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Completed

NCT Number: NCT01161433

A Practical Model to Transform Childhood Asthma Care - Spirometry Training in the Primary Care Setting

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.

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Key information

Conditions

Asthma Bronchial Diseases Hypersensitivity Hypersensitivity, Immediate Immune System Diseases Lung Diseases Lung Diseases, Obstructive Respiratory Hypersensitivity Respiratory Tract Diseases

Age range

18 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Washington

Seattle, Washington, 98195, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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)

Exclusion criteria

  • 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

Treatment and study plan

Virtually delivered spirometry quality improvement program

Behavioral

Sites in the intervention arm receive the virtually delivered QI program.

The program includes:

  • Spirometry Fundamentals™ CD-ROM, a computer-based CD-ROM training program that teaches primary care providers and their staff techniques required to perform high-quality spirometry tests, and proper interpretation of spirometric data;
  • Case-based, interactive webinars; and
  • an Internet-based spirometry quality feedback reporting system.

Primary outcomes

  1. Spirometry test quality

    Time frame: Seven months

    Percentage of acceptable quality spirometry tests as determined by standards set by the American Thoracic Society.

Secondary outcomes

  1. Presence of asthma care plan

    Time frame: Seven months

    To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which written asthma action plans are completed.

  2. Asthma severity documentation

    Time frame: Seven months

    To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which asthma severity is appropriately documented.

  3. Appropriate prescription of controller therapy

    Time frame: Seven months

    To assess whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which appropriate controller therapy is prescribed.

  4. Frequency of office-based spirometry

    Time frame: Seven months

    To test whether exposure to the virtually delivered quality improvement (QI) program increases the frequency with which office-based spirometry is used in the management of children with asthma.

Sponsors and collaborators

Lead sponsor

University of Washington

Other

Registry information

Official study title

Implementing Evidence-based Quality Improvement Strategies to Improve Asthma Care for Children

Important dates

Study start
2007
Primary completion
2008
Study completion
2008
First posted
Jul 13, 2010
Registry last updated
Jul 13, 2010

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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