Before one could chose for a new organisation form, there should be evidence, that the care provided by such a professional is at least similar to the care provided by the GP or the pediatriacian.The hypothesis of the proposed study is that…
ID
Source
Brief title
Condition
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Airway Hyperresponsiveness. (PD20 methacholine)
Secondary outcome
Lungfunction variabels;
• FEV1 before & after beta-2-agonists
• NO in expired air
Patientorieted variabels & health-economics:
• *Asthma Control Questionaires* plus added quastions (unplanned visits,
course of prednison, admission,schoolabsence, workabsence parents)
• Quality of Life Questionnaire.
• Extra referal of *Nurse Practitioner* to pediatrician.
• Extra referal of GP to pediatrician
• Number of consultations in groups A, B & C.
• Medication in de groups A,B & C.
Variabels concerning disease awareness..
• Knowledge of asthma.
• Smoking pattern parents.
• Smoking pattern( teenage) patient.
• Peds.
• Aplication house dust mite isolating matras covers .
• Quality of care children's version.
• Quality of care paternt's version.
Background summary
A *nurse practitioner*,working under supervision, who is specialized in the
follow up of children with asthma is a costeffective solution. Because of the
fact, that such a professional is mainly occupied with this specific
patientgroup a wide experience can be build up, guaranteing quality of care.
The creation of such a professional next to the existing workers in primairy
and hospital care gives the following advatage:
1. The workload of GP's decreases.
2. Continuity in the follow up of children with astma
3. Because many children are seen, much experience can be build up guaranteing
quality of care.
4. More costeffective compared to care prvided by by extra MD's (scarse and
often not available)
Study objective
Before one could chose for a new organisation form, there should be evidence,
that the care provided by such a professional is at least similar to the care
provided by the GP or the pediatriacian.
The hypothesis of the proposed study is that treatment of children with
moderate astma by a *nurse practitioner* working under supervision is not
inferior to treatment by GP or pediatrician.
This leads to the following question;
Is follow up of children with moderate asthma by a *nurse practitioner* working
under supervision not inferior to treatment by the GP or by the pediatrician?
Study design
Prospectieve randomised comparing study with three arms, lasting two years.
Intervention
Randomisation:
• Group A: Children with moderate asthma, after confirmation of the diagnosis
and after aplication of the inclusion criteria obtaining usual care by their GP.
• Group B: Children with moderate asthma, after confirmation of the diagnosis
and after aplication of the inclusion criteria obtaining usual care by a
specified nurse practitioner, working under supervision of a pediatrician.
• Group C: Children with moderate asthma, after confirmation of the diagnosis
and after aplication of the inclusion criteria obtaining usual care by a
pediatrician.
Study burden and risks
none
Postbus 90157
4800 RL
Nederland
Postbus 90157
4800 RL
Nederland
Listed location countries
Age
Inclusion criteria
Children aged 6-16 years
Children with moderate asthma as defined by the guidelines of the dutch pediatric respiratory society of the dutch association for pediatrics and/or children whose general practitioner indicates the use of inhaled corticosteroids as defined by the guidelines of the dutch GP association. Children from general practice as well as pediatric practice can be recuted.
Exclusion criteria
Children who should be referred to a pediatrician for severe astma, to the judgement of the GP and whose treatment should be continued in pediatric practice
Children unable to perform standard lungfunction testing.
Children with other chronic diseaese requiring specialistic treatment by a pediatrician.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL17972.101.07 |