Modern innovative solutions to improve outcomes in severe asthma : Protocol for a mixed methods observational comparison of clinical outcomes in mission versus current care delivery

Journal article


Roberts, Claire, Lanning, Eleanor, Fogg, Carole, Bassett, Paul, Hughes, Alison and Chauhan, Anoop. (2019). Modern innovative solutions to improve outcomes in severe asthma : Protocol for a mixed methods observational comparison of clinical outcomes in mission versus current care delivery. JMIR Research Protocols. 8(10), pp. 1-11. https://doi.org/10.2196/resprot.9585
AuthorsRoberts, Claire, Lanning, Eleanor, Fogg, Carole, Bassett, Paul, Hughes, Alison and Chauhan, Anoop
Abstract

Background: Asthma that is poorly controlled and undertreated can progress to more severe disease that is associated with high levels of unscheduled care that requires high-cost therapy, leading to a significant health economic burden. The identification and appropriate referral to a specialist asthma service is also often delayed by several months or years because of poor recognition and understanding of symptom severity. Current severe asthma services may take several months to provide a comprehensive multidisciplinary assessment, often necessitating multiple hospital visits and costing up to £5000 per patient.

Objective: This study aims to evaluate whether a new service model could identify poorly controlled and potentially severe asthma much earlier in the patient pathway, and then compare clinical outcomes between this new care model with standard care.

Methods: Modern Innovative Solutions to Improve Outcomes in (MISSION) Severe Asthma is a novel service model developed by asthma specialists from Portsmouth and Southampton severe asthma services. MISSION Severe Asthma identified patients with poorly controlled disease from general practice databases who had not been under secondary outpatient care in the last 12 months or who were not known to secondary care. In 1- or 2-stop assessments, a thorough review of diagnosis, disease phenotype, and control is undertaken, and clinical outcomes collected at baseline.

Results: A variety of clinical outcomes will be collected to assess the service model. The results will be reported in February 2020.

Conclusions: This protocol outlines a mixed methods study to assess the impact on disease control, unscheduled health care usage, and quality of life in patients seen in the MISSION clinic compared with a closely matched cohort who declined to attend.

Keywordsasthma; diagnosis; community health services; drug therapy; epidemiology; asthma treatment
Year01 Jan 2019
JournalJMIR Research Protocols
Journal citation8 (10), pp. 1-11
PublisherJMIR Publications Inc.
ISSN1929-0748
Digital Object Identifier (DOI)https://doi.org/10.2196/resprot.9585
PubMed ID31603434
PubMed Central ID6913683
Web address (URL)https://www.researchprotocols.org/2019/10/e9585
Research or scholarlyResearch
Page range1-11
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Print10 Oct 2019
Publication process dates
Accepted30 Oct 2018
Deposited07 Sep 2023
Additional information

© Claire Roberts, Eleanor Lanning, Carole Fogg, Paul Bassett, Alison Hughes, Anoop J Chauhan. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 10.10.2019.

International Registered Report Identifier (IRRID):
DERR1-10.2196/9585

Roberts C, Lanning E, Fogg C, Bassett P, Hughes A, Chauhan AJ
Modern Innovative Solutions to Improve Outcomes in Severe Asthma: Protocol for a Mixed Methods Observational Comparison of Clinical Outcomes in MISSION Versus Current Care Delivery
JMIR Res Protoc 2019;8(10):e9585
doi: 10.2196/resprot.9585

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

Place of publicationCanada
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