Technology- Assisted Stepped Care Intervention Study (TASC)
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|ClinicalTrials.gov Identifier: NCT03733457|
Recruitment Status : Recruiting
First Posted : November 7, 2018
Last Update Posted : November 7, 2018
|Condition or disease||Intervention/treatment||Phase|
|Asthma||Behavioral: Technology-assisted Stepped-care||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||15 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Technology-Assisted Stepped Care Intervention Pilot Study|
|Actual Study Start Date :||November 7, 2017|
|Estimated Primary Completion Date :||November 2019|
|Estimated Study Completion Date :||November 2020|
Experimental: TASC Intervention
All participants receive Step 1 of the intervention. Participants who have adherence below or at 68% will step up to Step 2 or Step 3 after the third or fourth month in the study.
Behavioral: Technology-assisted Stepped-care
Step 1 of the intervention includes educational materials related to asthma. Step 2 includes electronic monitoring of adherence and a text messaging intervention personally tailored to the participant. Step 3 includes problem solving telehealth sessions with a trained clinician.
- Electronic Monitoring [ Time Frame: 5 Months ]The Propeller Health monitoring system includes a Bluetooth enabled sensor that attaches to the patient's inhaler. This sensor records every dose, or "puff", the patient takes and sends it to a corresponding online database that is accessible to study staff. Participants will be given this sensor at baseline.
- Composite Asthma Severity Index (CASI) [ Time Frame: Baseline assessment and then once a month for 5 months ]The participants' composite asthma severity index score will be calculated through the TreatSmart program. TreatSmart will be used to determine the participant's symptom burden, health care utilization, systemic corticosteroid use, and current medication use to determine the level of asthma severity/control the participant has. The program also makes an initial treatment recommendation based on the National Asthma Education and Prevention Program (NAEPP asthma guidelines). Individuals are placed in Step 1 through Step 6 depending on the strength and frequency of their inhaled corticosteroid (1 being low dose and 6 being a high dose). In addition, individuals are categorized as very poorly controlled, not well controlled, or well controlled based on how frequently they have had asthma symptoms or used their rescue inhaler, gone to the hospital or urgent care, or received steroids for asthma symptoms.
- Asthma Control Test (ACT) [ Time Frame: Baseline assessment and then once a month for 5 months ]The ACT will be used as a measure of disease severity in this study. The ACT is a 5-question scoring tool designed for patients with asthma who are 12 years and older. The questions ask the patient to rate their asthma severity, symptom frequency, control, and inhaler use on a scale of 1-5. The total score is calculated by the sum of each response, which determines how well-controlled the patient's asthma is on a scale from 5-25.
- Attendance/Participation rates [ Time Frame: 5 months ]Participation rates will be measured 3 different ways. The first measure will be how often participants accessed the electronic material (educational materials and/or Propeller Health app), the second measure will be how many responses to directive text messaging were received, and the third measure will be attendance to the telehealth sessions.
- Feasibility/Acceptability Questionnaire [ Time Frame: 5 months ]A 5-31 item measure of format, content, length, skills and acceptability of the intervention will be given to participants in the form of a questionnaire at the end of each step and the end of the study. The feasibility section is on a scale of 0 to 4, 0 being the worst and 4 being the best. The acceptability questionnaire is on a scale from 'Not at all' to 'Very,' 'Not at all' being the worst and 'Very' being the best.
- System Usability Scale [ Time Frame: 5 months ]A 10 item, Likert scale giving a global view of usability will be given to participants in the form of a questionnaire at the end of each step and at the end of the study. The scale ranges from 'Strongly Disagree' to 'Strongly Agree, with half of the items reverse scored.
- Treatment Fidelity [ Time Frame: 5 months ]Treatment fidelity needed for the intervention will be assessed. Treatment fidelity will be assessed through fidelity checklists created specifically for each intervention session.
- Time Needed for Intervention [ Time Frame: 5 months ]Sessions will be timed and the number of weeks to complete the session will be tracked to determine the average length of time needed for the intervention.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03733457
|Contact: Sophie R Kollin, M.A.||firstname.lastname@example.org|
|Contact: Rachelle R Ramsey, Ph.D.||email@example.com|
|United States, Ohio|
|Cincinnati Children's Medical Hospital||Recruiting|
|Cincinnati, Ohio, United States, 45229|
|Contact: Sophie R Kollin, MA 513-636-8254 firstname.lastname@example.org|
|Principal Investigator: Rachelle R Ramsey, Ph.D|