Asthma
Conditions
Keywords
Asthma, Continuing education, Primary health care
Brief summary
The purpose of this study is to evaluate the effectiveness of multifaceted educational interventions in the care of asthma, conducted remotely over the platform TelessaúdeRS in teams of the Family Health Strategy and the consequent clinical improvement patients.
Detailed description
Cluster-randomized trial with follow-up of 6 months. The aim of this study is to determine whether multifaceted interventions performed at a distance for the care of asthma symptoms reduce overhead, improve asthma control and qualify the care provided to patients.
Interventions
BEHAVIORALContinuing education
Includes telemedicine, reminders, video conferences, educational materials for patients and consultants.
OTHERusual care
Received the usual care provided
Sponsors
Federal University of Rio Grande do Sul
Hospital de Clinicas de Porto Alegre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
5 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Practice:Participate in the Telessaúde/RS. Minimal staff consisting of a general practitioner, nurse, nurse and community health agents (CHA), ability to give at least ten patients diagnosed with asthma, located in a municipality to make available for free inhaled medication (short-acting bronchodilators and corticosteroids ) for the treatment of asthma and willingness to participate in the study. * Patients: 5 to 45 years with a diagnosis of asthma made by a physician and register at least one consultation for asthma or an asthma-related hospitalization during the year preceding the beginning of the study.
Exclusion criteria
* Patients with other chronic diseases with pulmonary complications such as tuberculosis, cancer and cystic fibrosis or those with severe mental illness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Symptom burden, measured as the number of self-reported asthma symptom days (ASD). ASD is based on 2 week recall. | six months | The definition of a symptom day includes presence of any of the four types of asthma symptoms: wheeze, cough, night time awakening ou shortness of breath. The results will be collected through the application of standardized questionnaires. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Asthma control | 6 months | Control of asthma will be evaluated by the excessive use of relief medication in the last month. |
| Health care utilization | 6 meses | Proportion of unscheduled medical visits during the follow-up |
| Proportion of patients in use inhaled corticosteroids | 6 meses | Use of inhaled corticosteroids assessed by the proportion of patients who require medication to prevent asthma symptoms that are in use of inhaled corticosteroids. |
Countries
Brazil
Outcome results
None listed