AdheRence to Inhaled Corticosteroids in Asthma

Duke University29 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Medication Adherence Asthma

Interventions

ARICABEHAVIORAL

Personalized ARICA (AdheRence to Inhaled Corticosteroids in Asthma) intervention package.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Duke Un.

Durham, North Carolina, United States

Outcomes

Primary Outcomes

Number of Participants Who Reported Experiences With the ARICA Program

Assessment of participants experiences with and perceptions of the ARICA program, as assessed by in-depth semi-structured qualitative interview.

Time frame: 3 months

Secondary Outcomes

Change in Patient Reported Medication Adherence as Measured by the DOSE-Nonadherence (Voils) Questionnaire

patients' medication adherence rates based on Voils adherence questionnaire adherence questionnaire. Difference from baseline to follow up. Scored 0-4, higher is more non-adherent

Time frame: 3 months

Change in Asthma Control as Measured by the Asthma Control Test

patient reported difference from baseline to follow up. Higher score is better asthma control. Range 5-25.

Time frame: 3 months

Change in Asthma-Related Quality of Life as Measured by the Marks Asthma-Related Quality of Life Questionnaire

Patient reported. Difference from baseline to follow up. Range 0-80, higher score means greater impact of asthma on quality of life.

Time frame: 3 months

Data from ClinicalTrials.gov

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