Facilitating patient self-management in chronic disease: integrating electronic personal health records and ongoing communication into a web-based self-management tool

Not Applicable

Completed

Conditions: Asthma
Respiratory

Registration Number: ISRCTN34326236

Lead Sponsor: McGill University (Canada)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 96

Inclusion Criteria

1. Male and female patients over the age of 18 years suffering from asthma
2. Have full health insurance coverage from Régie de l'assurance maladie du Québec (RAMQ)
3. Physicians are actively using the asthma decision support system
4. In poor control despite being prescribed appropriate therapy and a written action plan. Specifically, poor control is defined as those patients who have had a respiratory-related emergency room (ER) visit or excessive beta-2-agonist use in the six months before recruitment.

Exclusion Criteria

1. Aged over 60 years
2. Serious medical diagnosis such as lung cancer
3. Severely limited mobility preventing patients from leaving home

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Asthma Specific Health-Related Quality of Life, measures four functional impairments at baseline and at the end of the study <br>2. Asthma control, defined as the excess use of rescue fast-acting bronchodilators (beta-2-agonists) (FABA) at baseline and at the end of the study

Secondary Outcome Measures

Name	Time	Method
1. Technology Acceptance Measure (TAM): to evaluate intention to use the system and perceived benefits at the end of the study <br>2. Usage rates of the system, assessed by examining automated audit trails which will include the frequency of use defined as the number of minutes patients spent logged into the system/week <br>3. Patterns usage <br>4. Asthma Self-Efficacy, using a rating scale an overall mean score is calculated that can range from 1 (no confidence) to 5 (very confident), measured at baseline and at the end of the study <br>5. Medication adherence, evaluated by comparing medications prescribed to medications dispensed based on the prescription claims file <br>6. Healthcare utilisation: asthma-related emergency room (ER) visits/hospitalisations