Asthma, Children, Digital Care, Virtual Clinic, Managment, Self-management
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Children with doctor’s diagnosed asthma (based on clinical symptoms, bronchodilator response of FEV1 of > 9% of predicted and/or airway hyperresponsiveness and/or signs of chronic airways inflammation (elevated FENO)); 2. At least one allergy for airborne allergens proven by positive skin prick tests and/or blood tests; 3. Between 6 and 18 years of age; 4. Have a computer with internet connection at home.
Exclusion criteria
Exclusion criteria: 1. A history of admission to the intensive care unit for asthma in the preceding 5 years; 2. Difficult to treat asthma (defined as uncontrolled or poorly controlled asthma in spite of maintenance treatment with inhaled corticosteroids with at least 800 micrograms budesonide or equivalent per day, long acting bronchodilators and/or Montelukast®, and/or oral corticosteroids); 3. Use of Omalizumab® for severe allergic asthma; 4. Other chronic diseases; 5. Inability of the parents or older children to understand or read Dutch.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of asthma free days during the last 4 weeks of the study. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Forced expiratory volume in one second (FEV1); 2. Exhaled fraction of Nitric Oxide (FENO); 3. Results of the Asthma control test (ACT-questionnaire) at 0, 8 and 16 months; 4. Hospital admissions; 5. Unscheduled health visits; 6. Exacerbations; 7. Additional contacts or visits with the asthma management team or general physician; 8. Courses of prednisolone. | — |
Contacts
Postbus 9101