Trial Outcomes & Findings for Developing a Childhood Asthma Risk Passive Digital Marker (NCT NCT05826561)

NCT ID: NCT05826561

Last Updated: 2026-07-21

Results Overview

Mean Perceived PDM acceptance measured using a Behavioral Intention scale (BIS) with a score Likert scale score of 0-5. Here, higher score values represent a higher acceptability of the PDM (i.e., better outcome).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

34 participants

Primary outcome timeframe

8 to 12 months

Results posted on

2026-07-21

Participant Flow

Practicing pediatricians were recruited from clinics in Indiana over a 6-month recruitment period.

Eligible participants were board-certified or board-eligible pediatricians providing outpatient pediatric care. No restrictions were applied regarding years of experience, practice setting, or demographic characteristics.

Participant milestones

Participant milestones
Measure
Control Clinicians - Post Test Only
Planned for N=25 control pediatric clinicians to receive the post test only. Actual Number recruited and enrolled: N=4 Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
Planned for N=25 intervention pediatric clinicians to receive the post test only. Actual Number recruited and enrolled: N=9 Using the Passive Digital Marker (PDM) clinical decision support risk classification, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
Planned for N=25 control pediatric clinicians to receive the pre and post tests. Actual number recruited and enrolled: N=10 Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
Planned for N=25 intervention pediatric clinicians to receive the pre and post tests. Actual Number recruited and enrolled: N=11. Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Overall Study
STARTED
4
9
10
11
Overall Study
COMPLETED
4
9
10
11
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Developing a Childhood Asthma Risk Passive Digital Marker

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Clinicians - Post Test Only
n=4 Participants
N=4. Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
n=9 Participants
N=9. Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
n=10 Participants
N=10. Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
n=11 Participants
N=11. Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Total
n=34 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=9 Participants
9 Participants
n=27 Participants
10 Participants
n=267 Participants
11 Participants
n=265 Participants
34 Participants
n=568 Participants
Age, Categorical
>=65 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
0 Participants
n=265 Participants
0 Participants
n=568 Participants
Sex: Female, Male
Female
3 Participants
n=9 Participants
3 Participants
n=27 Participants
6 Participants
n=267 Participants
4 Participants
n=265 Participants
16 Participants
n=568 Participants
Sex: Female, Male
Male
1 Participants
n=9 Participants
6 Participants
n=27 Participants
4 Participants
n=267 Participants
7 Participants
n=265 Participants
18 Participants
n=568 Participants
Race/Ethnicity, Customized
Count of White Participants
4 Participants
n=9 Participants
7 Participants
n=27 Participants
8 Participants
n=267 Participants
10 Participants
n=265 Participants
29 Participants
n=568 Participants
Region of Enrollment
United States
4 Participants
n=9 Participants
9 Participants
n=27 Participants
10 Participants
n=267 Participants
11 Participants
n=265 Participants
34 Participants
n=568 Participants

PRIMARY outcome

Timeframe: 8 to 12 months

Population: Only clinicians who were assigned to the PDM intervention responded to perceived PDM acceptance measured using a Behavioral Intention scale (BIS).

Mean Perceived PDM acceptance measured using a Behavioral Intention scale (BIS) with a score Likert scale score of 0-5. Here, higher score values represent a higher acceptability of the PDM (i.e., better outcome).

Outcome measures

Outcome measures
Measure
Control Clinicians - Post Test Only
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
n=90 Vignette
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
n=110 Vignette
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Perceived PDM Acceptance
3.97 Score on a Likert Scale (0-5)
Standard Deviation 1.30
4.04 Score on a Likert Scale (0-5)
Standard Deviation 1.06

PRIMARY outcome

Timeframe: 8 to 12 months

Population: Only clinicians who were assigned to the PDM intervention responded to perceived PDM usability measured using a modified Simplified System Usability Scale (SUS)

Mean Perceived Usability measured using a modified Simplified System Usability Scale (SUS) with a score Likert scale of 0-5. Here, higher score values represent a higher perceived usability of the PDM (i.e., better outcome).

Outcome measures

Outcome measures
Measure
Control Clinicians - Post Test Only
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
n=90 Vignettes
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
n=110 Vignettes
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Perceived PDM Usability
4.04 Score on a Likert Scale (0-5)
Standard Deviation 1.51
4.04 Score on a Likert Scale (0-5)
Standard Deviation 1.23

PRIMARY outcome

Timeframe: 8 to 12 months

Percent of successful study enrollment of eligible clinicians (\>80%)

Outcome measures

Outcome measures
Measure
Control Clinicians - Post Test Only
n=4 Participants
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
n=9 Participants
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
n=10 Participants
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
n=11 Participants
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Study Feasibility
4 Participants
9 Participants
10 Participants
11 Participants

SECONDARY outcome

Timeframe: 3 to 12 months

Population: Each clinician assessed 10 vignettes (5 cases and 5 controls) and classified them as either high or low risk. A correct classification was high risk for a case and low risk for a control vignette.

Clinician prognostic accuracy was defined as the proportion of correctly classified vignettes. Accuracy was calculated as: correct vignette classifications ÷ total vignettes evaluated. Values ranged from 0 to 1, with higher values indicating greater prognostic accuracy. Each clinician assessed 10 vignettes (5 cases and 5 controls) and classified them as either high or low risk. A correct classification was high risk for a case and low risk for a control vignette.

Outcome measures

Outcome measures
Measure
Control Clinicians - Post Test Only
n=40 Vignettes
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Post Test Only
n=90 Vignettes
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Control Clinicians - Pre and Post Test
n=100 Vignettes
Each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
PDM Intervention Clinicians - Pre and Post Test
n=110 Vignettes
Using the PDM, each clinician was presented with 10 randomly selected vignettes of 10 children \[5 with and 5 without asthma\] and asked to provide a prediction of a child's asthma risk at 6-10 years.
Prognostic Accuracy
0.78 Proportion of correct vignettes
Standard Deviation 0.17
0.83 Proportion of correct vignettes
Standard Deviation 0.18
0.49 Proportion of correct vignettes
Standard Deviation 0.15
0.72 Proportion of correct vignettes
Standard Deviation 0.24

Adverse Events

Control Clinicians - Post Test Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PDM Intervention Clinicians - Post Test Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Clinicians - Pre and Post Test

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

PDM Intervention Clinicians - Pre and Post Test

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Arthur H Owora

Indiana University School of Medicine

Phone: 3172749109

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place