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An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial.
JMIR Res Protoc. 2013 Aug 13; 2(2):e28.JR

Abstract

BACKGROUND

Many studies have shown the effectiveness of self-management for patients with asthma. In particular, possession and use of a written asthma action plan provided by a doctor has shown to significantly improve patients' asthma control. Yet, uptake of a written asthma action plan and preventative asthma management is low in the community, especially amongst adults.

OBJECTIVE

A Web-based personally controlled health management system (PCHMS) called Healthy.me will be evaluated in a 2010 CONSORT-compliant 2-group (static websites verse PCHMS) parallel randomized controlled trial (RCT) (allocation ratio 1:1).

METHODS

The PCHMS integrates an untethered personal health record with consumer care pathways and social forums. After eligibility assessment, a sample of 300 adult patients with moderate persistent asthma will be randomly assigned to one of these arms. After 12 months of using either Healthy.me or information websites (usual care arm), a post-study assessment will be conducted.

RESULTS

The primary outcome measure is possession of or revision of an asthma action plan during the study. Secondary outcome measures include: (1) adherence to the asthma action plan, (2) rate of planned and unplanned visits to healthcare providers for asthma issues, (3) usage patterns of Healthy.me and attrition rates, (4) asthma control and asthma exacerbation scores, and (5) impact of asthma on life and competing demands, and days lost from work.

CONCLUSIONS

This RCT will provide insights into whether access to an online PCHMS will improve uptake of a written asthma action plan and preventative asthma actions.

TRIAL REGISTRATION

Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12612000716864; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=362714 (Archived by WebCite at http://www.webcitation.org/6IYBJGRnW).

Authors+Show Affiliations

Centre for Health Informatics, Australian Institute of Health Innovation, University of New South Wales, Sydney, Australia. a.arguel@unsw.edu.au.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23942523

Citation

Arguel, Amaël, et al. "An Internet Intervention to Improve Asthma Management: Rationale and Protocol of a Randomized Controlled Trial." JMIR Research Protocols, vol. 2, no. 2, 2013, pp. e28.
Arguel A, Lau AY, Dennis S, et al. An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial. JMIR Res Protoc. 2013;2(2):e28.
Arguel, A., Lau, A. Y., Dennis, S., Liaw, S. T., & Coiera, E. (2013). An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial. JMIR Research Protocols, 2(2), e28. https://doi.org/10.2196/resprot.2695
Arguel A, et al. An Internet Intervention to Improve Asthma Management: Rationale and Protocol of a Randomized Controlled Trial. JMIR Res Protoc. 2013 Aug 13;2(2):e28. PubMed PMID: 23942523.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An internet intervention to improve asthma management: rationale and protocol of a randomized controlled trial. AU - Arguel,Amaël, AU - Lau,Annie Ys, AU - Dennis,Sarah, AU - Liaw,Siaw-Teng, AU - Coiera,Enrico, Y1 - 2013/08/13/ PY - 2013/05/01/received PY - 2013/06/12/accepted PY - 2013/06/11/revised PY - 2013/8/15/entrez PY - 2013/8/15/pubmed PY - 2013/8/15/medline KW - Internet intervention KW - asthma action plan KW - asthma management KW - eHealth KW - personalized health record KW - personally controlled health management system SP - e28 EP - e28 JF - JMIR research protocols JO - JMIR Res Protoc VL - 2 IS - 2 N2 - BACKGROUND: Many studies have shown the effectiveness of self-management for patients with asthma. In particular, possession and use of a written asthma action plan provided by a doctor has shown to significantly improve patients' asthma control. Yet, uptake of a written asthma action plan and preventative asthma management is low in the community, especially amongst adults. OBJECTIVE: A Web-based personally controlled health management system (PCHMS) called Healthy.me will be evaluated in a 2010 CONSORT-compliant 2-group (static websites verse PCHMS) parallel randomized controlled trial (RCT) (allocation ratio 1:1). METHODS: The PCHMS integrates an untethered personal health record with consumer care pathways and social forums. After eligibility assessment, a sample of 300 adult patients with moderate persistent asthma will be randomly assigned to one of these arms. After 12 months of using either Healthy.me or information websites (usual care arm), a post-study assessment will be conducted. RESULTS: The primary outcome measure is possession of or revision of an asthma action plan during the study. Secondary outcome measures include: (1) adherence to the asthma action plan, (2) rate of planned and unplanned visits to healthcare providers for asthma issues, (3) usage patterns of Healthy.me and attrition rates, (4) asthma control and asthma exacerbation scores, and (5) impact of asthma on life and competing demands, and days lost from work. CONCLUSIONS: This RCT will provide insights into whether access to an online PCHMS will improve uptake of a written asthma action plan and preventative asthma actions. TRIAL REGISTRATION: Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12612000716864; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=362714 (Archived by WebCite at http://www.webcitation.org/6IYBJGRnW). SN - 1929-0748 UR - https://www.unboundmedicine.com/medline/citation/23942523/An_internet_intervention_to_improve_asthma_management:_rationale_and_protocol_of_a_randomized_controlled_trial_ L2 - https://www.researchprotocols.org/2013/2/e28/ DB - PRIME DP - Unbound Medicine ER -
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