Electronic Monitoring of Medication Adherence in Moderate to Severe Asthma Patients

Montefiore Medical Center81 enrolled

Overview

This study will evaluate the role of using electronic sensors for asthma inhaler devices in monitoring medication adherence and asthma control

This study will assess the feasibility of using electronic sensors for asthma inhalers in a population of urban minority adults and children with moderate-severe asthma in the Bronx. Investigators will also assess differences in asthma outcomes (specifically asthma control as a primary outcome measure) and treatment adherence in a group of participants with moderate-severe asthma who use inhalers with electronic sensors and real-time remote outreach worker monitoring/feedback compared to a group of participants who use inhalers with electronic sensors but without real-time monitoring/feedback.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Asthma

Interventions

Electronic sensor and OW educationBEHAVIORAL

MDI sensor-generated alerts will be relayed via app platform on participant's phone and responded to (e.g. outreach worker contacts the patient for a missed dose) in real-time to the intervention group. Outreach worker will also assess intervention group participants' need for further asthma education and provide education over the phone

Eligibility

Sex: ALLMin age: 5 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults (\>18 years) and children (5-11 years old) with a clinical history (i.e. physician-diagnosed) of asthma * Moderate to severe asthmatics with ≥1 asthma-related ED visits or hospitalizations in the past year * Use of daily controller inhaler medications * Adult non-smokers, or lifetime use \<5 pack years with no smoking in last 1 yr * Smartphone required * English or Spanish speaking Exclusion Criteria: * No smartphone * Use of oral corticosteroids in prior 4 weeks * Pregnancy * Psychiatric conditions

Locations (1)

Montefiore Medical Center

The Bronx, New York, United States

Outcomes

Primary Outcomes

Asthma Control Test

validated asthma control measure

Time frame: change from baseline to 6 months

Secondary Outcomes

Medication adherence

measured by electronic sensor

Time frame: change from baseline to 6 months

Health care utilization

ED visits and hospitalizations will be assessed via electronic health records

Time frame: change from baseline to 6 months

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.