To assess the one-year (cost)effectiveness of self-management support via an internet-based service in addition to usual care as compared to usual care alone in a pragmatic trial in patients with severe asthma who are referred for a pulmonary…
ID
Source
Brief title
Condition
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
health related quality of life
Secondary outcome
lung function, physical activity, self-management skills, health education
impact, illness perceptions, exacerbations, patient utilities and costs
Background summary
Patients are not always amenable to optimal self-management in their own
environment after completing pulmonary rehabilitation. In order to achieve
sustained quality of life improvement we need a dependable system of
coordinated health care interventions and communication, and components that
include self-management support. Innovative forms of self-management support
including an online community, monitoring, communication, an action plan and
motivational feedback via internet have high potential to improve long-term
outcomes. However, the long-term effectiveness of sustaining self-management
support via internet in patients with severe asthma who have completed
pulmonary rehabilitation has not been determined yet.
Study objective
To assess the one-year (cost)effectiveness of self-management support via an
internet-based service in addition to usual care as compared to usual care
alone in a pragmatic trial in patients with severe asthma who are referred for
a pulmonary rehabilitation programme.
In addition, we will identify predictors of successful self-management support
and quality of life outcomes and unravel the relationship between patient
characteristics, process outcomes and quality of life.
Study design
Pragmatic Randomised Controlled Trial
Intervention
Control-group will receive usual care. Intervention group will receive
self-management support via internet using the PatientCoach-platform during
one-year of follow-up additional to usual care.
Study burden and risks
Patients in the intervention group will be familiarized with PatientCoach
shortly after randomization.
Every three months all participants will digitally receive a set of
questionnaires which can be filled out using a personal computer with internet
connection.
Throughout the follow-up year patients in the intervention group will be
encouraged to wear an activity monitor daily to gain insight in their physical
activity pattern.
Albinusdreef 2
Leiden 2300RC
NL
Albinusdreef 2
Leiden 2300RC
NL
Listed location countries
Age
Inclusion criteria
Pulmonologist-diagnosed severe persistent asthma
Patients with asthma as the most important limiting factor
Referred for rehabilitation to Davos or Heideheuvel because optimal treatment did not lead to adequate asthma control
Access to internet at home and able to use it
Exclusion criteria
Serious psychological problems that need referral to a psychiatrist after
completion of the rehabilitation program
Relevant co-morbidity that interferes with the study
Design
Recruitment
metc-ldd@lumc.nl
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 | NL41595.058.12 |