Adaptation of the Pediatric Asthma Control & Communication Instrument (PACCI) in a Pediatric Emergency Department
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 77
- 试验地点
- 2
- 主要终点
- Asthma Control
研究概览
简要总结
This study examined whether the Pediatric Asthma Control and Communication Instrument for the Emergency Department (PACCI-ED), a 12-item questionnaire, can help doctors in the emergency department accurately assess a child's asthma control.
This study involved an intervention with the doctors in the emergency department of an urban pediatric hospital. The intervention was done when one of the doctors involved in the study treated a child aged 1-17 years for an asthma exacerbation. Parents answered questions on the PACCI-ED about their children's asthma. Half of the doctors were allowed to see the PACCI-ED results and half were not. The two groups of doctors were compared on their ability to correctly identify asthma control categories, whether a child's asthma was worsening or improving, whether the family was administering controller medications as often as they should, and how much burden the child's asthma was for the family.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Child presented to study institution emergency department during study period
- •Child was 1 - 17 years-old
- •Child has physician-diagnosed asthma by parent report
- •Attending physician for child believed emergency department visit was due to asthma
- •Attending physician for child completed informed consent and was randomized to PACCI-ED or control group at beginning of study
排除标准
- •Child has major pulmonary or cardiac co-morbid illness
- •Family of child was non-English speaking
- •Child was triaged to the med-trauma bay for severe respiratory distress
结局指标
主要结局
Asthma Control
时间窗: 1 day (Assessment occurs at a single time during emergency department visit)
Attending physician answered "Which of the following best describes this patient's asthma control over the past 12 months?" (RESPONSES: Controlled, partly controlled, mildly uncontrolled, moderately uncontrolled, severely uncontrolled). Responses were compared to equivalent categories of control based on PACCI algorithm.
次要结局
- Asthma Trajectory(1 day (Assessment occurs at a single time during emergency department visit))
- Medication Adherence(1 day (Assessment occurs at a single time during emergency department visit))
- Asthma burden to family(1 day (Assessment occurs at a single time during emergency department visit))
研究者
Aris Garro
Pediatric Emergency Medicine Attending Physician
Rhode Island Hospital