An Electronic Shared Decision-Making Application to Improve Asthma Outcomes

Not Applicable

Completed

• Conditions: Asthma
• Interventions: Behavioral: Shared Decision Making Physician Training Video; Behavioral: Standard Care; Behavioral: Electronic Asthma Shared Decision-Making App; Behavioral: Electronic Asthma Shared Decision-Making App- Patient Data

• Registration Number: NCT04951102
• Lead Sponsor: University of Michigan

Brief Summary

This study will increase knowledge about the feasibility and effect on patient satisfaction and clinical outcomes of using an electronic Shared Decision Making (SDM) application (app) for patients with asthma in the allergy/immunology clinic visit setting. SDM is defined as an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options and make informed choices.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2021-03-03
• Study First Submitted: 2021-06-04
• Study First Submitted QC: 2021-06-30
• Study First Posted: 2021-07-06
• Primary Completion: 2022-03-28
• Study Completion: 2022-09-14
• Status Verified: 2022-11
• Last Update Submitted: 2022-11-16
• Last Update Posted: 2022-11-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 81

Inclusion Criteria

• English speaking
• Diagnosis of persistent asthma
• Have an in-person visit or telehealth encounter at the allergy/clinical immunology clinics participating in this study

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Exclusion Criteria

• Diagnosis of intermittent asthma
• Any other lung disease
• Smoking greater than 20 pack years or current smoking
• Mental impairment such that participation would not be possible

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A Physicians who receive SDM training and electronic Asthma SDM App data	Shared Decision Making Physician Training Video	Group A physicians will view an SDM Physician Training Video and receive the patients' reported data from the pre-visit asthma SDM App prior to the patients' visits.
Group B Patients who receive standard care	Standard Care	Group B patients will receive standard care.
Group A Patients who receive SDM intervention	Electronic Asthma Shared Decision-Making App	Group A patients will complete a pre-visit electronic Asthma SDM App. They may also receive educational information regarding asthma, medication management, smoking cessation, COVID-19 and COVID-19 vaccines.
Group A Physicians who receive SDM training and electronic Asthma SDM App data	Electronic Asthma Shared Decision-Making App- Patient Data	Group A physicians will view an SDM Physician Training Video and receive the patients' reported data from the pre-visit asthma SDM App prior to the patients' visits.
Group B Physicians who provide standard care	Standard Care	Group B physicians will provide standard care.

Primary Outcome Measures

Name	Time	Method
Patient satisfaction	Within 1 week of completing asthma shared decision making app worksheet and their asthma clinic visit	Patient satisfaction as determined by Patient Satisfaction Questionnaire responses. Questions will consist of the SDM-Q-9 (psychometrically validated measures for shared decision-making from the perspectives of patients), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician.

Secondary Outcome Measures

Name	Time	Method
Change in level of asthma control will be determined	Up to 6 months	Change in level of asthma control as determined by patient follow up asthma control test questionnaire responses regarding interval changes in asthma control, use of systemic steroids, and urgent care and emergency visits for asthma.
Physician satisfaction	Within 1 week of patient visit	Physician satisfaction as determined by Physician Satisfaction Questionnaire responses. Questions will consist of the SDM-Q-DOC (psychometrically validated measures for shared decision-making from the perspectives of health care providers), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician. Physicians will receive a small number of satisfaction questionnaires, randomly assigned after patient visits, no more than one a week.

Trial Locations

Locations (1)

Michigan Medicine, University of Michigan; 🇺🇸 Ann Arbor, Michigan, United States