None listed
Conditions
Brief summary
The Virtual Model of Antenatal Asthma Care (VMAC) study evaluates the suitability of 2 types of asthma care in pregnancy. 1) virtual (tele/video conferencing) and 2) face-to-face (in person). Uncontrolled asthma in pregnancy may harm the mother and the baby. Self-management education and clinical care may help to control asthma throughout pregnancy. Traditionally, it is provided as a face-to-face service which largely depends on the availability of both the mother and the healthcare team. To address this, we have developed a virtual model of care to provide the same service remotely (i.e., via tele or video conferencing). Women can access care at a convenient place and time. In this study, we are testing the suitability of this new approach.
Interventions
Women in the intervention arm will receive 2 virtual consultations on asthma management in pregnancy. These virtual consultations will use either a phone or a video platform to provide care. The consultations will cover clinical assessment (e.g., exacerbation history, asthma symptom control, triggers etc.), feedback and asthma self-management education. Each session will take approx. 30 minutes. The first session will be scheduled soon after the randomisation and provided by a nurse specialist.
Women in the intervention arm will receive 2 virtual consultations on asthma management in pregnancy. These virtual consultations will use either a phone or a video platform to provide care. The consultations will cover clinical assessment (e.g., exacerbation history, asthma symptom control, triggers etc.), feedback and asthma self-management education. Each session will take approx. 30 minutes. The first session will be scheduled soon after the randomisation and provided by a nurse specialist. A respiratory physician will complete the second session within 8 weeks from the randomisation. An intervention manual will be developed to guide intervention providers, and the treatment recommendations will follow asthma guidelines. A structured asthma assessment form will be used to standardise the assessments.
Sponsors
Hunter New England Local Health District
Study design
Allocation
Randomised controlled trial
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Adult pregnant women with asthma • Have access to a telephone • Willing to complete baseline and follow-up telephone interviews.
Exclusion criteria
Unable to speak and understand English.
Outcome results
None listed