Asthma
Conditions
Keywords
Asthma, SENSE study, Enerzair, Breezhaler, maintenance treatment
Brief summary
This is an observational, descriptive, open-label, prospective, 6-month study including a group of patients with a first prescription of IND/GLY/MF with sensor and a group with a first prescription of IND/GLY/MF without sensor.
Detailed description
Patients will be invited prospectively and sequentially to participate in the study when attending a participating community pharmacy with a first prescription of IND/GLY/MF with sensor or IND/GLY/MF without sensor. Therefore, the invitation for the patient to participate in the study will occur only after the therapeutic decision has taken place
Interventions
Prospective observational cohort study. There is no treatment allocation. Patients will be invited to participate in the study when attending participating community pharmacies with a first prescription of IND/GLY/MF with sensor or IND/GLY/MF without sensor
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and female patients aged ≥18 years * Self-reported diagnosis of asthma * Individual filling a first prescription of IND/GLY/MF with or without sensor in a participating community pharmacy for himself/herself (excluding caregivers). * Individual capable and willing to perform the study assessments.
Exclusion criteria
* No
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical characteristics - last asthma treatment | Baseline | International Nonproprietary Name (INN) of Last asthma medication |
| Baseline sociodemographic - living status | Baseline | Assess if the patient lives alone: * Yes * No * Don't know/ Don't answer |
| Baseline sociodemographic - household income | Baseline | Patient's household net income level: * \<665 € * \[665€ to 1000€\[ * \[1000€ to 1200€\[ * \[1400€ to 1700€\[ * \[1700€ to 2000€\[ * \[2000€ to 2700€\[ * ≥2700€ * Don't know/Don't answer |
| Baseline sociodemographic - educational level | Baseline | Patient's highest completed educational level: * None * I - Basic education (4 years) * II - Basic education (6 years) * III - Basic education (9 years) * Upper secondary education or equivalent (12 years) * Bachelor/ University Degree * Don't know/Don't answer |
| Baseline sociodemographic - employment status | Baseline | Patient Employment status: * Employed. Number of hours per week. * Unemployed * Student * Retired * Other. Specify. * Don't know/Don't answer |
| clinical characteristics - body mass index | Baseline | body mass index will be provided |
| clinical characteristics - smoking status | Baseline | Patient smoking status: * Never smoked * Ex-smoker * Smoker * Don't know/Don't answer |
| clinical characteristics - comorbidities | Baseline | Patient comorbidities: * Allergic rhinitis * Rhinosinusitis * Allergic conjunctivitis * Sleep disorders * Anxiety * Depression * Other. Specify |
| clinical characteristics - duration of disease | Baseline | duration of disease will be provided |
| clinical characteristics - age at asthma diagnosis | Baseline | Age when asthma was diagnosed: * Years * Unknown/cannot remember |
| clinical characteristics - asthma-related hospitalizations | Baseline | Number of hospitalizations: * n of hospitalizations * Don't know/Don't answer |
| clinical characteristics - emergency admissions and non-scheduled visits in the previous 12 months | Baseline | Number of appointments: * number of scheduled asthma physician's appointments * number of unscheduled asthma physician's appointments * Don't know/Don't answer |
| clinical characteristics - ACT score | Baseline | The Asthma Control Test (ACT) contains 5 questions that are related to the frequency of both asthma symptoms and required rescue medication use during the previous 4 weeks. The scores in the ACT range from 5 (worse control) to 25 (total control) |
| clinical characteristics - TAI score | Baseline | The TAI questionnaire was developed to measure self-reported adherence to inhaler devices and help clinicians to evaluate non-adherence barriers related to inhaled therapy in adult patients with asthma or chronic obstructive pulmonary disease. The interpretation of adherence based on the 10-item TAI, scoring is that an overall score of 50 points highlights good adherence, while a score of between 46 to 49 points denotes intermediate adherence. A total score ≤ 45 points indicates poor adherence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| percentage of patients reporting ease to use and understand how to use the sensor and the app in the group of IND/GLY/MF with sensor | month 3, month 6 | Ease to use the app/sensor: * Yes * No * Don't know/Don't answer |
| percentage of patients reporting usefulness of the sensor/app reports in asthma control and treatmen in the group of IND/GLY/MF with sensor.t | month 3, month 6 | Usefulness of the app report in learning about their asthma: * Yes * No * Don't know/Don't answer |
| Percentage of patients in treatment | month 3, month 6 | Percentage of patients in treatment will be provided |
| Percentage of patients with fair acquisition value for sensor/app in the group of IND/GLY/MF with sensor | month 3, month 6 | Fair acquisition value of sensor/app: * 0 € * 1 to 5 € * 6 to 10€ * 11 to 15 € * 16 to 20 € * More than 20 € |
| Percentage of patients with desire to continue using sensor/app in the group of IND/GLY/MF with sensor. | month 3, month 6 | Desire to continue using the app: * Yes * No * Don't know/Don't answer |
| Changes from baseline in self-reported adherence - TAI questionnaire score | Baseline, month 3, month 6 | The TAI questionnaire was developed to measure self-reported adherence to inhaler devices and help clinicians to evaluate non-adherence barriers related to inhaled therapy in adult patients with asthma or chronic obstructive pulmonary disease. The interpretation of adherence based on the 10-item TAI, scoring is that an overall score of 50 points highlights good adherence, while a score of between 46 to 49 points denotes intermediate adherence. A total score ≤ 45 points indicates poor adherence |
| Changes from baseline in self-reported adherence - asthma control test (ACT) score | Baseline, month 3, month 6 | The Asthma Control Test (ACT) contains 5 questions that are related to the frequency of both asthma symptoms and required rescue medication use during the previous 4 weeks. The scores in the ACT range from 5 (worse control) to 25 (total control) |
| Adherence from the app (percentage) | Month 3, month 6 | Adherence over last month to be measured using a scale from 0 to 100 |
| Asthma control from the app (category) | Month 3, month 6 | Asthma control over last month: * Well controlled * Not properly controlled * Poorly controlled * Unknown |
| Rescue medication from the app | Month 3, Month 6 | Rescue medication over last month (n days): * N days * N days over the night period |
| Reasons for discontinuation and treatment switch | month 3, month 6 | Reason for treatment discontinuation: * Tolerability * Loss of efficacy * Price * Problems with medication use * Following emergency/ hospitalization * Condition improved * Other. Specify. * Don't know/Don't answer |
| Change from baseline in number of hospitalizations | Baseline, month 3, month 6 | Number of hospitalizations and nights: * n of hospitalizations * n of nights * Don't know/Don't answer |
| Change from baseline in number of emergency room visits | Baseline, month 3, month 6 | Number of emergency room visits: * n (visits) * Don't know/don't answer |
| Change from baseline in number of scheduled and non-scheduled medical visits | Baseline, month 3, month 6 | Number of appointments: * n of scheduled appointments * n of unscheduled appointments * Don't know/ Don't answer |
| Change from baseline in number of work hours/days missed | Baseline, month 3, month 5 | How many hours/days the patient missed work or was delayed: * n (days) * Not applicable |
| Percentage of patients by level of treatment satisfaction | month 3, month 6 | Treatment satisfaction: Very satisfied * Satisfied * Not Satisfied/unsatisfied * Unsatisfied * Very Unsatisfied |
| Percentage of patients who downloaded the app in the group of IND/GLY/MF with sensor. | month 3, month 6 | Patient downloaded the app: * Yes * No |
| percentage of patients with a valid app report in the group of IND/GLY/MF with sensor. | month 3, month 6 | Number of patients that downloaded the app |