Asthma Tools to Improve Practice

Study Description and Methods

This is a randomized controlled trial (RCT) to test the effectiveness of the Asthma APGAR system in rural family medicine practices. Twenty rural family medicine practices (members of a PBRN) will be randomized to intervention: implementation and integration of the Asthma APGAR, or usual care. Outcomes will include patient asthma outcomes as well as practice process measures. Participating practices will have 15 months to enroll approximately 75 patients, with a 24-month follow-up period for each patient enrolled. Patients enrolled must have a current diagnosis of asthma, be between the ages of 5 and 60, and agree to complete five survey packets at baseline, 6, 12, 18, and 24 months.

Specific Aims and Objectives

The specific aims for this project are:

  • To improve patient-oriented and practice process outcomes for asthma care
  • To maintain the improvements over 2 years
  • To explore facilitators and barriers of implementing the Asthma APGAR tools and changes in asthma care within and across family medicine practices

Timeline

This project will be conducted from August 2010 through August 2015.

Status

This project is currently collecting data.

Contact Information

For additional information about this study, please contact:

Craig Smail, MSc
Research Project Coordinator
AAFP National Research Network
1-800-274-2237, x3185
csmail@aafp.org

Key Findings and Publications

Access the complete manuscripts:

Protocol for the asthma tools study: a pragmatic practice-based research network trial(12 page PDF). Yawn BP, Bertram S, Kurland M, Wollan P, Graham D, Littlefield D, Smail C, Pace W. Pragmatic and Observational Research. 2013 Jun; 7-14.

Communications in the Key to Success in Pragmatic Clinical Trials in Practice-based Research Networks (PBRNs)(8 page PDF). Bertram S, Graham DG, Kurland M, et al.  J Am Board Fam Med. 2013;26(5):571-8.


This project was funded by a grant from the Agency for Healthcare Research and Quality.