The objective of this project is to investigate the (cost-) effectiveness of these tailored implementation strategies in comparison to a common used implementation strategy, in a three arm randomized trial.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
Luchtwegaandoening: astma
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. the proportion of practices that participate in IBSM, 2. the proportion of
referred patients that participate in IBSM and 3. asthma related quality of
life in participating patients.
Secondary outcome
Patient level: clinical outcomes (asthma control, lung function, usage of
airway treatment and presence of exacerbations); self-management related
outcomes (health education impact, medication adherence and illness
perceptions); asthma related quality of life and patient utilities.
Professional and organizational level: adherence of professionals to
implementation strategies, experience with IBSM and feasibility of IBSM in
daily practice. Cost-effectiveness: medical costs and health care consumption.
Background summary
Internet-Based Self-Management (IBSM) support cost-effectively improves asthma
control, asthma related quality of life, number of symptom-free days and lung
function in patients with mild to moderate persistent asthma. The current
challenge is to implement IBSM in clinical practice.
Based on previously detected barriers and facilitators for implementation we
developed implementation strategies for IBSM that address these barriers and
facilitators.
Study objective
The objective of this project is to investigate the (cost-) effectiveness of
these tailored implementation strategies in comparison to a common used
implementation strategy, in a three arm randomized trial.
Study design
Study design: a three-arm cluster randomised trial with a cluster
pre-randomisation design and 12 months follow-up per practice comparing the
following three IBSM implementation strategies:
1. Basic Implementation Strategy (BIS): dissemination of the IBSM programme
(*PatientCoach*)
2. Start-up Support Implementation Strategy (SSIS): BIS + start-up support
for professionals (i.e. support in selection of the appropriate population and
training of professionals)
3. Practice Coach Implementation Strategy (PCIS): SSIS + additional training
and ongoing support for professionals
Study burden and risks
Internet based self-management support consists of an internet-based
self-management programme (PatientCoach) and professional support ( patient's
own general practitioner and/or practice nurse). Professional support is hich
is concordant with usual care.
Patients will be asked to monitor their asthma by using the the internet-based
self-management programme (PatientCoach). Furthermore, for the purpose of
research patients will be asked to fill in questionnaires at baseline, 3 and 6
months.
Patients using PatientCoach,combined with support of a health care
professional (general practitioner and/or practice nurse) will have the
possibility to improve self-management skills of their asthma. This means that
the patient will be able to recognize and cope with asthma symptoms. For
example, the patient will learn which type of medication is the most suitable
for specific complaints. Internet-based self-management empowers the patient in
controlling his/her asthma.
postbus 9600, Albinusdreef 2
2333 ZA , Leiden
NL
postbus 9600, Albinusdreef 2
2333 ZA , Leiden
NL
Listed location countries
Age
Inclusion criteria
(All of the following criteria)
• age 18-50 yr
• doctors diagnosis of asthma
• patients who need inhaled corticosteroids as controller medication (step 2-4 GINA
guideline) and / or montelukast inhaled corticosteroids >= 3 months in the previous year
• access to the internet
• written informed consent
Exclusion criteria
• inability to understand written and oral Dutch instructions
• active diseases likely to interfere with the purpose of the study, such as a terminal illness or a severe psychiatric disease
• daily or alternate day oral corticosteroid therapy for at least 1 month before entering the study
• patients who are primarily under treatment by a pulmonologist
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL36445.058.11 |