Distance Education Versus Usual Care Qualification in Asthma Care

Hospital de Clinicas de Porto Alegre467 enrolled

Overview

The purpose of this study is to evaluate the effectiveness of multifaceted educational interventions in the care of asthma, conducted remotely over the platform TelessaúdeRS in teams of the Family Health Strategy and the consequent clinical improvement patients.

Cluster-randomized trial with follow-up of 6 months. The aim of this study is to determine whether multifaceted interventions performed at a distance for the care of asthma symptoms reduce overhead, improve asthma control and qualify the care provided to patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Enrollment

467

Conditions

Asthma

Interventions

Continuing educationBEHAVIORAL

Includes telemedicine, reminders, video conferences, educational materials for patients and consultants.

usual careOTHER

Received the usual care provided

Eligibility

Sex: ALLMin age: 5 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Practice:Participate in the Telessaúde/RS. Minimal staff consisting of a general practitioner, nurse, nurse and community health agents (CHA), ability to give at least ten patients diagnosed with asthma, located in a municipality to make available for free inhaled medication (short-acting bronchodilators and corticosteroids ) for the treatment of asthma and willingness to participate in the study. * Patients: 5 to 45 years with a diagnosis of asthma made by a physician and register at least one consultation for asthma or an asthma-related hospitalization during the year preceding the beginning of the study. Exclusion Criteria: * Patients with other chronic diseases with pulmonary complications such as tuberculosis, cancer and cystic fibrosis or those with severe mental illness

Locations (1)

Hospital de clínicas de Porto Alegre

Porto Alegre, Rio Grande do Sul, Brazil

Outcomes

Primary Outcomes

Symptom burden, measured as the number of self-reported asthma symptom days (ASD). ASD is based on 2 week recall.

The definition of a symptom day includes presence of any of the four types of asthma symptoms: wheeze, cough, night time awakening ou shortness of breath. The results will be collected through the application of standardized questionnaires.

Time frame: six months

Secondary Outcomes

Asthma control

Control of asthma will be evaluated by the excessive use of relief medication in the last month.

Time frame: 6 months

Health care utilization

Proportion of unscheduled medical visits during the follow-up

Time frame: 6 meses

Proportion of patients in use inhaled corticosteroids

Use of inhaled corticosteroids assessed by the proportion of patients who require medication to prevent asthma symptoms that are in use of inhaled corticosteroids.

Time frame: 6 meses

Data from ClinicalTrials.gov

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