Trial of Asthma Patient Education in the Emergency Room
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 296
- 试验地点
- 1
- 主要终点
- Quality of life
研究概览
简要总结
The objective of this randomized trial is to assess the effectiveness of an intervention involving education, self-efficacy, and social support in improving quality of life outcomes among 296 adult asthma patients treated in the emergency room. The main outcome will be a comparison of within-patient change in quality of life between enrollment and 8 weeks. Secondary objectives will be to assess the effectiveness of the intervention in decreasing the need for rescue inhaled beta agonists, in improving peak flow meter rates, and in decreasing the number of days lost from work or school due to asthma. These outcomes will be measured again at 16 weeks to determine if benefits are sustained. Additional outcomes at 16 weeks and 1 year will be to assess the effectiveness of the intervention in decreasing urgent resource utilization for asthma and cost effectiveness.
详细描述
BACKGROUND:
Many urban asthma emergency room patients lack effective self-management. Most current training programs are administered in outpatient settings and have low attendance rates for emergency room patients. There is a great need to develop effective programs that can be easily administered in the emergency room for patients who, in many cases, are not present in other settings to receive education. This proposal builds on preliminary studies and is tailored to provide emergency room patients with basic education during "a teachable moment" when they may be most receptive to asthma information.
DESIGN NARRATIVE:
Patients will be recruited from two New York City urban emergency rooms or inpatient settings and randomized to the intervention or control groups. Intervention patients will receive a protocol focusing on asthma self-management, education, self-efficacy, and social support, with telephone reinforcement for 8 weeks. Control patients will receive standard emergency room education about asthma.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 95 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will be eligible if they are 18 years of age or older
- •Fluent in English
- •Have a known diagnosis of asthma
- •Will receive treatment for asthma during the current hospitalization or emergency room visit.
排除标准
- •Cognitive deficits
- •Other pulmonary diseases or severe comorbidity
- •Do not have out-patient access to a telephone
结局指标
主要结局
Quality of life
时间窗: Measured at 8 weeks
次要结局
- Rescue inhaled beta agonist use(Measured at 8 weeks)
- Peak flow meter rates(Measured at 8 weeks)
- Number of days lost from work or school due to asthma(Measured at 8 weeks)
- Decreasing urgent resource utilization for asthma(Measured at 16 weeks and 1 year)
- Cost effectiveness(Measured at 16 weeks and 1 year)