Asthma
Conditions
Keywords
informatics, asthma
Brief summary
Through this study, the investigators will adapt the ASTHMAXcel mobile app and evaluate the adapted intervention through a randomized controlled trial.
Detailed description
Through this study, the investigators will use patient and provider feedback to adapt the ASTHMAXcel mobile intervention, and will conduct a randomized controlled trial to test the intervention's impact on clinical and process outcomes.
Interventions
OTHERASTHMAXcel mobile application
ASTHMAXcel is a mobile application (patient-facing) that delivers guideline-based asthma education.
OTHEROutpatient primary care
Usual care delivered through the outpatient primary care setting
Sponsors
Montefiore Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Through the randomized controlled trial component, there will be 2 arms, which include the ASTHMAXcel intervention and usual care delivered through the outpatient primary care setting.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
English-speaking individuals \>18 years with: 1. persistent asthma(diagnosis made by a healthcare provider) on a daily controller medication 2. able to give informed consent 3. Smartphone (iOS or Android) access
Exclusion criteria
1. use of oral corticosteroids in the 2 weeks prior to the baseline visit 2. pregnancy 3. severe psychiatric or cognitive problems that would prohibit an individual from completing the protocol 4. patients that previously received ASTHMAXcel
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline asthma quality of life to 2, 6, and 12 months | Baseline, 2 months, 6 months, 12 months | Patients' asthma quality of life measured by the mini-Asthma Quality of Life Questionnaire (mini-AQLQ) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Provider perception of self-performance measured by the Asthma Physicians' Practice Assessment Questionnaire | Baseline, 2 months, 6 months, 12 months | Provider perception of self-performance measured by the Asthma Physicians' Practice Assessment Questionnaire |
| Change from baseline asthma knowledge to 2 months, 6 months, and 12 months | Baseline, 2 months, 6 months, 12 months | Asthma knowledge as measured by the validated KASE asthma questionnaire |
| Patient acceptance of ASTHMAXcel intervention as measured by the UTAUT questionnaire | Baseline, 2 months, 6 months, 12 months | Patient acceptance of ASTHMAXcel intervention as measured by the UTAUT questionnaire |
| Patient satisfaction measured by the Client Satisfaction Questionnaire-8 | Baseline, 2 months, 6 months, 12 months | Patient satisfaction measured by the Client Satisfaction Questionnaire-8 |
| Depression as measured by the Patient Health Questionnaire-9 | Baseline, 2 months, 6 months, 12 months | Depression as measured by the Patient Health Questionnaire-9 |
| Number of asthma emergency department visits | Baseline, 2 months, 6 months, 12 months | Number of asthma emergency department visits |
| Number of asthma hospitalizations | Baseline, 2 months, 6 months, 12 months | Number of asthma hospitalizations |
| Change from baseline asthma control to 2, 6, and 12 months | Baseline, 2 months, 6 months, 12 months | Asthma symptom burden as measured by the Asthma Control Test |
Countries
United States
Outcome results
None listed