asthma, bronchial hyperreactivity Asthma
Conditions
Interventions
The intervention consists of taking recording of daily inhalation use and receiving one to four feedback sessions of an asthma nurse based on these home recordings.
Sponsors
Medisch Spectrum Twente (MST)
Eligibility
Age
2 Years to 17 Years
Inclusion criteria
Inclusion criteria: CIRCUS cohort (n=300) -4 to 18 years old -patient at the children*s department at Medisch Spectrum Twente at moment of inclusion -diagnosed with asthma by a pediatrician following the Global Initiative for Asthma(GINA) guidelines 2022: Medical history fitting asthma diagnosis: Based on (typical) symptoms: (nighttime) wheezing, dyspnea, coughing (triggered by either viral infections, exercise, allergens or weather changes) (Possibly) supplemented with a family history/atopy AND Spirometry variable expiratory airflow limitation by at least one of these criteria: FEV1/FVC reduced compared to lower limit of normal(Z-score 12%) Positive Exercise Challenge Test (ECT)(decrease FEV1>= 13%) Excessive variation in lung function (LF) between tests from different dates (variation FEV1>12% pred) For the MIME intervention (n=106, of which 30 intervention group, 76 control group): • Participating in CIRCUS cohort & consented willingness to participate in interventions. • ACT
Exclusion criteria
Exclusion criteria: For the CIRCUS cohort: The child and/or parent(s) has/have insufficient command of the Dutch language resulting in the insufficient ability to understand and/or answer questions For the MIME study: • An appointment with the asthma nurse for inhalation instruction has already been scheduled.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CIRCUS: Primary outcome measures are Quality of life(QoL), asthma outcomes(asthma control, lung function), quality of care, selfmanagement capacity, healthcare use, and therapy compliance.Intervention 1 MIME: Asthma control, measured by the childhood Asthma control Test (if partidipant < 12 jaar) or the Astma Control Test (if participant >12 jaar) score. | — |
Secondary
| Measure | Time frame |
|---|---|
| CIRCUS: n/aIntervention 1 MIME: The secondary endpoint is the inhalation technique score within the intervention group, intervention adherence, intervention duration and participation rate. | — |
Countries
Netherlands
Contacts
Public ContactM. R. Kamp
Medisch Spectrum Twente (MST)
Outcome results
None listed