Asthma, Asthma Control, Self-management
Conditions
Keywords
Asthma, self-management education, asthma control, primary care, nursing
Brief summary
Asthma is a common medical condition in Ireland. Adult patients tend to have periods when their asthma is stable and periods when it worsens. In order to reduce these periods of worsening asthma, effective ongoing management is required day to day by adults with asthma. Teaching adults how to manage their asthma effectively, plays a huge role in improving their asthma and having a better overall quality of life. This education on managing asthma has many different parts to it. Most adults will discover they have asthma through their general practitioner (GP) and it will be continued to be checked and managed through their GP or general practice nurse (GPN) in their primary care clinic for the duration of their lives. This research study is taking place to find out if a new education programme, will help adults manage their asthma better and improve the symptoms of asthma, reducing its overall impact on day-to-day life. This study is also looking at how easy it is to introduce and for nurses to deliver this study within a GP/ primary care centre. This study is to find out if this education programme works in a real life setting and if it can lead to better control of asthma for adults.
Interventions
OTHERWASP asthma self-management programme
all participants will received the WASP intervention which includes (asthma education, self-management training and behaviour change strategies)
Sponsors
Royal College of Surgeons, Ireland
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults over 18 years old * Adults who meet one of the following criteria: a physician's diagnosis of asthma; coded as asthma (R96) as per the international classification of primary care (ICPC) or international classification of diseases (ICD) code J45 with associated use of asthma medications for 6 months prior to study enrolment.
Exclusion criteria
* Adults under 18 years old * Adults with no diagnosis of asthma * Adults receiving asthma education in a specialist hospital or community setting * Adults unable to give informed consent * Smoking ≥ 10 Pack Year History
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of implementation | 6 months | In terms of: recruitment, retention, response rates and service users' views of the intervention |
| Education | 6 months | Establish the nurses' frequency of education implementation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Asthma Control Test Questionnaire | 6 months | To determine level of asthma control |
| Modified asthma self-efficacy questionnaire | 6 months | To determine level of asthma self-efficacy |
| Mini Asthma Quality of Life Questionnaire (mAQLQ) | 6 months | To determine level of asthma associated quality of life |
| Spirometry - Forced expiratory volume in 1 second (FEV1) | 6 months | To monitor lung function - using FEV1 |
| Spirometry - Forced Vital Capacity (FVC) | 6 months | To monitor lung function using FVC measurement |
| Spirometry - Peak expiratory flow (PEF) | 6 months | To monitor lung function using PEF measurements |
Countries
Ireland
Contacts
CONTACTJoanne Walsh, MSc
Outcome results
None listed