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Spirometry and asthma management in children and adults in general practice.

A cluster randomised controlled trial to evaluate whether training of GPs and nurses in spirometry leads to improved health outcomes for children and adults with asthma, managed in general practice.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12606000093583
Acronym
SAM
Enrollment
1000
Registered
2006-03-09
Start date
2006-02-01
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

As general practice is the first point of contact within the Australian health system for patients with asthma, it is important that all available tools are used to provide the best care possible. Accurate and reproducible measurement of airflow obstruction, as measured by spirometry, is a vital part of the management of people with asthma. However the use of valid spirometry in general practice is low. This study aims to examine the potential benefits to patients of using spirometry in the management of asthma in both children and adults, when GPs and staff have been properly trained in the best way to do it and to interpret the results.

Interventions

Comprehensive training for GPs and practice nurses in the intervention practices, in the performance and interpretation of spirometry, and encouragement to integrate spirometry use into their asthma management. The intervention will comprise a minimum of 6 hrs formal training, provided in the first 2 months after randomisation. Intervention practices will then apply this knowledge and be supported for the remainder of the 12-month study timeframe.

Sponsors

The Discipline of General Practice, University of Adelaide
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
7 Years to No maximum
Healthy volunteers
No

Inclusion criteria

A diagnosis of asthma and on asthma medication.

Exclusion criteria

COPD, unable to read or understand English, other major illnesses, significant cognitive impairment.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026