Title: Comparative Effectiveness of Asthma Interventions Within an AHRQ PBRN
- Conditions
- Asthma
- Registration Number
- NCT01280500
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The overall goal is to identify best practices for improving health outcomes for patients with asthma using comparative effectiveness research within an Agency for Healthcare Research and Quality (AHRQ) Practice-Based Research Network (PBRN). This goal will be achieved by completing the following aims: (1) Create a centralized database for comparative effectiveness research on asthma by combining clinical and billing data from one of the largest healthcare systems in the country (Carolinas Healthcare System) with data from the school system, Medicaid, and patient and community-level datasets; (2) Deploy a fully developed integrated approach to asthma management based on the Chronic Care Model; (3) Develop and implement a "shared decision making" approach for asthmatic patients from disadvantaged backgrounds; (4) Implement an electronic data collection system for an existing CDC funded school-based asthma intervention that will allow program evaluation and link school nurses with providers; (5) Evaluate and compare the effectiveness of these three asthma management strategies on: overall healthcare consumption and medical costs; quality of life, school absenteeism and performance; asthma clinical measures; and medication utilization; and (6) Disseminate findings across the state via the statewide PBRN and other network partners. This project has the potential to impact over 30,000 asthma patients across the Carolinas including many patients from disadvantaged backgrounds.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1040
all with asthma diagnosis
none
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Primary Outcome Measures
Name Time Method Reducing Hospitalizations and Emergency Department Visits 2011-2013 Quality goals will be measured by the percentage of patients who reach the goal out of all patients identified with the disease through healthcare system data.
- Secondary Outcome Measures
Name Time Method Improving Adherence to Medication 2011-2013 Quality goals will be measured by the percentage of patients who reach the goal out of all patients identified with the disease.
Improve Quality of Life 2011-2013 Measured via Survey
Reduced School Absenteeism 2011-2013 measured with school absenteeism data
Improved Self-Efficacy 2011-2013 survey
Improved School Performance 2011-2013 measured by yearly end of grade results
Trial Locations
- Locations (2)
CMC Elizabeth Family Medicine
🇺🇸Charlotte, North Carolina, United States
Department of Family Medicine
🇺🇸Charlotte, North Carolina, United States
CMC Elizabeth Family Medicine🇺🇸Charlotte, North Carolina, United States