Computer-Based Decision Support in Managing Asthma in Primary Care

This study has been completed.
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
Robyn Tamblyn, McGill University
ClinicalTrials.gov Identifier:
NCT00170248
First received: September 13, 2005
Last updated: April 7, 2014
Last verified: April 2014
  Purpose

Asthma is a health problem that afflicts many Canadians. Better methods are needed to provide primary care physicians with ways of implementing current guidelines into regular practice for optimal disease management. This study will test the benefits of providing computer-based decision-support for asthma to primary care physicians, with links to home monitoring for their patients. To add value and to ensure regular use for the physician for all of his/her patients, these computerized decision-support tools will be linked to an electronic prescribing and drug management system. The investigators will evaluate the effectiveness of the computer-based decision-support system by determining whether asthma patients of physicians who receive computer-assisted management tools have better disease control after 33 months of implementation compared to asthma patients of physicians who have the electronic prescription and drug management system alone. To answer this question, the investigators will conduct a cluster randomized controlled trial in a population of approximately 100 physicians in 40 clinics in Quebec, and a total of approximately 4500 of their patients with asthma.


Condition Intervention
Asthma
Device: computer-based decision support for asthma management

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Official Title: Evaluating the Impact of Computer-Based Decision Support for the Management of Asthma in Primary Care

Further study details as provided by McGill University:

Primary Outcome Measures:
  • poor asthma control [ Time Frame: 2006-2009 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • quality of care indicators (inhaled corticosteroid to beta2-agonist ratio) [ Time Frame: 2006-2009 ] [ Designated as safety issue: No ]

Enrollment: 4447
Study Start Date: October 2006
Study Completion Date: June 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 1
Physicians in this arm will be using the standard MOXXI electronic health record.
Experimental: 2
In addition to the standard MOXXI electronic health record, physicians in this arm will be using the computer-based decision support for asthma management
Device: computer-based decision support for asthma management
The asthma management decision support system uses data from the patient problem and medication list to provide patient-specific management recommendations based on Canadian Consensus guidelines for asthma management. Web-enabled technology for asthma education nurses is used to collect home-monitoring information from patients between visits and feedback to primary care physicians in accordance with options selected by the physician for each patient.

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   5 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Physicians are eligible for inclusion if they are general practitioners or family physicians in full-time (≥ 4 days/week), fee-for-service practice in Quebec
  • Patients where the study physician has written or dispensed prescriptions for beta2-agonists, anti-leukotrienes, or inhaled corticosteroids, and has verified the diagnosis of asthma

Exclusion Criteria:

  • Younger than 5 years old
  • Diagnosis of COPD
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00170248

Locations
Canada, Quebec
McGill University
Montreal, Quebec, Canada, H3A 1A3
Sponsors and Collaborators
McGill University
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Robyn Tamblyn, PhD McGill University
  More Information

Additional Information:
No publications provided

Responsible Party: Robyn Tamblyn, Dr. Robyn Tamblyn, McGill University
ClinicalTrials.gov Identifier: NCT00170248     History of Changes
Other Study ID Numbers: ISRCTN58726678, 21448
Study First Received: September 13, 2005
Last Updated: April 7, 2014
Health Authority: Canada: Ethics Review Committee

Keywords provided by McGill University:
Asthma
Primary Care
Computer-Based Decision Support
Outcome Evaluation

Additional relevant MeSH terms:
Asthma
Bronchial Diseases
Hypersensitivity
Hypersensitivity, Immediate
Immune System Diseases
Lung Diseases
Lung Diseases, Obstructive
Respiratory Hypersensitivity
Respiratory Tract Diseases

ClinicalTrials.gov processed this record on October 29, 2014