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eAMS-Eco: Implementation of a Tool for Climate Conscious Inhaler Prescribing
Sponsor: University of Toronto
Summary
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).
Official title: eAMS-Eco: Implementation of a Climate Conscious Prescribing Aid at the Point-of-Care
Key Details
Gender
All
Age Range
16 Years - Any
Study Type
INTERVENTIONAL
Enrollment
95
Start Date
2026-04-28
Completion Date
2027-07-07
Last Updated
2026-06-10
Healthy Volunteers
No
Interventions
Climate-Conscious Clinical Decision Support System for Asthma Management
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
Locations (4)
Taddle Creek Family Health Team (Bay Street)
Toronto, Ontario, Canada
Sinai Health Family Health Team (Toronto Site)
Toronto, Ontario, Canada
Taddle Creek Family Health Team (Bloor Street)
Toronto, Ontario, Canada
Sinai Health Family Health Team (Vaughan Site)
Vaughan, Ontario, Canada