Breathing Counts: Evaluating Adherence in the Presence of Asthma Navigation Support
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 65
- 试验地点
- 1
- 主要终点
- Change in Adherence of Use of Patient Asthma Inhalers
研究概览
简要总结
To determine if an asthma navigator is helpful in improving communication between care providers and improving patient adherence to asthma medications after an asthma exacerbation.
详细描述
This study will aim to use technology to evaluate the effectiveness of a patient navigator for childhood asthma. The Investigators will place adherence monitoring devices on patient inhalers, and track use of patient asthma medicines. The Investigators will also utilize an asthma navigator who will discuss adherence with families and help to address any barriers to adherence that families identify. Additionally, the navigator will communicate patient specific adherence information to the patient's primary care physician (PCP) and school nurse. The adherence monitor will monitor communications between these providers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 6 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 6-17 years old,
- •Admission to Children's Hospital Colorado with an asthma exacerbation between Jan 1 2017 and Dec 31 2017.
排除标准
- •Language other than English or Spanish (application for monitoring adherence is only available in these languages)
- •Presence of other complex medical problems including:
- •Cystic Fibrosis,
- •Tracheostomy/ventilator dependence,
- •other severe chronic lung disease, and
- •significant developmental delays.
- •Home schooled or not in school
- •Following up with an allergy or pulmonary provider outside the CHCO system after hospital discharge.
研究组 & 干预措施
Single Arm
Patients will have adherence monitoring devices placed on their asthma inhalers (both daily and rescue medication). Adherence information will be sent to their PCP, specialist and school nurse monthly. Additionally, the navigator will speak with families every 2 months to discuss adherence data and address barriers.
干预措施: Propeller Health device + asthma navigator (Device)
结局指标
主要结局
Change in Adherence of Use of Patient Asthma Inhalers
时间窗: Week 1 to Week 24
Adherence will be measured via adherence monitoring devices for 6 months per patient. Change in device measured adherence from week 1 to week 24. Measured as change in average number of puffs of controller medication taken/puffs individually prescribed, measured between weeks 1 and 24.
次要结局
- Barriers to Adherence of Patient Asthma Inhalers(6 months)
- Effectiveness of Communication Between Providers(6 months)
- Degree of Asthma Control(6 months)