Implementing Evidence-based Quality Improvement Strategies to Improve Asthma Care for Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Spirometry test quality
研究概览
简要总结
Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, however, few primary care providers report routine use of spirometry in the provision of care for their asthma patients. Even when spirometry is used to aid in asthma severity classification, primary care providers have a high rate of failing to meet the quality goals for testing established by the American Thoracic Society.
The goal of this study is to evaluate the effectiveness of a virtually delivered quality improvement (QI) program. The program is designed to train primary care providers and their medical staff in the use of spirometry to improve pediatric primary care management for children with asthma.
详细描述
A cluster randomized trial with matched practice pairs. All practices receive a spirometer and standard vendor training. Those randomized to the intervention group receive a 7-month QI program, which includes:
- Spirometry Fundamentals™ CD-ROM;
- Case-based, interactive webinars; and
- an Internet-based spirometry quality feedback reporting system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Internet access on a computer running Windows XP SP2
- •Access to a computer with Windows 2000 /Mac OS 10 or higher
- •Practices must match another enrolled practice on the following parameters.
- •Number of providers in practice (same number +/- 1 provider)
- •Location - both practices must either be urban or rural
- •% of patients eligible for Medicaid (same percentage +/- 15%)
- •Practice type (school-based clinic, Federally Qualified Health Center, private practice, hospital- or university-based clinic)
- •Geographic distance (minimum of 10 miles away from matched pair practice)
排除标准
- •Lack of Internet access on a computer running Windows XP SP2
- •Lack of access to a computer with Windows 2000 /Mac OS 10 or higher
- •Practices that were unable to be matched to another similar practice
结局指标
主要结局
Spirometry test quality
时间窗: Seven months
Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.
次要结局
- Asthma severity documentation(Seven months)
- Appropriate prescription of controller therapy(Seven months)
- Frequency of office-based spirometry(Seven months)
- Presence of asthma care plan(Seven months)