An Electronic Shared Decision-Making Application to Improve Asthma Outcomes

University of Michigan81 enrolled

Overview

This study will increase knowledge about the feasibility and effect on patient satisfaction and clinical outcomes of using an electronic Shared Decision Making (SDM) application (app) for patients with asthma in the allergy/immunology clinic visit setting. SDM is defined as an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options and make informed choices.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Asthma

Interventions

Electronic Asthma Shared Decision-Making AppBEHAVIORAL

The electronic Asthma SDM App will ask questions related to medicine-related, non-medicine-related, and COVID-19-related concerns about patients' asthma, the patients' personal goals for asthma control and expectation for their upcoming visit, and the patients' preferred level of details and involvement in coming to a decision about their asthma treatment. They may also use the Asthma SDM app to find information about asthma, medication management, COVID-19 and COVID-19 vaccines.

Shared Decision Making Physician Training VideoBEHAVIORAL

Training video to educate physicians on Shared Decision-Making and the use of Shared Decision-Making tools.

Electronic Asthma Shared Decision-Making App- Patient Data

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * English speaking * Diagnosis of persistent asthma * Have an in-person visit or telehealth encounter at the allergy/clinical immunology clinics participating in this study Exclusion Criteria: * Diagnosis of intermittent asthma * Any other lung disease * Smoking greater than 20 pack years or current smoking * Mental impairment such that participation would not be possible

Locations (1)

Michigan Medicine, University of Michigan

Ann Arbor, Michigan, United States

Outcomes

Primary Outcomes

Patient satisfaction

Patient satisfaction as determined by Patient Satisfaction Questionnaire responses. Questions will consist of the SDM-Q-9 (psychometrically validated measures for shared decision-making from the perspectives of patients), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician.

Time frame: Within 1 week of completing asthma shared decision making app worksheet and their asthma clinic visit

Secondary Outcomes

Physician satisfaction

Physician satisfaction as determined by Physician Satisfaction Questionnaire responses. Questions will consist of the SDM-Q-DOC (psychometrically validated measures for shared decision-making from the perspectives of health care providers), questions regarding satisfaction with content covered during the visit, and questions regarding satisfaction with the overall communication between the patient and physician. Physicians will receive a small number of satisfaction questionnaires, randomly assigned after patient visits, no more than one a week.

Time frame: Within 1 week of patient visit

Change in level of asthma control will be determined

Change in level of asthma control as determined by patient follow up asthma control test questionnaire responses regarding interval changes in asthma control, use of systemic steroids, and urgent care and emergency visits for asthma.

Time frame: Up to 6 months

Data from ClinicalTrials.gov

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