in the use of spirometry to improve pediatric primary care management for children with asthma.
Detailed Description
A cluster randomized trial with matched practice pairs. All practices receive a spirometer and standard vendor training. Those randomized to the intervention group receive a 7-month QI program, which includes:
Spirometry Fundamentals™ CD-ROM;
Case-based, interactive webinars; and
an Internet-based spirometry quality feedback reporting system.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma, Spirometry, Pediatric, Primary Health Care, Education, Distance
7. Study Design
Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Intervention
Arm Type
Experimental
Arm Description
Virtually delivered spirometry quality improvement program
Arm Title
Standard of Care
Arm Type
No Intervention
Intervention Type
Behavioral
Intervention Name(s)
Virtually delivered spirometry quality improvement program
Intervention Description
Sites in the intervention arm receive the virtually delivered QI program.
The program includes:
Spirometry Fundamentals™ CD-ROM, a computer-based CD-ROM training program that teaches primary care providers and their staff techniques required to perform high-quality spirometry tests, and proper interpretation of spirometric data;
Case-based, interactive webinars; and
an Internet-based spirometry quality feedback reporting system.
Primary Outcome Measure Information:
Title
Spirometry test quality
Description
Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.
Time Frame
Seven months
Secondary Outcome Measure Information:
Title
Presence of asthma care plan
Description
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which written asthma action plans are completed.
Time Frame
Seven months
Title
Asthma severity documentation
Description
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which asthma severity is appropriately documented.
Time Frame
Seven months
Title
Appropriate prescription of controller therapy
Description
To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which appropriate controller therapy is prescribed.
Time Frame
Seven months
Title
Frequency of office-based spirometry
Description
To test whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which office-based spirometry is used in the management of children with asthma.
Time Frame
Seven months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Internet access on a computer running Windows XP SP2
Access to a computer with Windows 2000 /Mac OS 10 or higher
Practices must match another enrolled practice on the following parameters.
Number of providers in practice (same number +/- 1 provider)
Location - both practices must either be urban or rural
% of patients eligible for Medicaid (same percentage +/- 15%)
Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)
Geographic distance (minimum of 10 miles away from matched pair practice)
Exclusion Criteria:
Lack of Internet access on a computer running Windows XP SP2
Lack of access to a computer with Windows 2000 /Mac OS 10 or higher
Practices that were unable to be matched to another similar practice
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James W Stout, MD, MPH
Organizational Affiliation
University of Washington
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Rita Mangione-Smith, MD, MPH
Organizational Affiliation
University of Washington/Seattle Children's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Washington
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
12. IPD Sharing Statement
Links:
URL
http://depts.washington.edu/imtr/spiro360/
Description
Spirometry 360 Training Program
Learn more about this trial
A Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting
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