N/A
N=58
Symptom Perception
Asthma
Bottom Line
View on ClinicalTrials.gov: NCT03646669 ↗Enrolled (actual)
58
Serious AEs
0.0%
Results posted
May 2023
Primary outcome: Primary: Asthma Control Questionnaire (ACQ) — 1.2; 1.4; 0.8; 1.4 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- PEF Feedback (Behavioral); Asthma education (Behavioral)
- Age
- Adult, Older Adult · 60+ yrs
- Sex
- All
- Sponsor
- Icahn School of Medicine at Mount Sinai
- Primary completion
- Apr 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Asthma Control Questionnaire (ACQ) |
1.2; 1.4; 0.8; 1.4; 0.6; 1.6 | — |
| PRIMARY Change in Asthma Quality of Life Questionnaire (AQLQ) |
5.2; 5.0; 5.6; 4.9; 5.7; 5.0 | — |
| SECONDARY Change in Medication Adherence Rating Scale (MARS) |
4.0; 4.2; 4.4; 4.3; 4.2; 4.4 | — |
| SECONDARY Change in Beliefs About Medicines Questionnaire (BMQ) - Necessity Score and Concerns Score |
17.4; 18.2; 18.9; 17.2; 18.4; 18.1 | — |
| SECONDARY Change in Beliefs About Illness Perception Questionnaire (BIPQ) |
33.3; 34.0; 30.7; 34.7 | — |
| SECONDARY Symptom Perception Measures Adjusted |
55.3; 51.1; 71.5; 52.7; 72.2; 42.9 | — |
| SECONDARY Asthma Control Questionnaire (ACQ) Score - Adjusted |
1.4; 1.5; 0.9; 1.1; 0.7; 1.3 | — |
| SECONDARY Treatment Credibility |
19.3; 19.2; 19.2; 18.9 | — |
| SECONDARY Treatment Expectancy |
25.3; 25.2; 25.3; 21.9 | — |
| SECONDARY Change in Medication Adherence Rating Scale (MARS) Adjusted |
4.0; 4.3; 4.4; 4.2; 4.1; 4.4 | — |
Summary
Older asthmatics have considerably worse outcomes than younger patients with asthma. In this study, the investigators will evaluate the role of symptom perception as a key determinant of poorer outcomes and lower adherence to asthma self-management behaviors among older asthmatics. The proposed study is significant for its potential to greatly advance understanding of the mechanisms related to worse outcomes in older adults, and it will provide actionable data for new interventions to improve self-management.
Eligibility Criteria
Inclusion Criteria
- Age ≥60 years
- English or Spanish speaking
- Asthma diagnosis made by a health care provider
Exclusion Criteria
- Diagnosis of dementia
- Diagnosis of chronic obstructive pulmonary disease (COPD) or other chronic respiratory illness
- Smoking history of ≥15 pack-years owing to possible undiagnosed COPD
- Moderate or severe cardiac disease (including New York Heart Association stages 4 or 5 congestive heart failure, because dyspnea among patients with severe heart failure is more likely to be attributable to their heart condition than their asthma)
- Dependence on assistance for medication administration
- Uncorrectable visual impairment
Data sourced from ClinicalTrials.gov (NCT03646669). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.