eAMS-Eco: Implementation of a Tool for Climate Conscious Inhaler Prescribing

Sponsor
University of Toronto
Study ID
NCT07638735
Status
Enrolling By Invitation

Conditions

  • Asthma
  • Asthma Management
  • Computerized Decision Support System
  • Primary Care

Eligibility Criteria

Sex
ALL
Age
16 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Climate-Conscious Clinical Decision Support System for Asthma Management — BEHAVIORAL
    An 'eco' version of a computerized clinical decision support system that provides information on the carbon footprint of inhalers when making guideline-based treatment recommendations for patients with asthma

Study Details

The goal of this study is to determine whether an 'eco' version of the Electronic Asthma Management System (eAMS) can reduce inhaler carbon emissions in primary care, in patients with asthma. The existing eAMS uses patient-specific criteria (asthma control, asthma flare-up risk, and current medications) to provide guideline-based computerized clinical decision support to clinicians, to improve the delivery of asthma care. The eAMS-Eco includes embedded cues and messaging on the environmental impact of inhaler medications and links to a patient-friendly conversation aid that facilitates shared decision-making and climate-conscious prescribing. The study will evaluate the implementation of the eAMS-Eco in four primary care clinics that have been using the existing eAMS, using an interrupted time-series analysis (one year pre- and post-launch of the eAMS-Eco). The investigators will assess system uptake and user feedback on the eAMS-Eco, as well as changes in inhaler prescriptions (including resulting changes in carbon emissions and costs) and changes in asthma control, in the implementation period (eAMS-Eco) compared to the baseline period (eAMS).

Key Dates

First listed
Jun 10, 2026
Start date
Apr 28, 2026
Status verified
Jun 2026
Primary completion
Apr 28, 2027
Completion
Jul 7, 2027

Study Design

Enrollment
95 participants (estimated)
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Electronic Asthma Management System (eAMS)
    A retrospective chart review and system audit will assess outcomes during the one-year baseline period where the base version of the Electronic Asthma Management System (eAMS) was in use
  • Active Comparator: eAMS-Eco
    The eAMS-Eco will be launched at study sites and available to clinicians to use for eligible patients with data collected prospectively for 12 months

Primary Outcome Measure

Prescribed inhaler carbon emissions [ Time Frame: 24 months, cumulative and broken into individual time periods ]

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