Ignite Creation Date:
2024-05-05 @ 4:57 PM
Last Modification Date:
2024-10-26 @ 9:26 AM
Study NCT ID:
NCT00355069
Status:
COMPLETED
Last Update Posted:
2014-05-28
First Post:
2006-07-19
Brief Title:
Better Pediatric Asthma Outcomes Through Chronic Care
Sponsor:
UConn Health
Organization:
UConn Health
Study Overview
Official Title:
Better Pediatric Asthma Outcomes Through Chronic Care
Status:
COMPLETED
Status Verified Date:
2014-05
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:
This 3-year multi-site study focuses on the translation of cost-effective methods to bring a chronic care model to the care of poor minority inner-city children with asthma at risk of the worst outcomes for the leading chronic disease of children
The specific aims are to
1 Develop a computer support system to deliver peer-driven patient-linked Guideline prompts at the point of care using affordable information technology
2 Evaluate the effect of the Guideline prompt system on the process and outcomes symptom control health-related-quality-of-life ED and hospitalizations of asthma care and
3 Evaluate the added effect on outcomes of family-focused supportive education delivered by a community health worker
The key product of the computer support system is a guideline prompt that serves as the mechanism for integrating patient specific data with standards of care 548 children ages 5-18 with physician diagnosed asthma enrolled in one Medicaid Managed Care Organization in CT and receiving care at one of four Federally Qualified Community Health Centers will be recruited All sites will have access to the computer support system and the to-be-developed Guideline-Driven Clinical Standards of Asthma Care In Phase I 12 months the effect of prompts delivered at the point of care on patient outcomes will be compared to the effect of no-prompt care In Phase II 6 months the effect of family-focused supportive education will be assessed in combination with prompted care compared to no-prompt care and compared to no education All patients will receive standard screening and outreach to keep appointments Data will be obtained from medical records medical and pharmacy claims data as well as patient and parent interviews at baseline and quarterly for 18 months
The specific aims are to
1 Develop a computer support system to deliver peer-driven patient-linked Guideline prompts at the point of care using affordable information technology
2 Evaluate the effect of the Guideline prompt system on the process and outcomes symptom control health-related-quality-of-life ED and hospitalizations of asthma care and
3 Evaluate the added effect on outcomes of family-focused supportive education delivered by a community health worker
The key product of the computer support system is a guideline prompt that serves as the mechanism for integrating patient specific data with standards of care 548 children ages 5-18 with physician diagnosed asthma enrolled in one Medicaid Managed Care Organization in CT and receiving care at one of four Federally Qualified Community Health Centers will be recruited All sites will have access to the computer support system and the to-be-developed Guideline-Driven Clinical Standards of Asthma Care In Phase I 12 months the effect of prompts delivered at the point of care on patient outcomes will be compared to the effect of no-prompt care In Phase II 6 months the effect of family-focused supportive education will be assessed in combination with prompted care compared to no-prompt care and compared to no education All patients will receive standard screening and outreach to keep appointments Data will be obtained from medical records medical and pharmacy claims data as well as patient and parent interviews at baseline and quarterly for 18 months
Detailed Description:
None
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 |
|---|---|---|---|
| U18HS011068 | AHRQ | None | httpsreporternihgovquickSearchU18HS011068 |