A pragmatic cluster randomised controlled trial of a guideline-based educational outreach intervention to improve quality of adult respiratory care in South African primary care clinics: the PALSA (Practical Approach to Lung Health in South Africa) trial
Completed
- Conditions
- Respiratory diseasesRespiratoryCough and/or difficult breathing
- Registration Number
- ISRCTN13438073
- Lead Sponsor
- niversity of Cape Town Lung Institute (South Africa)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 1999
Inclusion Criteria
Forty primary care clinics in a high tuberculosis and HIV burden province of South Africa (Free State). Data will be collected from patients 15 years and older who provide written consent and who present with any one of the following:
1. Difficult breathing on the day of interview or during the last 6 months
2. Current cough for 7 days or more
3. Recurrent cough in the last 6 months
4. Current cough and a temperature in excess of 38°C and/or a respiratory rate of 30 breaths per minute or more
Exclusion Criteria
Patients referred elsewhere urgently by their nurse practitioner will be excluded.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 1. Sputum testing for tuberculosis<br>2. Inhaled corticosteroid prescriptions<br>3. Antibiotic prescriptions<br>4. Cotrimoxazole prescription among patients with tuberculosis
- Secondary Outcome Measures
Name Time Method 1. TB case detection<br>2. Mortality<br>3. Smoking cessation advice received<br>4. Smoking cessation<br>5. Readiness to quit smoking<br>6. Frequency and severity of respiratory symptoms<br>7. Health-related quality of life (Euroqol)<br>8. Health care utilisation<br>9. Cost of care