J45
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All rehabilitation patients with leading diagnosis Asthma (= rehabilitation diagnosis) 2nd and lack of asthma control (ACT = 19 points) 3rd and Written informed consent
Exclusion criteria
Exclusion criteria: 1. Patients with a lack of language skills and / or 2. lacking cognitive ability and / or 3. severe comorbid diseases that overlay the results of the outcome parameters relevant and clinically leading (e. g. tumors, severe cardiac, orthopedic and psychological comorbidities)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary Outcome = asthma control. This is measured by the Asthma Control Test (ACT; Schatz et al., 2006) at T0, T1, T2 and T3 (parallel in the IG and CG = RCT). At the measurement times T4-T8 the results of the two groups will be pooled and analyzed the sense of an observational study (1 year follow-up). IG: T0 = baseline = rehab permission (1 month before starting with rehab), T1 = Beginning of rehabilitation, T2 = End of rehabilitation (duration 3 weeks), T3, T4, T5, T6 = 3, 6, 9 and 12 months after discharge from rehab. GC (passes the same rehab, but starts 4 months later). T0 = baseline, T1 = 4 months prior to rehabilitation, T2 = 3 months prior to rehabilitation, T3 = start of rehabilitation (duration 3 weeks), T4 = end of rehabilitation; T5-T8 = 3, 6, 9 and 12 months after the end of rehabilitation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Health-related quality of life (SGRQ, AQLQ, EQ-5D-5L), symptoms: dyspnea, cough, sputum, pain (numeric rating scales), GROC-scale, physical fitness (6MWT), psychological distress by anxiety and depression (PHQ-D, GAD7, IPQR , BFI, Nijmegen questionnaire), self-management skills (HeiQ, MARS-D, BMQ), smoking (self developed questionnaire), utilization and costs of health services (FIM Lu, WAI, SPE), number of cortisone courses and / or antibiotic therapies (self developed questionnaire). Secondary endpoints are measured at T0 - T8. Abbreviations: Asthma Control Test (ACT) Saint George's Respiratory Questionnaire (SGRQ) Asthma Quality of Life Questionnaire (AQLQ) Health questionnaire EQ-5D-5L GROC-scale (global rating of change scale) Patient Health Questionnaire (PHQ) [] Generalized Anxiety Disorder Questionnaire (GAD 7) Brief Fatigue Inventory (BFI) SPE-scale Work Ability Index - questionnaire (WAI) Item 1 and 4 Health Education Impact Questionnaire (HeiQ) Item 1 and 3 Revised Illness Perception Questionnaire (IPQ-R) NQ = Nijmegen Questionnaire FIM Lu, modification of FIMA Brief Medication Questionnaire (BMQ) Medication Adherence Report Scale (MARS) | — |
Countries
Germany
Contacts
Klinik Bad Reichenhall der DRV Bayern Süd