Harnessing Digital Medicine to Improve Allergic Rhinitis Management in Primary Care (DMAR)

Official title

Harnessing Digital Medicine Tools for Improving Allergic Rhinitis Control in the Primary Care Setting: Optimizing Management and Outcomes Via Technology

Overview

This study aims to evaluate the effectiveness of digital tools in managing allergic rhinitis (AR) in primary care settings. AR is a common condition that affects many people's quality of life. The study will test whether digital tools, such as the QHSLab platform, can help patients better control their symptoms, improve adherence to treatment, and enhance overall well-being. The trial will compare two groups: one using standard care and the other using both standard care and digital tools. Participants will be monitored over 12 months, and the study will measure changes in symptom severity, treatment adherence, quality of life, and healthcare usage. The study will also gather feedback from patients and healthcare providers about their experience with the digital tools. The digital tools used in this study are designed to help patients manage their AR more effectively by providing regular symptom assessments, medication reminders, and personalized feedback based on their health data. This summary ensures the information is clear and straightforward for patients, families, and healthcare providers while maintaining compliance with IRB guidelines.

Detailed description

This clinical trial is designed to assess the impact of integrating digital medicine tools on the management of allergic rhinitis (AR) in primary care settings. The study will compare outcomes between two groups: one receiving standard care (STC) and another receiving standard care plus digital tools from the QHSLab platform. The digital tools include the Allergy Management Evaluation (AME) and Allergic Rhinitis Intervention Steps (ARIS), both of which offer continuous monitoring, personalized feedback, and treatment optimization based on patient-reported outcomes.

The study is a prospective, randomized, controlled trial that will enroll 226 adult participants with uncontrolled allergic rhinitis, measured by the SNOT-22 score. Participants will be followed for 12 months, with data collection points at baseline, 3, 6, and 12 months. The study aims to evaluate:

Changes in symptom severity (SNOT-22 score). Medication adherence rates. Patient and provider satisfaction with the digital tools. Economic impact, including healthcare utilization and cost-effectiveness. Effects on mental health and quality of life. The study uses a mixed-methods approach, incorporating both quantitative measures and qualitative feedback through interviews with patients and healthcare providers to identify barriers and facilitators to adopting digital tools.

The QHSLab platform integrates seamlessly with current primary care workflows and includes tools for allergy management, offering insights based on patient interactions. The primary outcome is the reduction in symptom severity (SNOT-22 score), while secondary outcomes focus on patient adherence, healthcare use, satisfaction, and overall quality of life.

Interventions

• Other QHSLab Digital Tools (AME and ARIS)
  Participants will use the QHSLab digital platform, which includes two tools: the Allergy Management Evaluation (AME) and the Allergic Rhinitis Intervention Steps (ARIS). The AME provides a comprehensive digital assessment for identifying and monitoring allergic rhinitis symptoms. The ARIS offers personalized feedback based on patient-reported outcomes and continuously adjusts treatment recommendations through an algorithm. These tools support better symptom management, adherence to medication, a

Primary outcome measures

• Change in Allergic Rhinitis Symptom Severity (SNOT-22) [Time frame: Baseline, 3 months, 6 months, 12 months]

Secondary outcome measures (5)

• Change in Depression Symptoms (PHQ-9) [Time frame: Baseline, 3 months, 6 months, 12 months]
• Change in Anxiety Symptoms (GAD-7) [Time frame: Baseline, 3 months, 6 months, 12 months]
• Change in Quality of Life (Q-scale) [Time frame: Baseline, 3 months, 6 months, 12 months]
• Patient Satisfaction with Digital Tools (PDTS-10) [Time frame: 3 months, 6 months, 12 months]
• Provider Digital Tool Satisfaction Scale (PDTS-Provider) [Time frame: Baseline, 3 months, 6 months, 12 months]

Eligibility criteria

Inclusion criteria

• Adults aged 18-65 years.
• Clinically diagnosed with allergic rhinitis and/or sinusitis for at least 6 months.
• SNOT-22 score of ≥20, indicating uncontrolled allergic rhinitis.
• If Currently receiving treatment for allergic rhinitis and willing to continue treatment during the study.
• Able and willing to provide informed consent electronically and comply with the study procedures.

Exclusion criteria

• Individuals under 18 or over 65 years of age.
• Pregnant or breastfeeding women.
• Recent surgical treatment for nasal polyps (within the last 3 months).
• Patients with cystic fibrosis, purulent nasal infections, or any other disease likely to interfere with the study parameters.
• Individuals with severe or unstable concurrent diseases or psychological disorders that may compromise participation in the study.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation

Randomized

Model

Parallel assignment

Masking

Open label

Primary purpose

Supportive care

Study locations

United States · 1 center

• QHSLab — West Palm Beach

Publications

• Rizvi, S., et al. (2022). Allergies in Primary Care: A Study of the Allergy Management Evaluation Tool. Consultant, 62, e1-e8.

Identifiers

NCT: NCT06603935 · QHSLab 002-24

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗