Implementation of an asthma guideline for the management of childhood asthma in general practice: a randomised controlled trial
| Autor: | Wanda Hagmolen of ten Have, Norbert J van den Berg, Job van der Palen, Wim MC van Aalderen, Patrick JE Bindels |
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| Přispěvatelé: | Amsterdam institute for Infection and Immunity, Paediatric Pulmonology, Amsterdam Public Health, Other Research, General practice |
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Respiratory Therapy Psychological intervention Alternative medicine MEDLINE Bronchial hyperreactivity law.invention Cohort Studies Randomized controlled trial law medicine Humans Medical prescription Child Referral and Consultation Asthma Original Research business.industry Public Health Environmental and Occupational Health Guideline medicine.disease Respiratory Function Tests Treatment Outcome Paediatric Child Preschool Practice Guidelines as Topic Physical therapy Female Guideline Adherence business General practice Family Practice Cohort study |
| Zdroj: | Primary care respiratory journal, 17(2), 90-96. Primary Care Respiratory Society UK Primary Care Respiratory Journal, 17(2), 90-96. Primary Care Respiratory Society UK |
| ISSN: | 1471-4418 |
| DOI: | 10.3132/pcrj.2008.00011 |
| Popis: | Aim The aim of the study was to assess, in a randomised, controlled design, the efficacy of different strategies to improve childhood asthma management. Method Three interventions directed to three groups of general practitioners were compared: Group A - dissemination of a guideline; Group B - guideline dissemination plus an educational session; Group C - guideline dissemination, educational session, plus individualised treatment advice based on airway hyperresponsiveness (AHR) and symptoms. Efficacy of the three strategies was assessed by evaluating change in AHR in 362 children after one year. Results The overall between-group effect of the severity of AHR was not significantly different (P=0.09). In Groups A and C an improvement was seen in nocturnal symptoms (P=0.02) and in Group C an improvement was seen in the prescription of inhaled corticosteroids (P=0.03). Conclusion In this study, the combined implementation strategy did not show a clear improvement in the management of children with asthma in general practice. |
| Databáze: | OpenAIRE |
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