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


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


This project is currently collecting data.

Key Findings and Publications

Access the complete manuscripts:

Asthma APGAR Tool: See link

Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial.( Yawn BP, Wollan PC, Rank MA, Bertram SL, Jubn Y, Pace W. Ann Fam Med 2018 16:98-99.

Comparing the Asthma APGAR System and the Asthma Control Test in a Multicenter Primary Care Sample( Rank MA, Bertram SB, Wollan P, Yawn RA, Yawn BP. Mayo Clin Proc. 2014;89(7):917-925

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)( Bertram S, Graham DG, Kurland M, et al.  J Am Board Fam Med. 2013;26(5):571-8.

Contact Information

For additional information about this study, please contact:

AAFP National Research Network
1-800-274-2237 x6153

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