Distance Education Versus Usual Care Qualification in Asthma Care

Not Applicable

Completed

• Conditions: Asthma
• Interventions: Behavioral: Continuing education; Other: usual care

• Registration Number: NCT01595971
• Lead Sponsor: Hospital de Clinicas de Porto Alegre

Brief Summary

The purpose of this study is to evaluate the effectiveness of multifaceted educational interventions in the care of asthma, conducted remotely over the platform TelessaúdeRS in teams of the Family Health Strategy and the consequent clinical improvement patients.

Detailed Description

Cluster-randomized trial with follow-up of 6 months. The aim of this study is to determine whether multifaceted interventions performed at a distance for the care of asthma symptoms reduce overhead, improve asthma control and qualify the care provided to patients.

Study Timeline

• Study Start: 2010-08-12
• Primary Completion: 2011-12-16
• Study Completion: 2011-12-16
• Study First Submitted: 2012-05-09
• Study First Submitted QC: 2012-05-09
• Study First Posted: 2012-05-10
• Status Verified: 2016-09
• Last Update Submitted: 2017-05-12
• Last Update Posted: 2017-05-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 467

Inclusion Criteria

• Practice:Participate in the Telessaúde/RS. Minimal staff consisting of a general practitioner, nurse, nurse and community health agents (CHA), ability to give at least ten patients diagnosed with asthma, located in a municipality to make available for free inhaled medication (short-acting bronchodilators and corticosteroids ) for the treatment of asthma and willingness to participate in the study.
• Patients: 5 to 45 years with a diagnosis of asthma made by a physician and register at least one consultation for asthma or an asthma-related hospitalization during the year preceding the beginning of the study.

Exclusion Criteria

• Patients with other chronic diseases with pulmonary complications such as tuberculosis, cancer and cystic fibrosis or those with severe mental illness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
continuing education	Continuing education	RESPIRANET is a multifaceted intervention directed at professionals of the Family Health Teams in the inner cities.Includes telemedicine, reminders, video conferences, educational materials for patients and consultants.
Usual Care	usual care	usual care

Primary Outcome Measures

Name	Time	Method
Symptom burden, measured as the number of self-reported asthma symptom days (ASD). ASD is based on 2 week recall.	six months	The definition of a symptom day includes presence of any of the four types of asthma symptoms: wheeze, cough, night time awakening ou shortness of breath. The results will be collected through the application of standardized questionnaires.

Secondary Outcome Measures

Name	Time	Method
Health care utilization	6 meses	Proportion of unscheduled medical visits during the follow-up
Asthma control	6 months	Control of asthma will be evaluated by the excessive use of relief medication in the last month.
Proportion of patients in use inhaled corticosteroids	6 meses	Use of inhaled corticosteroids assessed by the proportion of patients who require medication to prevent asthma symptoms that are in use of inhaled corticosteroids.

Trial Locations

Locations (1)

Hospital de clínicas de Porto Alegre; 🇧🇷 Porto Alegre, Rio grande do sul, Brazil