Ignite Creation Date:
2024-05-05 @ 4:56 PM
Last Modification Date:
2024-10-26 @ 9:25 AM
Study NCT ID:
NCT00345514
Status:
COMPLETED
Last Update Posted:
2012-11-09
First Post:
2006-06-27
Brief Title:
The Provider and Organization in Asthma Guidelines
Sponsor:
UConn Health
Organization:
UConn Health
Study Overview
Official Title:
The Provider and Organization in Asthma Guidelines
Status:
COMPLETED
Status Verified Date:
2012-11
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to examine the interaction between the personal attributes of clinicians and the organizations in which they work and the effect of interventions on their ability to implement an asthma disease management program
Detailed Description:
Less than 20 of primary care providers adhere to national asthma guidelines Interventions to improve provider adherence to guidelines have had modest success We believe that changing provider behavior must be viewed in the context of the providers environment We hypothesize that providers who are most successful in implementing and sustaining asthma management programs will have a set of personal attributes related to asthma characterized by readiness to change high self-efficacy positive outcome expectancies and high outcome value AND will work within organizations that facilitate and support such activities We propose a two phase study In Phase 1 Year 1 survey instrument development and testing and provider meetings to discuss the interventions will occur Providers in 49 practicesclinics that are using an asthma management program called Easy Breathing will complete these surveys that will characterize the organization and organizational culture of the clinicspractices and the provider personal attributes surrounding asthma In Years 2-5 a randomized controlled study of either a behavioral intervention an organizational intervention or no intervention control will be performed in 36 of these clinicspractices Clinicspractices in the behavioral arm will receive an intervention consisting of expert modeling program- clinic- and provider-specific feedback and use of opinion leaders and academic detailing Clinicspractices in the organizational arm will receive an intervention consisting of benchmarking leadership capability training and team building and incentives rewards The primary outcome variable is the number of Easy Breathing surveys completed by provider and by clinicunit of time We have previously shown that enrollment in Easy Breathing which was adapted directly from the national asthma guidelines as demonstrated by completion of a survey is a surrogate indicator of inhaled corticosteroid use and is associated with decreased medical services utilization This study will thus investigate the complex interactions between provider personal attributes and the organization and the effect of targeted interventions on provider performance to implement an asthma disease management program These data will then be used in future studies to determine how to better tailor interventions in a cost constrained environment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| CCMC 01-111 | None | None | None |