This trial is evaluating whether Real-time asthma care outreach will improve 2 primary outcomes and 2 secondary outcomes in patients with Asthma. Measurement will happen over the course of 1 year.
This trial requires 3000 total participants across 2 different treatment groups
This trial involves 2 different treatments. Real-time Asthma Care Outreach is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
"The majority of patients use medication to control or reduce asthma. Some treatments are unique to certain patient groups, such as the anti-inflammatory and/or corticosteroid sprayers. Also some treatments can be used to treat both asthma and COPD (which itself is a type of asthma). However, a small minority of patients do not use prescribed medications. Those who do do so less frequently than those who do not. Some of the treatments are different to those in other asthma disease. For those who do not have a controller medication, the recommended treatment is the aforementioned (above) inhaler (an inhaled corticosteroid, usually for at least six months)." - Anonymous Online Contributor
"Asthma can occur in individuals without a previous history of airway disease or in the presence of an underlying autoimmune disease. The triggers for sensitisation and bronchial hyperreactivity are varied. Aspects of the environment of the developing fetus, particularly air pollution, tobacco smoke, or [allergy](https://www.withpower.com/clinical-trials/allergy)-causing agents including house dust mites, could all be involved. Once sensitisation occurs, there are a number of pathological alterations that include epithelial atrophy and fibrosis, smooth muscle hyperreactivity, and T-cell activation." - Anonymous Online Contributor
"An average of 2.9 million (≈1 in 28) people per year received an asthma diagnosis. The estimated incidence of asthma has been estimated at approximately 1 in 15. These numbers were found among those aged 18 years and ≥20 years but the incidence rates were higher among those aged 10-15 years." - Anonymous Online Contributor
"Asthma can be diagnosed in primary care from the symptoms described above. The clinical examination is of little value. If there are associated features, such as excessive smoking, one can give the diagnosis to patients without clinical examination." - Anonymous Online Contributor
"Results from a recent clinical trial, patients reported dramatic change in the health status and quality of life. It’s important to assess asthma outcomes and patient-reported benefits in other studies." - Anonymous Online Contributor
"Symptoms of asthma are recurrent wheezing, coughing and decreased exercise tolerance. People with asthma are at increased risk of developing lower respiratory tract infections, of a more severe nature and of a more protracted course, in comparison with the general population. The prognosis of asthma is generally determined by the amount and ease of symptoms it causes." - Anonymous Online Contributor
"There is still a need to further evaluate the efficacy of multiple new medications for the treatment of asthma, and a need for more well-controlled trials of treatments that are already effective (see guideline recommendations). Some of the possibilities for consideration include the use of budesonide (Rynatan); the use of olopatadine (Lunaris) either as monotherapy or in combination with formoterol (Symbicort); and the potential role of omalizumab (Xolair)." - Anonymous Online Contributor
"Asthma outpatient and preventive services were effective at achieving improvements in health status. Further expansion and evaluation of these services, with a broad view of patient health needs, is feasible and may be associated with a significant improvement in asthma quality of life." - Anonymous Online Contributor
"The strongest association between respiratory infections and asthma development was a respiratory infection prior to the age of 5 years. The risk of developing asthma increased with cumulative severity of infection episodes and duration of infection episodes. However, asthma development was not associated with an increased risk of bronchiolitis." - Anonymous Online Contributor
"Real-time electronic medical records, advanced clinical protocols, and use of electronic documentation systems are key elements in facilitating a safe, convenient and efficient transition for the managing of a pediatric patient with asthma. This transition is likely to benefit patients with asthma, their parents and care providers, clinicians and support staff and other stakeholders." - Anonymous Online Contributor
"The study has shown very few asthma patients are referred to an A&E department for immediate, individual, asthma care, although a sizeable proportion of patients were referred to an A&E department, probably as part of a package of care. Most patients were referred to a primary care GP, whose role may vary and may not always include advice on all aspects of asthma management. The provision of asthma care advice as part of an asthma care package does not appear to be common in GP systems for reasons that remain unclear. Many patients did not receive bronchial-constricting agents, only when necessary for patients who were admitted to the A&E department." - Anonymous Online Contributor
"The authors' model of real-time asthma outreach provided a novel, evidence-based, resource-efficient, and efficient method for facilitating rapid management of asthma. This model's potential for widespread application is supported by its ability to quickly and permanently change the way asthma care is delivered throughout the community." - Anonymous Online Contributor