Effectiveness of a Telecommunications System in Asthma Management
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 136
- 试验地点
- 2
- 主要终点
- Participants With Unscheduled Asthma-related Visits
研究概览
简要总结
This project is investigating whether application of a telecommunications system to the care of adult patients with asthma will improve self-management by enhancing compliance with preventive medication regimens and fostering the use of peak-flow-based action plans.
详细描述
Background/Rationale:
Asthma is one of the most common chronic diseases of adults, affecting 6% of the U.S. adult population and accounting for substantial morbidity and mortality. Despite the availability of effective therapy for asthma, morbidity and mortality have increased over the last several decades. Asthma specialty care, case management, and patient education are means for improving the quality of asthma care and patient outcomes, but cost and inconvenience limit the degree to which these are used in asthma care nationally. The principal aim of this study is to evaluate the impact of an inexpensive telephone-based home education and disease monitoring system on asthma medication adherence and clinical outcomes in adult patients with asthma.
Objective(s):
We hypothesize that application of TLC to the care of adult patients with asthma will improve self-management by enhancing compliance with preventive medication regimens and fostering the use of peak flow-based action plans. This, in turn, will improve asthma control, thus reducing acute health care utilization and improving quality of life (QOL).
Methods:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Physician diagnosis of asthma
- •Receiving treatment with one or more daily controller (i.e., preventive) medications
- •Age = 18 years
- •Less than 30 pack years of cigarette smoking
- •FEVi greater than 50% of predicted
- •FEVi bronchodilator response of at least 12%
- •Ability to use a telephone without assistance
排除标准
- 未提供
研究组 & 干预措施
TLC-health education
Telephone-based home education
干预措施: TLC-health education (Device)
TLC-Asthma
Telephone-based home education and asthma monitoring
干预措施: TLC-Asthma (Device)
结局指标
主要结局
Participants With Unscheduled Asthma-related Visits
时间窗: 1 year
Number of participants found to have any unscheduled office visits, emergency room visits, or hospitalizations that are related to asthma during one year.
次要结局
- Participants With Oral Corticosteroid Use(1 year)