asthma
Conditions
Interventions
ICT-supported care:
1. Asthma self-management education in small groups (2 sessions per group) by trained asthma specialist nurse:
a. Discussion of ACQ and ATAQ data in order to assess present situ
b. Review medication devices technique and adherence
c. Plan next doctor visits as needed
2. Monitoring asthma control by lung
function and ACQ (input via website or SMS (text messaging)) with electronic data processing and feedback through computer via webpages with graphical presentatio
3. Virtual consulting room with asthma nurse via email and private messaging
4. Social support within a private chatbox and/or internet support group
5. Automated sending of reminders via email and/or SMS.
CONTROL GROUP: USUAL CARE
According to the Dutch GP guidelines, patients are invited to visit their general practitioner every 3 months in orde
2. Review medication devices technique and adherence
3. Issue and explain paper asthma action plan, monitoring of lung function with Piko-1 spirometer
4. Plan next doctor visits as needed.
Sponsors
Leiden University Medical Center (LUMC)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 12-17 yr; 2. Doctors diagnosis of asthma; 3. Mild to severe persistent asthma (patients who need inhaled corticosteroids as controller medication); 4. At least one asthma control problem (Asthma Therapy Assessment Questionnaire-score >= 1 or Asthma Control Questionnaire >= 1.0); 5. Able to communicate in the Dutch language.
Exclusion criteria
Exclusion criteria: Patients requiring oral corticosteroids as controller medication and patients with relevant comorbidity will be excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health related quality of life as measured by the Pediatric Asthma Quality of Life Questionnaire (PAQLQ). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Asthma control; 2. Symptom free days; 3. Exacerbations; 4. Health care utilisation; 5. Absence of work/school; 6. Lung function; 7. Exhaled nitric oxide; 8. Medication use; 9. Self-reported asthma management behaviour; 10. Side effects. | — |
Contacts
Public ContactH.F. Stel, van
University Medical Center Utrecht (UMCU), Julius Center for Health Sciences and Primary Care, P.O. Box 85500
Outcome results
None listed