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Computer-Based Decision Support in Managing Asthma in Primary Care

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT00170248
Recruitment Status : Completed
First Posted : September 15, 2005
Last Update Posted : April 8, 2014
Sponsor:
Collaborator:
Information provided by (Responsible Party):

Study Description
Brief Summary:
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 33 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 approximately 4500 of their patients with asthma.

Condition or disease Intervention/treatment
Asthma Device: computer-based decision support for asthma management

  Show Detailed Description

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 4447 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Evaluating the Impact of Computer-Based Decision Support for the Management of Asthma in Primary Care
Study Start Date : October 2006
Primary Completion Date : June 2009
Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Asthma
U.S. FDA Resources

Arms and Interventions

Arm Intervention/treatment
No Intervention: 1
Physicians in this arm will be using the standard MOXXI electronic health record.
Experimental: 2
In addition to the standard MOXXI electronic health record, physicians in this arm will be using the computer-based decision support for asthma management
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.


Outcome Measures

Primary Outcome Measures :
  1. poor asthma control [ Time Frame: 2006-2009 ]

Secondary Outcome Measures :
  1. quality of care indicators (inhaled corticosteroid to beta2-agonist ratio) [ Time Frame: 2006-2009 ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   5 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Physicians are eligible for inclusion if they are general practitioners or family physicians in full-time (≥ 4 days/week), fee-for-service practice in Quebec
  • Patients where the study physician has written or dispensed prescriptions for beta2-agonists, anti-leukotrienes, or inhaled corticosteroids, and has verified the diagnosis of asthma

Exclusion Criteria:

  • Younger than 5 years old
  • Diagnosis of COPD
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00170248


Locations
Canada, Quebec
McGill University
Montreal, Quebec, Canada, H3A 1A3
Sponsors and Collaborators
McGill University
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Robyn Tamblyn, PhD McGill University
More Information

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Robyn Tamblyn, Dr. Robyn Tamblyn, McGill University
ClinicalTrials.gov Identifier: NCT00170248     History of Changes
Other Study ID Numbers: ISRCTN58726678
21448
First Posted: September 15, 2005    Key Record Dates
Last Update Posted: April 8, 2014
Last Verified: April 2014

Keywords provided by Robyn Tamblyn, McGill University:
Asthma
Primary Care
Computer-Based Decision Support
Outcome Evaluation

Additional relevant MeSH terms:
Asthma
Bronchial Diseases
Respiratory Tract Diseases
Lung Diseases, Obstructive
Lung Diseases
Respiratory Hypersensitivity
Hypersensitivity, Immediate
Hypersensitivity
Immune System Diseases