AdheRence to Inhaled Corticosteroids in Asthma (ARICA)

Duke University

Status: Completed

Conditions: Asthma; Medication Adherence

Treatments: Behavioral: ARICA

Study type: Interventional

Funder types: Other

Identifiers

NCT03769519

Pro00100181

Details and patient eligibility

About

It is widely recognized that asthma in adult African American patients is a significant health problem, which is partly affected by relatively low inhaled corticosteroid (ICS) adherence rates. The goal of this study is to pilot test an ICS adherence intervention, ARICA, that aims to improve ICS adherence in adult African Americans.

Full description

The investigators will evaluate ARICA in Duke primary care clinics to study its feasibility and acceptability using a quasi-experimental pre-post study design. The study will enroll between 32 and 48 adult African Americans with persistent asthma and suboptimal ICS adherence, and their health care providers, to study the use of the intervention and key indicators of the intervention's potential effectiveness.

Enrollment: 29 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• At least 18 years of age
• Self-identifying African American
• Self-reported current asthma
• Prescribed an inhaled corticosteroid (alone or combination) for ≥ 1 month
• Presented at a Duke Primary Care clinic visit within the past 3 years or is establishing care at Duke Primary Care
• Follow up Duke Primary Care visit within the next 6 months

Exclusion Criteria:

• Unable or unwilling to provide informed consent

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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29 participants in 2 patient groups

Control (Group 1)

No Intervention group

Description:

This group is considered the control group. This group will have scheduled texts and emails for the monthly surveys after the participant completes the baseline questionnaires.

ARICA Intervention (Group 2)

Experimental group

Description:

This group is considered the intervention group. Participants in this group will receive weekly texts and emails containing asthma facts and myths. They will also complete monthly surveys and participate in asthma education sessions.

Treatment:

Behavioral: ARICA