Evaluation of a Shared Decision Making Portal for Pediatric Asthma
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 81
- 试验地点
- 1
- 主要终点
- Acceptability of the intervention to parents and clinicians
研究概览
简要总结
This pilot intervention study will test the feasibility and acceptability and explore the outcomes of a primary care-based shared decision making (SDM) electronic medical record (EMR)-based portal that provides education, elicits and tracks patients/families' treatment concerns and goals, assesses symptoms and asthma control over time, and provides decision support to clinicians and families.
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
- None
入排标准
- 年龄范围
- 6 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Parents/legal guardians of children aged 6-12 with persistent asthma, currently receiving chronic maintenance therapy, cared for at a study practice, with consistent access to a computer with an internet connection where they feel comfortable accessing MyChart (patient portal)
- •Clinician at study site
排除标准
- •parents non-english speaking
- •child's primary care provider at the time of enrollment is a pediatric resident
- •not meeting inclusion criteria
研究组 & 干预措施
Intervention
Parents in the intervention group will use the MyAsthma Patient Portal to receive enhanced educational information on asthma and its treatment, identify concerns and goals related to asthma treatment, track progress toward goals and management of concerns monthly, and track asthma symptoms monthly.
Clinicians seeing intervention families at office visits will have access to information from the portal including concerns, goals, progress toward goals, and tracking of asthma symptoms.
干预措施: MyAsthma Patient Portal (Other)
Control
The control group will be signed up for MyChart but not use the MyAsthma Patient Portal. This group will be referred to asthma educational content on the CHOP website, complete study measures and otherwise, receive standard care.
结局指标
主要结局
Acceptability of the intervention to parents and clinicians
时间窗: 24 months
Parents and clinicians will be asked a series of open-ended questions regarding themes including satisfaction, acceptability and unintended consequences of using the portal for intervention subjects and using MyChart in general for control subjects. Subjects will also be asked a series of Likert-scaled questions related to satisfaction.
次要结局
- Feasibility of Portal Use(24 months)
- Shared decision making(Baseline)
- Goal Attainment(0 months, 3 months, 6 months then Monthly)
- Parent Activation(0 months, 3 months, 6 months)
- Asthma-Related Quality of Life(0 months, 6 months)
- Asthma Control(0 months, 6 months)
- Asthma-related Utilization(3 months, 6 months)
- Asthma Medication Adherence/Receipt(6 months)
- Feasibility of Recruitment(24 months)
- Feasibility of Follow-up(24 months)