{"id":276,"date":"2012-11-20T13:56:19","date_gmt":"2012-11-20T18:56:19","guid":{"rendered":"https:\/\/www.bu.edu\/slone\/?page_id=276"},"modified":"2013-03-22T11:29:42","modified_gmt":"2013-03-22T15:29:42","slug":"spirometry","status":"publish","type":"page","link":"https:\/\/www.bu.edu\/slone\/research\/studies\/spirometry\/","title":{"rendered":"Improving Asthma Outcomes Through Spirometry Distance Learning"},"content":{"rendered":"

Background<\/h3>\n

Spirometry is a recommended component of asthma diagnosis and treatment in the primary care setting, yet few providers report its routine use for children with asthma.\u00a0 Misclassification of asthma severity occurs when assessment is based on symptoms alone.\u00a0 This misclassification can lead to inadequate treatment, increased morbidity, and increased healthcare utilization\/cost.<\/p>\n

This study was conducted by researchers from Seattle Children\u2019s Hospital Research Institute and the University of Washington with collaboration from researchers at Slone Epidemiology Center at Boston University.\u00a0 The study was fielded within Slone Center Office-based Research (SCOR) Network<\/a> and the Puget Sound Pediatric Research Network (PSPRN).<\/p>\n

Objectives<\/h3>\n

The goal of this study was to test the effectiveness of a distance learning quality improvement program called Spirometry 360 developed by the interactive Medical Training Resources (iMTR) group at the University of Washington Child Health Institute.<\/p>\n

Specific study objectives:<\/p>\n

    \n
  1. To test whether exposure to the Spirometry 360 <\/b>program increases the percentage of spirometry testing sessions that are graded as high quality (American Thoracic Society [ATS] grades of A or B).<\/li>\n
  2. To assess whether exposure to the Spirometry 360 <\/b>program increases the frequency with which children with asthma are prescribed appropriate controller therapy.<\/li>\n
  3. To assess whether children with asthma receiving care in practices exposed to the Spirometry 360 <\/b> program report better outcomes of care including: higher levels of asthma-specific health related quality of life, fewer unplanned outpatient visits and hospitalizations secondary to asthma exacerbations, and decreased costs of asthma care compared to children with asthma receiving care in control practices.<\/li>\n<\/ol>\n

    Results<\/h3>\n

    This study is closed to enrollment.\u00a0 Results are pending.<\/p>\n

    Investigators and Study Staff<\/h3>
    <\/p>\n

    Principal Investigators: <\/b><\/p>\n

    Allen A. Mitchell, M.D.
    \nDirector, Slone Epidemiology Center at Boston University<\/p>\n

    Michael Corwin, M.D.
    \nSenior Epidemiologist, Slone Epidemiology Center at Boston University<\/p>\n

    Rita Mangione-Smith, M.D.
    \nAssociate Professor of Pediatrics, University of Washington
    \nInvestigator, Seattle Children\u2019s Hospital Research Institute<\/p>\n

    James Taylor, M.D.
    \nProfessor of Pediatrics, University of Washington
    \nDirector, Puget Sound Pediatric Research Network<\/p>\n

    James W. Stout, M.D.
    \nProfessor of Pediatrics, University of Washington
    \nDirector, Spirometry 360 Program<\/p>\n

    Study Staff:<\/strong><\/p>\n

    Fiona Rice, M.P.H.
    \nProject Coordinator<\/p>\n

    <\/div>\n<\/div>\n\n

    Study Details<\/h3>
    <\/p>\n

    Collaborating Centers:<\/strong><\/p>\n