non-communicable lung diseases, COPD, asthma, Household air pollution, Very brief smoking advice, low-resource settings, implementation research,
Conditions
Interventions
Spirometry study:
A Spirometry 360 online training and feedback program, consisting out of a series of Spirometry 360 activities. No control intervention will be admitted or implemented.
VBA study:
Sponsors
LUMC, IPCRG, MAKERERE, MHKR, UMP, UoC, ARTEG, ELF, UW, NCSCT, UMCG, UCPH, ECC
Of all beneficiaries, only UCPH will use contributions in kind provided by third parties
Eligibility
Inclusion criteria
Inclusion criteria: Spirometry study: The study population will consist out of: - English speaking family physicians or general practitioners - paediatricians - Internal Medicine Physicians - Nurse Practitioners - Respiratory Therapists - Nurses - Medical Assistants - Physician Assistants - Health Educators VBA study: The study population will consist out of: - health care workers: registered at a health care centre (can include HIV or TBC centres) and have the capability, opportunity and motivation to intervene with tobacco smokers -social care workers: have the capability, opportunity and motivation to intervene with tobacco smokers and be in regular contact with tobacco smokers Pulmonary rehab study: The study population will consist out of patients with: - A by a study doctor or GP confirmed definite diagnosis of a chronic respiratory disease (including include COPD, interstitial lung disease, bronchiectasis and pulmonary hypertension that will not include reversible airways disease such as asthma) - A Medical Research Council dyspnoea score grade 2 or higher; - Previous TB treatment or confirmed COPD diagnosis; U-5's study: The population to be studied will be composed using purposive sampling will consist of: - Caregiver: has a child/children between 12-59 months, with long-term cough who has/have been treated for ARI at the Health Care Centres, hospitals or at the local expert in rural areas or at hospitals one or several times - healthcare worker: registered level of education and experience. formally registered as employee at the included health care centre -local expert: identified by the local research members. Midwife study: The study population will consist out of: - midwives: formally registered as employee at a health care centre which have a clear and functional link with community health care workers. - pregnant women: attending an antenatal clinic - village health team: a health care worker within the community of the study setting that has been trained to deliver a selected package of preventive, promotion and curative health services within the communities.
Exclusion criteria
Exclusion criteria: Pulmonary rehab study: exclusion criteria -unstable cardiovascular disease, locomotor difficulties that preclude exercise. - Within 4 weeks of an acute exacerbations of their condition; - Malignant disease such as lung cancer; - Reversible airways disease such as asthma; - Unwilling or unable to attend a PR programme; - Unable to provide informed consent. U-5's study exclusion criteria: -caregiver: the child is diagnosed with tuberculosis or has a medical history of tuberculosis. specific exclusion criteria for the spirometry study and the midwife study are yet to be determined in collaboration with the local research teams of Uganda, Kyrgyz Republic, Greece and Vietnam.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Spirometry study 1. self-reported satisfaction of Spirometry 360 training (12-items post-course survey) 2. frequency spirometry tests performed 3. number of test errors VBA study: - % training followed - pre, post-training knowledge - self-reported implementation VBA (n of VBA given) - acceptability - practibility - feasibility -affordability - knowledge - % self-reported smoking status - self-reported changes to clinical practice Pulmonary rehab study - incremental shuttle walking test - sit-to-stand test (number of repetitions and Borg score) - Biceps curl (weight, number of repetitions and Borg score of perceived exertion - pull-ups (weight, repetitions and Borg score of perceived exertion - step-ups (number of repetitions and Borg score of perceived exertion cycling (resistance and Borg score of perceived exertion) - biometric data (BMI) - blood pressure, pulse, pulse oximetry and Borg score of perceived exertion - CCQ scale (health status) - MRC dyspnoea scale (health status) - Biceps curl (weight, number of repetitions and Borg score of perceived exertion U-5s study Due to the explorative approach of this sub study no endpoints have been set. The study outcomes are formed by the themes emerging from data analysis and will provide insight in the local concepts, terms, barriers to health care and the clinical and local diagnosis and treatment of respiratory disease -descriptive data on diagnosis Cough how long? Days, median (IQR) Previous episodes of cough? n (%) How many? Median, IQR Previous episodes of wheeze? n (%) How many? Median, IQR Fever a problem: n (%) Temperature felt or measured: n(%) Temp: degrees celcius, mean (IQR) Fever how long: n (%) Respiratory rate counted n(%) Respiratory rate, mean (SD) Chest exposed n(%) Stethoscope used n(%) Chest indrawing? n(%) Stridor?, n(%) Wheezing, n(%) Cyanosis checked. n(%) Saturation: mean (IQR), n < 92% (%) -descriptive data on treatment Bronchodilator | — |
Secondary
| Measure | Time frame |
|---|---|
| Since the FRESH AIR study concerns an observational study type, no distinction has been made between primary and secondary outcomes. | — |
Contacts
Public ContactM.J.J. van der Kleij
Leiden University Medical Centre(LUMC), department of Public Health & Primary Care
Outcome results
None listed