Towards better asthma care for children: protocolled practice nurse-led care for children 6-12 years in primary care. A randomized controlled trial.
Completed
- Conditions
- Asthma10006436
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 180
Inclusion Criteria
Patients who were prescribed one or more times an ICS in the last year.
Patients who were prescribed 2 or more times a prescription of salbutamol or
terbutaline in the last year.
Children with only one prescription of salbutamol or terbutaline in the last
year and a registered ICPC-code for asthma (R96) or R29.02 'Prikkelbare
luchtwegen'
Exclusion Criteria
Children receiving asthma treatment from secondary care.
Children who are not able to perform lung function tests.
Children with other major chronic diseases (children with other atopic
conditions are not excluded, because that is a very common co-morbidity)
Children whose parents are unable to understand verbal Dutch instructions or
written Dutch questionnaires.
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>Primary objective: to determine the overall treatment effect in 18 months of<br /><br>protocolled practice nurse-led asthma care for children aged 6 to 12 years old<br /><br>in primary care on asthma control (compared to usual care). The asthma control<br /><br>is measured by the overall treatment effect on the C-ACT.</p><br>
- Secondary Outcome Measures
Name Time Method <p>- Symptom control, overtreatment and under treatment in children with asthma in<br /><br>primary care.<br /><br>- Cost-effectiveness of protocolled practice nurse-led asthma care for children<br /><br>aged 6-12 years compared to usual care in general practice.<br /><br>- Prognostic factors for high symptoms scores in children with asthma in<br /><br>general practice.<br /><br>- Quality of life.<br /><br>- Patient/nurse/GP satisfaction with delivered care<br /><br>- Asthma control according to GINA guidelines at baseline and t=18 months.</p><br>