Asthma Clinical Trial
Official title:
A Randomized Controlled Study to Evaluate the Role of an In Home Asthma Disease Management Program Provided by Respiratory Therapists in Improving Outcomes and Reducing the Cost of the Care
This study compared an in-home asthma management program provided by nurses or respiratory therapists to see if those receiving program had fewer hospitalizations, clinic and emergency room visits and higher levels of satisfaction and health related quality of life.
Background: Disease management may improve outcomes and reduce cost. We compared an in-home
asthma management program (AMP) delivered by respiratory therapists (RTs) or nurses (RNs) to
standard care (SC) in 159 adults with moderate to severe asthma to determine the effect on
health care utilization (HCU), patient satisfaction (PS) and health related quality of life
(HRQOL).
Methods: This single center, prospective trial randomized subjects, age 18-64, to three
groups: SC, AMP-RT or AMP-RN. Outcomes at six-months were HCU, cost, pulmonary function,
symptoms, environmental assessment, asthma self-management, HRQOL (SF-36; St. Georges
Respiratory Questionnaire [SGRQ]) and PS. Frequencies were compared using chi 2; all other
variables were compared using ANOVA with a post-hoc test.
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Treatment
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