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Sponsored by: |
National Heart, Lung, and Blood Institute (NHLBI) |
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Information provided by: | National Heart, Lung, and Blood Institute (NHLBI) |
ClinicalTrials.gov Identifier: | NCT00110409 |
The objective of this randomized trial is to assess the effectiveness of an intervention involving education, self-efficacy, and social support in improving quality of life outcomes among 296 adult asthma patients treated in the emergency room. The main outcome will be a comparison of within-patient change in quality of life between enrollment and 8 weeks. Secondary objectives will be to assess the effectiveness of the intervention in decreasing the need for rescue inhaled beta agonists, in improving peak flow meter rates, and in decreasing the number of days lost from work or school due to asthma. These outcomes will be measured again at 16 weeks to determine if benefits are sustained. Additional outcomes at 16 weeks and 1 year will be to assess the effectiveness of the intervention in decreasing urgent resource utilization for asthma and cost effectiveness.
Condition | Intervention |
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Asthma |
Behavioral: Asthma Education in Adults Behavioral: Standard Emergency Room Asthma Education |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Subject), Active Control, Parallel Assignment, Efficacy Study |
Official Title: | Trial of Asthma Patient Education in the Emergency Room |
Estimated Enrollment: | 296 |
Study Start Date: | January 2005 |
Estimated Study Completion Date: | December 2009 |
Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Intervention participants will receive information focusing on asthma self-management, education, self-efficacy, and social support while in the hospital emergency room. Telephone reinforcement will occur for 8 weeks following study entry.
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Behavioral: Asthma Education in Adults
The intervention involves enhancing asthma education, asthma self-efficacy and asthma-related social support and is administered during a single in-person session in the ED (or hospital for admitted patients) followed by telephone reinforcement.
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2: Active Comparator
Participants in the control group will receive standard emergency room education about asthma.
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Behavioral: Standard Emergency Room Asthma Education
Participants will receive standard emergency room education about asthma.
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BACKGROUND:
Many urban asthma emergency room patients lack effective self-management. Most current training programs are administered in outpatient settings and have low attendance rates for emergency room patients. There is a great need to develop effective programs that can be easily administered in the emergency room for patients who, in many cases, are not present in other settings to receive education. This proposal builds on preliminary studies and is tailored to provide emergency room patients with basic education during "a teachable moment" when they may be most receptive to asthma information.
DESIGN NARRATIVE:
Patients will be recruited from two New York City urban emergency rooms or inpatient settings and randomized to the intervention or control groups. Intervention patients will receive a protocol focusing on asthma self-management, education, self-efficacy, and social support, with telephone reinforcement for 8 weeks. Control patients will receive standard emergency room education about asthma.
Ages Eligible for Study: | 18 Years to 95 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, New York | |
Hospital for Special Surgery | Recruiting |
New York, New York, United States, 10021 | |
Contact: Carol A. Mancuso, MD 212-774-7508 camancus@med.cornell.edu | |
Principal Investigator: Carol A. Mancuso, MD |
Study Chair: | Carol A. Mancuso, MD | Hospital for Special Surgery |
Responsible Party: | Hospital for Special Surgery ( Carol A. Mancuso, MD ) |
Study ID Numbers: | 173, R01 HL075893 |
Study First Received: | May 6, 2005 |
Last Updated: | August 29, 2008 |
ClinicalTrials.gov Identifier: | NCT00110409 |
Health Authority: | United States: Federal Government |
Hypersensitivity Lung Diseases, Obstructive Respiratory Tract Diseases Lung Diseases |
Hypersensitivity, Immediate Emergencies Asthma Respiratory Hypersensitivity |
Disease Attributes Pathologic Processes Immune System Diseases Bronchial Diseases |