The Use of the Propeller Health Platform to Improve Inhaled Corticosteroid (ICS) Use Among Adults With Uncontrolled Persistent Asthma

NorthShore University HealthSystem

Status: Completed

Conditions: Asthma

Treatments: Behavioral: Asthma App Tracking of ICS/SABA Usage - Active Mode; Behavioral: Asthma Nurse Monthly Phone Calls for ICS/SABA Usage Feedback - Yes; Behavioral: NorthShore Connect Real Time ICS and SABA Usage Feedback - Yes; Behavioral: NorthShore Connect Real Time ICS and SABA Usage Feedback - No; Behavioral: Asthma App Tracking of ICS/SABA Usage - Silent Mode; Behavioral: Electronic Medication Monitors on ICS and SABA - Silent Mode; Behavioral: Electronic Medication Monitors on ICS and SABA - Active Mode; Behavioral: Asthma Nurse Monthly Phone Calls for ICS/SABA Usage Feedback - No

Study type: Interventional

Funder types: Other

Identifiers

NCT03860519

EH17-322

Details and patient eligibility

About

This is a behavioral randomized controlled trial of adults with uncontrolled persistent asthma that tests if the Propeller Health sensor, mobile application, and dashboard can improve adherence to ICS.

Enrollment: 100 patients

Sex: All

Ages: 25 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Under the care of a staff asthma physician (i.e. pulmonologist or allergist/immunologist) at NorthShore University HealthSystem (NS)
• Have an active NorthShore Connect (patient portal) account
• Persistent uncontrolled asthma in the past 12 months
• Active prescription for daily ICS medication for asthma

Exclusion criteria

• candidate refusal
• the presence of other co-morbidities (e.g. severe psychiatric disorder) that could interfere with study participation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Intervention Group

Experimental group

Description:

The components of the intervention unique to the treatment group include: 1) access to the Propeller Health Asthma App on his/her phone, which includes tracking of ICS and SABA usage; 2) receipt of NorthShore Connect physician alerts (these will be sent by the asthma nurse on behalf of the NS physician) if he/she has "poor adherence" ie missed 4 consecutive days of all of his/her controller medication dosages and their sensor has sent heartbeat to application OR "at risk" alerts if a patient transitions to a "not well controlled" or "poorly controlled" status (defined by the NHLBI guidelines); and 3) monthly phone calls with a nurse from his/her asthma doctor's office to review ICS and SABA usage reports (provided by Propeller Health on their Propeller Health dashboard).

Treatment:

Behavioral: Electronic Medication Monitors on ICS and SABA - Active Mode

Behavioral: Asthma Nurse Monthly Phone Calls for ICS/SABA Usage Feedback - Yes

Behavioral: NorthShore Connect Real Time ICS and SABA Usage Feedback - Yes

Behavioral: Asthma App Tracking of ICS/SABA Usage - Active Mode

Control Group

Experimental group

Description:

The control group will not receive access to view the contents of the Propeller Health Asthma App on his/her phone, NorthShore Connect alerts for missing ICS or overuse of SABA, or for his/her asthma doctor (the asthma nurse will be viewing this information on behalf of the asthma doctor) to view his/her ICS and SABA use on the Propeller Health dashboard until after the 3-month study has been completed.

Treatment:

Behavioral: Asthma Nurse Monthly Phone Calls for ICS/SABA Usage Feedback - No

Behavioral: Electronic Medication Monitors on ICS and SABA - Silent Mode

Behavioral: Asthma App Tracking of ICS/SABA Usage - Silent Mode

Behavioral: NorthShore Connect Real Time ICS and SABA Usage Feedback - No