Asthma Clinical Trial
Official title:
Pediatric Asthma Control Under Community Management Model in China
The purpose of this study is to learn the pediatric asthma control status under community management model. To learn the differences of pediatric asthma control status when subjects assigned to community hospitals or Shanghai Childrens Medical Centre. To learn the treatment adherence and the frequency of asthma attack under community management model.
Subjects diagnosed as pediatric asthma at Shanghai Children's Medical Center will be
consecutively screened and eligible patients will be recruited. For each enrolled patient,
basic information as well as baseline medical condition will be collected by the
investigators. Asthma medicine will be prescribed by the investigator according to patient's
asthma severity and control status. The subject will be assigned to the nearest community
hospital or Shanghai Children's Medical Center, whichever is nearer to the subject's home,
for their future onsite visits. The patient's caregiver will be instructed to install the
study-specified application program (APP) at their smart phone and learn how to use this
APP.
During the study, patients will receive 12 months standard treatment, prescribed by the
investigators according to "Guideline for the diagnosis and optimal management of asthma in
children".
The patients' caregiver will be prompted to fill out an asthma control questionnaire and
asthma control test via their smart phone APP every month.
Patients will be requested to visit prearranged community hospitals at month 1, 3, 6, 9 and
arrange their last visit back to Shanghai Children's Medical Center at month 12. During each
onsite visit, asthma-related information will be collected by the investigators.
Meanwhile, subjects will receive PEF (>5 years old) and FENO tests for evaluation of lung
function and inflammation level. After comprehensive assessment of the patient's symptom
control, risk factors, occurrence of exacerbations, and practical issues (cost, ability to
use the device, and adherence), the investigator will make the decision on whether stepping
up or stepping down asthma treatment.
This study ends up without follow-up.
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Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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