Asthma in a Decentralized Patient Population: Is Traditional Disease Management Enough?

Summary

This is a health services demonstration project that evaluates three methods of health care delivery for the management of individuals with symptoms of asthma. This study will evaluate the impact of a telephonic asthma disease management process, with and without a home intervention program, on preventing asthma-related morbidity through patient/family asthma education.

The investigators' central thesis is that comprehensive clinical disease management protocols for the management of asthma will improve clinical outcomes; reduce fiscal resource consumption; and improve both patient satisfaction and patient quality of life. Additionally, individualized, in-home patient education and environmental assessment, when added to the telephonic protocol, will further improve these measures. However, incremental improvement will vary according to the population's access to care.

Conditions

• Asthma

Interventions

BEHAVIORAL

Disease Management

BEHAVIORAL

Disease Management + Educational Home Visits

Sponsors & Collaborators

• South Texas Veterans Health Care System

  collaborator FED

• Brooke Army Medical Center

  collaborator FED

• 59th Medical Wing

  collaborator FED

• TRICARE Southwest

  collaborator UNKNOWN

• Department of Health and Human Services

  collaborator FED

• Centers for Disease Control and Prevention

  collaborator FED

• The University of Texas Health Science Center at San Antonio

  lead OTHER

Principal Investigators

• Gregory L Freeman, MD · University of Texas

• Jay I Peters, MD · University of Texas

• Stephen Inscore, MD · University of Texas

• Autumn Dawn Galbreath, MD · University of Texas

Study Design

Allocation

RANDOMIZED

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

5 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2003-10-31

Primary Completion

2006-03-31

Completion

2006-03-31