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| Sponsor: | McGill University |
|---|---|
| Collaborator: |
Canadian Institutes of Health Research (CIHR) |
| Information provided by: | McGill University |
| ClinicalTrials.gov Identifier: | NCT00170248 |
Purpose
Asthma is a health problem that afflicts many Canadians. Better methods are needed to provide primary care physicians with ways of implementing current guidelines into regular practice for optimal disease management. This study will test the benefits of providing computer-based decision-support for asthma to primary care physicians, with links to home monitoring for their patients. To add value and to ensure regular use for the physician for all of his/her patients, these computerized decision-support tools will be linked to an electronic prescribing and drug management system. The investigators will evaluate the effectiveness of the computer-based decision-support system by determining whether asthma patients of physicians who receive computer-assisted management tools have better disease control after 18 months of implementation compared to asthma patients of physicians who have the electronic prescription and drug management system alone. To answer this question, the investigators will conduct a cluster randomized controlled trial in a population of approximately 100 physicians in 40 clinics in Quebec, and a total of 2,880 of their patients with asthma.
| Condition | Intervention |
|---|---|
|
Asthma |
Device: computer-based decision support for asthma management |
| Study Type: | Interventional |
| Study Design: | Treatment, Randomized, Single Blind (Subject), Placebo Control, Parallel Assignment |
| Official Title: | Evaluating the Impact of Computer-Based Decision Support for the Management of Asthma in Primary Care |
| Estimated Enrollment: | 2880 |
| Study Start Date: | March 2003 |
| Estimated Study Completion Date: | September 2009 |
| Estimated Primary Completion Date: | September 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
1: No Intervention
Physicians in this arm will be using the standard electronic prescription interface.
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2: Experimental
In addition to the standard electronic prescription module, physicians in this arm will be using the computer-based decision support for asthma management
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Device: computer-based decision support for asthma management
The asthma management decision support system uses data from the patient problem and medication list to provide patient-specific management recommendations based on Canadian Consensus guidelines for asthma management. Web-enabled technology for asthma education nurses is used to collect home-monitoring information from patients between visits and feedback to primary care physicians in accordance with options selected by the physician for each patient.
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Show Detailed Description
Eligibility| Ages Eligible for Study: | 5 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| Contact: Robyn Tamblyn, PhD | 514-934-1934 ext 32999 | robyn.tamblyn@mcgill.ca |
| Canada, Quebec | |
| McGill University | Recruiting |
| Montreal, Quebec, Canada, H3A 1A3 | |
| Contact: Robyn Tamblyn, PhD | |
| Principal Investigator: | Robyn Tamblyn, PhD | McGill University |
More Information
| Responsible Party: | McGill University ( Dr Robyn Tamblyn ) |
| Study ID Numbers: | ISRCTN58726678, 21448 |
| Study First Received: | September 13, 2005 |
| Last Updated: | January 21, 2009 |
| ClinicalTrials.gov Identifier: | NCT00170248 History of Changes |
| Health Authority: | Canada: Ethics Review Committee |
|
Asthma Primary Care Computer-Based Decision Support Outcome Evaluation |
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Hypersensitivity Lung Diseases, Obstructive Immune System Diseases Respiratory Tract Diseases Bronchial Diseases |
Lung Diseases Hypersensitivity, Immediate Asthma Respiratory Hypersensitivity |