Asthma Patient Education in the Emergency Room

Hospital for Special Surgery (HSS)

Status: Completed

Conditions: Asthma

Treatments: Behavioral: Asthma Education in Adults; Behavioral: Standard Emergency Room Asthma Education

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00110409

R01HL075893 (U.S. NIH Grant/Contract)

173

Details and patient eligibility

About

The objective of this randomized trial is to assess the effectiveness of an intervention involving education, self-efficacy, and social support in improving quality of life outcomes among 296 adult asthma patients treated in the emergency room. The main outcome will be a comparison of within-patient change in quality of life between enrollment and 8 weeks. Secondary objectives will be to assess the effectiveness of the intervention in decreasing the need for rescue inhaled beta agonists, in improving peak flow meter rates, and in decreasing the number of days lost from work or school due to asthma. These outcomes will be measured again at 16 weeks to determine if benefits are sustained. Additional outcomes at 16 weeks and 1 year will be to assess the effectiveness of the intervention in decreasing urgent resource utilization for asthma and cost effectiveness.

Full description

BACKGROUND:

Many urban asthma emergency room patients lack effective self-management. Most current training programs are administered in outpatient settings and have low attendance rates for emergency room patients. There is a great need to develop effective programs that can be easily administered in the emergency room for patients who, in many cases, are not present in other settings to receive education. This proposal builds on preliminary studies and is tailored to provide emergency room patients with basic education during "a teachable moment" when they may be most receptive to asthma information.

DESIGN NARRATIVE:

Patients will be recruited from two New York City urban emergency rooms or inpatient settings and randomized to the intervention or control groups. Intervention patients will receive a protocol focusing on asthma self-management, education, self-efficacy, and social support, with telephone reinforcement for 8 weeks. Control patients will receive standard emergency room education about asthma.

Enrollment: 296 estimated patients

Sex: All

Ages: 18 to 95 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients will be eligible if they are 18 years of age or older
• Fluent in English
• Have a known diagnosis of asthma
• Will receive treatment for asthma during the current hospitalization or emergency room visit.

Exclusion criteria

• Cognitive deficits
• Other pulmonary diseases or severe comorbidity
• Do not have out-patient access to a telephone

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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296 participants in 2 patient groups

1

Experimental group

Description:

Intervention participants will receive information focusing on asthma self-management, education, self-efficacy, and social support while in the hospital emergency room. Telephone reinforcement will occur for 8 weeks following study entry.

Treatment:

Behavioral: Asthma Education in Adults

2

Active Comparator group

Description:

Participants in the control group will receive standard emergency room education about asthma.

Treatment:

Behavioral: Standard Emergency Room Asthma Education