Adult Asthma Surveillance and Intervention in a Managed Care Setting - Full Text View

Sponsored by:	Kaiser Permanente
Information provided by:	Kaiser Permanente
ClinicalTrials.gov Identifier:	NCT00147810

Purpose

To determine if there are gender differences in asthma prevalence, severity, treatment, and health care utilization within patient populations in Kaiser Permanente Northwest and Colorado Regions.
To test the ability of an automated telephone outreach intervention to reduce health care utilization for acute asthma exacerbations and improve quality of life. The intervention used speech recognition technology to gather information about current asthma control, patterns of medication use, and recent acute health care utilization for asthma. This information allowed the intervention to provide tailored educational feedback and to flag patients deemed to be at high risk for future exacerbations so that they could be followed up by the health care system.

Condition	Intervention
Asthma	Procedure: Telephone outreach to enhance asthma care

MedlinePlus related topics: Asthma

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Single Blind, Placebo Control, Parallel Assignment, Efficacy Study
Official Title:	Adult Asthma Surveillance and Intervention in a Managed Care Setting

Further study details as provided by Kaiser Permanente:

Primary Outcome Measures:

health status
current asthma control
patterns of medication use
asthma quality of life
self-management practices
attitudes about asthma
satisfaction with care
health care utilization
dispensings of anti-asthma medications
routine and acute health care utilization

Secondary Outcome Measures:

patient satisfaction
clinician satisfaction

Estimated Enrollment:	6948
Study Start Date:	November 2001
Estimated Study Completion Date:	July 2004

Show Detailed Description

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both

Criteria

Inclusion Criteria:

18 years or older
On KPNW high-risk asthma registry
At least 180 days of asthma medications dispensings
At least one visit for asthma in previous 2 years

Exclusion Criteria:

Diagnosis of COPD on problem list in electronic medical record

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00147810

Locations

United States, Oregon
Kaiser Permanente Center for Health Research
Portland, Oregon, United States, 97227

Sponsors and Collaborators

Kaiser Permanente

Investigators

Principal Investigator:

William M Vollmer, PhD

Kaiser Permanente

More Information

Natural spoken dialogue system for telephony applications This link exits the ClinicalTrials.gov site

Natural language call routing vs. touch-tone menus This link exits the ClinicalTrials.gov site

Publications:

Fuhlbrigge AL, Adams RJ, Guilbert TW, Grant E, Lozano P, Janson SL, Martinez F, Weiss KB, Weiss ST. The burden of asthma in the United States: level and distribution are dependent on interpretation of the national asthma education and prevention program guidelines. Am J Respir Crit Care Med. 2002 Oct 15;166(8):1044-9.

Buchner DA, Butt LT, De Stefano A, Edgren B, Suarez A, Evans RM. Effects of an asthma management program on the asthmatic member: patient-centered results of a 2-year study in a managed care organization. Am J Manag Care. 1998 Sep;4(9):1288-97.

Lieu TA, Capra AM, Quesenberry CP, Mendoza GR, Mazar M. Computer-based models to identify high-risk adults with asthma: is the glass half empty of half full? J Asthma. 1999 Jun;36(4):359-70.

Vollmer WM, Markson LE, O'Connor E, Frazier EA, Berger M, Buist AS. Association of asthma control with health care utilization: a prospective evaluation. Am J Respir Crit Care Med. 2002 Jan 15;165(2):195-9.

Corkrey R, Parkinson L. Interactive voice response: review of studies 1989-2000. Behav Res Methods Instrum Comput. 2002 Aug;34(3):342-53. Review.

Kaplan B, Farzanfar R, Friedman RH. Personal relationships with an intelligent interactive telephone health behavior advisor system: a multimethod study using surveys and ethnographic interviews. Int J Med Inform. 2003 Aug;71(1):33-41.

Krishna S, Balas EA, Boren SA, Maglaveras N. Patient acceptance of educational voice messages: a review of controlled clinical studies. Methods Inf Med. 2002;41(5):360-9. Review.

Study ID Numbers:	CASHEW 200-95-0953-48, CDC/ACHP 200-95-0953-48
Study First Received:	September 2, 2005
Last Updated:	March 23, 2006
ClinicalTrials.gov Identifier:	NCT00147810
Health Authority:	United States: Institutional Review Board

Keywords provided by Kaiser Permanente:

telephone outreach
asthma care

Study placed in the following topic categories:

Hypersensitivity
Lung Diseases, Obstructive
Respiratory Tract Diseases
Lung Diseases

Hypersensitivity, Immediate
Asthma
Respiratory Hypersensitivity

Additional relevant MeSH terms:

Immune System Diseases
Bronchial Diseases

ClinicalTrials.gov processed this record on January 16, 2009