To study the effects of changing consultations by starting with the patients agenda on the enablement of children with asthma and their parents to bring forward their questions, worries, problems and beliefs.
ID
Source
Brief title
Condition
- Bronchial disorders (excl neoplasms)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The patient's agenda such as questions, worries, problems or beliefs brought
forward by children or their parents during the consulation.
Secondary outcome
The amount of time children and their parents are talking during the
consultation
Verbal and non-verbal characteristics of the physician-patient communication
duration of consultations
patient report of communication
self-management: attitude and adherence
asthma control
Background summary
Nonadherence to medication is common among children and adolescents with
asthma. Physician's communication skills are positively correlated with patient
adherence. Effective communication improving adherence is characterized by
patient-centeredness, such as addressing patient's beliefs and expectations.
Physicians' consultations are frequently medically oriented without addressing
the patient's perspective. This is caused by consultations being limited in
time and the priority the patients perspective is given by physicians. Changing
consultations by starting with the patient's perspective addresses these both
causes, as physicians who start consultations with the patient's perspective do
not need more time for such consultations. Therefore, putting the patient's
agenda in front of the consultation could be an effective way to come to more
patient-centered communication.
Study objective
To study the effects of changing consultations by starting with the patients
agenda on the enablement of children with asthma and their parents to bring
forward their questions, worries, problems and beliefs.
Study design
This study is a randomized controlled trial to an intervention aiming to
improve the communication about the patient's perspective during consultations
with children with asthma and their parents. The intervention is conducted by 2
pediatric lung physicians and is characterized by different variations in
starting the consultation. The effect of the intervention is primarily measured
by a qualitative and quantitative analysis of the topics brought into the
consultation by the children and their parents. This trial is located at the
pediatric outpatient clinic of the Isala Clinics. We expected to include all
children and their patients in 1,5 years. Participants will have a follow up
of 1 year, to enable for measurement of effects on self-management and health
outcome.
Intervention
The intervention is characterized by starting consultations with explicit
addressing the patient's agenda. Consultations with patients from the control
group will be started by the physician's agenda: the control of asthma.
Study burden and risks
This trial is conducted in children, because the study is aimed at improving
asthma care in children. The study does not include any risk for participating
children and their parents and the load is minimal. The most important
contribution of the participating children is to fill up some questionnaires,
taking approximately 10 minutes.
Dokter van Heesweg 2
8025AB Zwolle
NL
Dokter van Heesweg 2
8025AB Zwolle
NL
Listed location countries
Age
Inclusion criteria
age 8 - 16 Years
diagnosis of asthma, using maintenance medication with inhaled corticosteroids
no longer than 1 year receiving treatment by the current doctor
Exclusion criteria
comorbidity
Inadequate knowlegde of Dutch language
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 | NL32947.075.10 |