Usual care for Asthma
This study is evaluating whether a mobile phone app can help improve adherence to asthma medication for children in rural South Carolina.
See full descriptionAbout the trial for Asthma
Treatment Groups
This trial involves 2 different treatments. Usual Care is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
Eligibility
This trial is for patients born any sex of any age. There is one eligibility criterion to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether Usual care will improve 3 primary outcomes and 1 secondary outcome in patients with Asthma. Measurement will happen over the course of 1 week.
Who is running the study
Principal InvestigatorPatient Q & A Section
How many people get asthma a year in the United States?
About 8 million people in the United States currently have asthma. The Centers for Disease Control and Prevention estimates that at least 10,000 new cases of asthma and 15,000 deaths occur annually in American women and men.
What are common treatments for asthma?
Many adults with asthma have a variety of co-morbidities, making asthma management difficult. However, a number of effective medications can be prescribed, and patient education and referral to specialty providers are common strategies for managing asthma.
What is asthma?
Asthma is a common breathing difficulty characterized by intermittent airway obstruction due to inflammation, airway remodelling and variable airflow limitation. Asthma often begins in childhood with an increased respiratory vulnerability and may be the first manifestation of asthma in many people. It is highly variable in its effects but can be severely debilitating when uncontrolled.
Can asthma be cured?
The best available evidence suggests that the risk of death associated with asthma is largely due to the underlying disease, rather than some characteristic of the disease that is controllable. However, recent studies have shown that asthma can be cured, and in fact many patients benefit from anti-inflammatory treatment.
What causes asthma?
Many factors, such as age, smoking, and allergic disease increase the risk of developing asthma. However, in some cases the underlying factor is genetic susceptibility. Most people with asthma have a combination of triggers and susceptibility.\n
What are the signs of asthma?
Asthma was often under-recognised until the presentation of children to the paediatric emergency department, or even after admission to hospital. The classic signs are wheezing, shortness of breath and coughing up blood. It is important to understand the underlying signs/symptoms of asthma as children with little/no symptoms may present acutely with asthma if they can't breathe enough air.
Who should consider clinical trials for asthma?
Physicians have a responsibility to promote and educate patients as to clinical trials. Patients may feel less anxious if they are informed that the benefits of pharmaceutical treatments outweigh the risks. The process of informed consent regarding clinical trials is simple, and patient-centric approaches to care make clinical trials more acceptable. Physicians must promote patient-centered clinical trials as they continue to provide patients with the most current evidence on treatment options.
What are the latest developments in usual care for therapeutic use?
Current usual care for patients with asthma is suboptimal and involves only a small part of the patient's symptomatology. At present, we recommend increasing the use of usual care interventions, especially for people with more severe symptoms.
What is the primary cause of asthma?
Asthma can be prevented and controlled by reducing dietary, physical, and psychosocial factors. The most serious factors are smoking, obesity, and environmental irritants, such as dust and air pollution.
Has usual care proven to be more effective than a placebo?
Although the group with usual care did not lose more weight than those on placebo, the weight gain seen was a better reflection of the weight loss they were able to achieve. This is because weight gain can only follow weight loss. For BMI > 35 to decrease, other factors have to be targeted, such as the high fat density diet.
What is usual care?
Although the majority of healthcare professionals were satisfied with the current level of care, some felt that a more integrated model of outpatient asthma management was needed. One aspect that needs greater integration is improving the quality of the patients’ lifestyle, including lifestyle advice.
Is usual care typically used in combination with any other treatments?
Few patients received ICS therapy alone or with other treatments. This was particularly true for patients who had been prescribed a LABA. This finding suggests that clinicians may be missing opportunities to improve asthma outcomes by using effective combinations of therapy to reduce exacerbations and improve lung function and QoL.