Evaluating the Impact of GP and Practice Nurse Training in Self Regulations Skills on Patient Outcomes

NCT00493090 | Completed DMC

• 1 other identifier: 05/015
• Study Type: interventional
• Target: 360
• Locations: 1 country
• Sites: 1

Brief Summary

This study will address the key question of developing shared understanding and negotiating mutually acceptable outcomes between people with asthma and healthcare professionals by applying theoretical knowledge of self regulation and communication skills learning and practice to asthma consultations. This study will facilitate integration of best practice into normal care using the BTS/SIGN asthma guidelines as the basis for structured care. This intervention has been show to be effective in the US. We aim to show that it can be effective in the UK setting in a cluster randomised control trial. We aim to modify and evaluate the intervention in such a way that it can be easily offered across UK primary care settings, with the possibility of significant benefits for patients. The intervention is based on the principle of empowering patients to manage their condition themselves, is consistent with the aims of Asthma UK, and, for this reason, we believe that Asthma UK may wish to be associated with this project.

Conditions

Asthma

Keywords

Professional; patient partnership; patient satisfaction; professional training

Outcome Measures

Primary Outcomes (1)

• The Juniper Mini Asthma Quality of Life Questionnaire (Mini AQLQ) (2) and the Medical Interview Satisfaction Scale (MISS-21).

  1 year

Secondary Outcomes (1)

• The Patients' Perception of their Involvement Questionnaire (PPIQ) (4) and the Asthma Control Questionnaire (ACQ) (5).

  1 year

Interventions

modification of an interactive seminar BEHAVIORAL

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Practice:
• Registered with SPPIRe
• List size \> 5000
• An asthma register
• Electronic records
• At least 1 GP and 1 Practice nurse commit to training
• Commitment to ensuring questionnaire data is collected from 40 patients with poorly controlled asthma seen by either the GP or nurse
• Patients:
• Must be registered with recruited practices
• Asthma diagnosis in excess of 12 months receiving regular preventative asthma therapy
• Using in excess of twelve beta2 agonists during a twelve month period and/or experiencing an acute exacerbation of asthma requiring oral steroids in the last 12 months

You may not qualify if:

• Practices:
• Not registered with SPIRRe
• Not wishing to take part.
• Patients:
• If they have well controlled asthma and do not experience any poor control.
• Patients with physician-diagnosed predominantly irreversible airways disease.

Sponsors & Collaborators

• University of Aberdeen: lead

Study Sites (1)

University of Aberdeen

Aberdeen, AB25 2AY, United Kingdom

Location

MeSH Terms

Conditions

Asthma; Patient Satisfaction

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Jennifer Cleland

  University of Aberdeen

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 26, 2007
• First Posted: June 27, 2007
• Study Start: October 1, 2005
• Primary Completion: July 1, 2008
• Study Completion: July 1, 2008
• Last Updated: January 21, 2016

Record last verified: 2015-11

Locations

GB (1)