Allergy UK Research and Development Nurse. Developing and Evaluating the Impact of a Nurse-led Primary Care-based Allergy Clinic in NHS Lothian: a Mixed Methods Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 250
- 试验地点
- 2
- 主要终点
- To find out if a nurse-led clinic in primary care is feasible measured using a validated satisfaction questionnaire in primary care
研究概览
简要总结
The aim of the research project is to develop, deliver and assess the feasibility of a nurse-led allergy clinic in primary care, taking into account population, geographical area and needs of healthcare in the area chosen. It is widely acknowledged that the majority of cases of mild to moderate allergy could be adequately dealt with in primary care, by a healthcare professional with the appropriate expertise and knowledge of allergy. The provision of allergy care in the community could potentially have a beneficial impact on health care and patient outcomes.
The project will comprise the set up and delivery of a nurse led allergy clinic in primary care and use a mix of qualitative and quantitative methods to evaluate the feasibility of the clinic. This will include the use of a series of validated questionnaires e.g. satisfaction, condition specific quality of life and economic cost questionnaires, as well as face to face interviews.
The research will collect data to see if this clinical intervention is feasible and allow audit of the clinical intervention. This will also enable the researchers to understand patients lived experiences of accessing allergy care and the effect of allergy on quality of life and impact of allergy care.
详细描述
The study will consist of the development and delivery of a nurse led clinical intervention to provide allergy care in the community within the NHS Lothian primary care setting. The clinical intervention will see the allergy nurse provide clinical care to patients with a specified range of allergic conditions and provide diagnosis and immediate management where appropriate.
The clinical component of the research project will consist of a pilot nurse led allergy clinic, provided by one specialist nurse twice a week across two different GP surgeries within NHS Lothian, GPs from across 12 practices will be encouraged to refer into the pilot allergy clinic.
The referring health care professional will advise participants and their carers that the nurse led allergy clinic has been set up as part of a research project and participants will be asked if they wish to consent to take part in the research study. Feedback on the pilot clinic will be gathered to find out if the pilot clinic is acceptable to participants (satisfaction questionnaire), to find out if the clinic has made any improvement to quality of life (condition specific quality of life questionnaire) and if there is any cost impact (cost questionnaire).
Participants The initial consultation - explanation of research project and written informed consent obtained.
The nurse practitioner will:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All children, young people and adults who fit the selection criteria from across all the practices can be referred to the allergy clinic.
- •All patients and parents / carers where appropriate must be deemed capable of giving informed consent to take part in the research project.
- •Infants under two with suspected food allergy
- •Infants under two with moderate-to-severe eczema not responding to standard treatment.
- •Children and young people (up to 16 years of age) with suspected allergic rhinitis symptoms that are unresponsive to a combination of oral antihistamines and nasal steroids
- •Young people and adults (from 16 years of age) with a history of anaphylaxis or suspected anaphylaxis
排除标准
- •Over 2 years of age with delayed type food allergy presenting primarily with gastrointestinal symptoms
- •Over 2 years of age with confirmed non IgE-mediated symptoms including food intolerances, coeliac disease etc.
- •Single urticarial reactions without an obvious triggers
- •Non-allergic chronic urticaria
- •Drug allergy
- •Well controlled allergic rhinitis, asthma or atopic eczema
- •Mild-to-moderate atopic eczema without an obvious allergic trigger
- •Localised insect sting reactions
结局指标
主要结局
To find out if a nurse-led clinic in primary care is feasible measured using a validated satisfaction questionnaire in primary care
时间窗: 3 year feasibility study
The questionnaire will measure health care professionals experience of referring patients into the clinic using the satisfaction questionnaire
To find out if a nurse-led clinic in primary care is feasible measured using qualitative interviews
时间窗: 3 year feasibility study
Qualitative interviews will be used to find out patients and health care professionals experience of using the nurse led allergy clinic, interview will be transcribed and analysed using Nvivo.
To find out if a nurse-led clinic in primary care is feasible measured using a validated satisfaction questionnaire,in patients
时间窗: 3 year feasibility study
The questionnaire will measure the number of patients who had a positive or negative experience within the clinic using the satisfaction questionnaire at initial consultation then again at review
To find out if a nurse-led clinic in primary care is feasible measured using a validated health economics survey
时间窗: 3 year feasibility study
The Health economics survey will measure the cost of attending the clinic in terms of travel and loss of working or education hours required to attend the clinic.
次要结局
- Measure quality of life in patients validated disease specific quality of life questionnaires Food Allergy Quality of Life Questionnaire - Adult Form - (FAQLQ - AF)(3 Years)
- Measure quality of life in patients validated disease specific quality of life questionnaires Food Allergy Quality Of Life Questionnaire - Parents Form (FAQLQ - PF)(3 Years)
- Measure quality of life in patients validated disease specific quality of life questionnaires Food Allergy Quality of Life Questionnaire - Teenagers Form (FAQLQ - TF)(3 Years)
- Measure quality of life in patients using validated disease specific quality of life questionnaires Infants Dermatology Quality of Life Index IDQOL(3 Years)
- Measure quality of life in patients validated disease specific quality of life questionnaires Mini Rhinitis Quality of Life Questionnaire (mini RQLQ)(3 Years)