Asthma
Conditions
Keywords
informatics, asthma
Brief summary
Through this study, the investigators developed the ASTHMA-Educator mobile application, and evaluated its use among adult asthma patients at Montefiore.
Detailed description
Through this study, the investigators developed the ASTHMA-Educator mobile application, and evaluated its use through 2 phases: 1) Phase 1 = process outcomes evaluation with 30 patients); and 2) Phase 2 (longitudinal clinical evaluation with 40 patients receiving the intervention at baseline, 2 months, 4 months, and 6 months). The study's primary outcome is asthma control.
Interventions
The on-site delivered ASTHMA-Educator mobile application.
Sponsors
Study design
Intervention model description
This is a single-arm proof of concept study to evaluate the impact of the ASTHMA-Educator on process and clinical outcomes
Eligibility
Inclusion criteria
Adults (\>18 years) with: (a) severe asthma (i.e. at least one asthma-related ED visit and/or hospitalization in the previous year); (b) access to a smartphone with short message service (SMS) capability; (c) English speaking; (d) able to give informed consent.
Exclusion criteria
(a) use of oral corticosteroids in the 2 weeks prior to the baseline visit; (b) pregnancy; (c) severe psychiatric or cognitive problems that would prohibit an individual from understanding and completing the protocol; and (d) patients that previously received the ASTHMAXcel application.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline asthma control to 2, 4, and 6 months | Baseline, 2 months, 4 months, 6 months | Asthma symptom burden as measured by the Asthma Control Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction measured by the Client Satisfaction Questionnaire-8 | Immediately post-intervention at the baseline visit, 2 months, 4 months, 6 months | Patient satisfaction measured by the Client Satisfaction Questionnaire-8 |
| Time spent in using the mobile application | Immediately post-intervention at the baseline visit | Time spent in using the mobile application |
| Asthma quality of life measured by the mini-Asthma Quality of Life Questionnaire (mini-AQLQ) | Baseline, 2 months, 4 months, 6 months | Patients' asthma quality of life measured by the mini-Asthma Quality of Life Questionnaire (mini-AQLQ) |
| Change from baseline asthma knowledge to immediately post-intervention, 2 months, 4 months, and 6 months | Baseline, immediately post-intervention, 2 months, 4 months, 6 months | Asthma knowledge as measured by the validated Asthma Knowledge Questionnaire |
| Asthma hospitalizations | Baseline, 2 months, 4 months, 6 months | Asthma hospitalizations |
| Asthma-related steroid courses | Baseline, 2 months, 4 months, 6 months | Asthma-related steroid courses |
| Asthma emergency department visits | Baseline, 2 months, 4 months, 6 months | Asthma emergency department visits |
Countries
United States