Implementation of Evidence-based Breathing Retraining for Patients with Asthma in Region Zealand, Denmark
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Asthma
- Sponsor
- Naestved Hospital
- Enrollment
- 300
- Locations
- 1
- Primary Endpoint
- Adoption of intervention (Uptake)
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
This study aims to implement the evidence-based intervention breathing retraining into clinical care of patients with symptomatic asthma irrespective of asthma severity or comorbidities, and in a diverse multicentre setting to evaluate implementation outcomes. This will meet patients' needs and improve health and life situation in patients with uncontrolled asthma. Further, the study will evaluate implementation outcomes.
Detailed Description
This study is a hybrid-designed prospective multicenter implementation evaluation study, in which the investigators secondarily will maintain measuring effectiveness of breathing retraining in a real-world setting including primary and secondary health care and add cross-sectorial co-operation. Thus, investigators include more primary outcomes. The study is part of Exercise First-project, a collaboration of The National Health Service, Region Zealand and the research unit PROgrez, Department of Physiotherapy and Occupational Therapy at Næstved, Slagelse, Ringsted hospitals.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Doctor diagnosed asthma;
- •Incompletely controlled asthma or worse: Asthma Control Questionnaire (ACQ5) score ≥0.8;
- •Residence (or asthma treatment program) in Region Zealand, Denmark;
- •Able to read and understand Danish or available assistance to help understand information material, intervention content and respond to questionnaires.
Exclusion Criteria
- •Unwilling to participate;
- •Unable to participate in the intervention due to physical or mental condition.
Outcomes
Primary Outcomes
Adoption of intervention (Uptake)
Time Frame: Through study completion, an average of 1 year
Organization-related (Pulmonologists, general practioners, physiotherapists) outcome: Proportion of general practices and of hospitals that will adopt BR.
Implementation of intervention (Fidelity)
Time Frame: Through study completion, an average of 1 year
Organization-related (physiotherapists) outcome: % of contents delivered as planned assessed by a checklist of key aspects in the breathing retraining-intervention.
Feasibility of online sessions in Hybrid delivery mode of BR (H-BR) (Acceptability)
Time Frame: Through study completion, an average of 1 year
Patient- and Organization-related (physiotherapists) outcome: assessed by a semi-structured interview.
Effectiveness: MiniAsthma Quality of Life Questionnaire, MiniAQLQ
Time Frame: Through study completion, an average of 1 year
Patient-related outcome, disease specific quality of life questionnaire. 7-point Likert scales from 1-7, 1 = worse outcome, 7 = better outcome. Success rates of improvements minus deteriorations of individual effects, measured at 12 month follow up.
Secondary Outcomes
- Objective steps per day (average)(Change from baseline to 12 month)
- MiniAsthma Quality of Life Questionnaire, MiniAQLQ(Change from baseline to 12 months)
- Objective physical activity level(Change from baseline to 12 month)
- Breathing pattern observation(Change from baseline to 12 month)