Anxiety, Asthma, Depression
Conditions
Keywords
asthma, depression, anxiety
Brief summary
Although depressive and anxious symptoms are common in asthma patients and are associated with worse clinical and resource utilization outcomes, there have been no studies focusing on the particular challenges of improving asthma self-management in this population. The investigators hypothesize that a tailored intervention to improve asthma self-management in patients with a known history of depressive and anxious symptoms will be effective in improving asthma-related quality of life.
Detailed description
Depressive and anxious conditions are common during the lifetime of asthma patients and have been shown to be associated with worse asthma as defined by more symptoms, more hospitalizations and greater use of medications. There have been few studies trying to improve asthma outcomes in patients with known depression. One method to improve outcomes is to instruct patients in ways to better self manage asthma. The goal of this study is to test a comprehensive intervention to improve asthma self-management by increasing knowledge and self-efficacy in patients with a known history of a positive screen for depression. Patients will be randomized to two groups - a control group and an intervention group. Patients in the control group will receive an asthma workbook, will make a contract to adopt behaviors they think will improve asthma, and will receive telephone follow-ups approximately every week for 8 weeks and then approximately every 2 months. Patients in the intervention group will receive these components plus they will be taught how to use a peak flow meter and specific chapters of the workbook will be used as templates for focused instruction during telephone follow-ups. The primary outcome will be a comparison of within-patient change in asthma-related quality of life between groups.
Interventions
BEHAVIORALAsthma self-management
Patients in the intervention group will receive an asthma workbook, will make a contract to adopt behaviors they think will improve asthma, will be taught how to use a peak flow meter and specific chapters of the workbook will be used as templates for focused instruction during telephone follow-ups which will occur every week for 8 weeks and then approximately every 2 months.
Sponsors
Hospital for Special Surgery, New York
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* 18 years of age or older * known history of depressive or anxious symptoms
Exclusion criteria
* pregnant * has cognitive deficits * no access to telephone
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in asthma-related quality of life | Approximately 12 months | The primary outcome will be a comparison of within-patient change in Asthma Quality of Life Questionnaire scores between groups. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of urgent resource utilization visits for asthma | Approximately 12 months | An additional outcome will be the comparison of the number or urgent resource utilization visits for asthma. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Severity of depressive symptoms | Approximately 12 months | We will characterize and monitor the severity of depressive symptoms during the trial using standardized scales. |
Countries
United States
Outcome results
None listed