Implementation of an asthma guideline for the management of childhood asthma in general practice : a randomised controlled trial
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2008 |
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| Erschienen: |
2008 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:17 |
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| Enthalten in: |
Primary care respiratory journal : journal of the General Practice Airways Group - 17(2008), 2 vom: 28. Juni, Seite 90-6 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hagmolen of ten Have, Wanda [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 25.09.2008 Date Revised 20.10.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.3132/pcrj.2008.00011 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM177617268 |
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| 100 | 1 | |a Hagmolen of ten Have, Wanda |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Implementation of an asthma guideline for the management of childhood asthma in general practice |b a randomised controlled trial |
| 264 | 1 | |c 2008 | |
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| 500 | |a Date Completed 25.09.2008 | ||
| 500 | |a Date Revised 20.10.2021 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a AIM: The aim of the study was to assess, in a randomised, controlled design, the efficacy of different strategies to improve childhood asthma management | ||
| 520 | |a 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 | ||
| 520 | |a 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) | ||
| 520 | |a CONCLUSION: In this study, the combined implementation strategy did not show a clear improvement in the management of children with asthma in general practice | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a van den Berg, Norbert J |e verfasserin |4 aut | |
| 700 | 1 | |a van der Palen, Job |e verfasserin |4 aut | |
| 700 | 1 | |a van Aalderen, Wim M C |e verfasserin |4 aut | |
| 700 | 1 | |a Bindels, Patrick J E |e verfasserin |4 aut | |
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