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Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol

INTRODUCTION: Asthma-related morbidity and mortality in the UK is higher than elsewhere in Europe. Although the reasons for this are largely unclear, one explanation could be a higher prevalence of poorly controlled asthma in the UK. Findings from our earlier study found that, in a sample of 766 chi...

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Autores principales: Harris, Katherine, Mosler, Gioia, Grigg, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500249/
https://www.ncbi.nlm.nih.gov/pubmed/31015270
http://dx.doi.org/10.1136/bmjopen-2018-025867
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author Harris, Katherine
Mosler, Gioia
Grigg, Jonathan
author_facet Harris, Katherine
Mosler, Gioia
Grigg, Jonathan
author_sort Harris, Katherine
collection PubMed
description INTRODUCTION: Asthma-related morbidity and mortality in the UK is higher than elsewhere in Europe. Although the reasons for this are largely unclear, one explanation could be a higher prevalence of poorly controlled asthma in the UK. Findings from our earlier study found that, in a sample of 766 children with asthma, 45.7% had poorly controlled asthma. Our earlier study also showed that adherence to inhaled corticosteroids was low. Subsequent focus groups identified concerns regarding embarrassment and bullying as barriers to adherence, as well as forgetfulness and incorrect medication beliefs. Following this, a school-based self-management intervention has been developed, aimed to improve asthma control and self-management behaviours. METHODS AND ANALYSIS: The theory-based cluster randomised controlled trial tests an intervention comprising two components: (1) a theatre workshop for all children in years 7 and 8, and (2) self-management workshops for children with asthma. The COM-B model was used to guide the development of the intervention. Questionnaire data will be collected in schools at baseline, immediately post intervention, and 3, 6 and 12 months post intervention. The data collected at 6 months will measure the effect of the intervention against the baseline data. The primary outcome will be asthma control, measured using the Asthma Control Test. All the data will be analysed quantitatively using generalised linear and non-linear mixed effects models. ETHICS AND DISSEMINATION: Ethical approval was obtained by the Queen Mary University of London Ethics Committee on 12 April 2018. Regular meetings will be held with key patient and public stakeholders to plan the key messages from this research. Key messages from the study will also be tweeted via the project twitter account (@SchoolsAsthma). The findings of the study will be submitted for presentation at conferences, as well as written into a manuscript. TRIAL REGISTRATION NUMBER: MGU0400
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spelling pubmed-65002492019-05-21 Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol Harris, Katherine Mosler, Gioia Grigg, Jonathan BMJ Open Respiratory Medicine INTRODUCTION: Asthma-related morbidity and mortality in the UK is higher than elsewhere in Europe. Although the reasons for this are largely unclear, one explanation could be a higher prevalence of poorly controlled asthma in the UK. Findings from our earlier study found that, in a sample of 766 children with asthma, 45.7% had poorly controlled asthma. Our earlier study also showed that adherence to inhaled corticosteroids was low. Subsequent focus groups identified concerns regarding embarrassment and bullying as barriers to adherence, as well as forgetfulness and incorrect medication beliefs. Following this, a school-based self-management intervention has been developed, aimed to improve asthma control and self-management behaviours. METHODS AND ANALYSIS: The theory-based cluster randomised controlled trial tests an intervention comprising two components: (1) a theatre workshop for all children in years 7 and 8, and (2) self-management workshops for children with asthma. The COM-B model was used to guide the development of the intervention. Questionnaire data will be collected in schools at baseline, immediately post intervention, and 3, 6 and 12 months post intervention. The data collected at 6 months will measure the effect of the intervention against the baseline data. The primary outcome will be asthma control, measured using the Asthma Control Test. All the data will be analysed quantitatively using generalised linear and non-linear mixed effects models. ETHICS AND DISSEMINATION: Ethical approval was obtained by the Queen Mary University of London Ethics Committee on 12 April 2018. Regular meetings will be held with key patient and public stakeholders to plan the key messages from this research. Key messages from the study will also be tweeted via the project twitter account (@SchoolsAsthma). The findings of the study will be submitted for presentation at conferences, as well as written into a manuscript. TRIAL REGISTRATION NUMBER: MGU0400 BMJ Publishing Group 2019-04-23 /pmc/articles/PMC6500249/ /pubmed/31015270 http://dx.doi.org/10.1136/bmjopen-2018-025867 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Respiratory Medicine
Harris, Katherine
Mosler, Gioia
Grigg, Jonathan
Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title_full Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title_fullStr Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title_full_unstemmed Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title_short Theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
title_sort theory-based self-management intervention to improve adolescents’ asthma control: a cluster randomised controlled trial protocol
topic Respiratory Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500249/
https://www.ncbi.nlm.nih.gov/pubmed/31015270
http://dx.doi.org/10.1136/bmjopen-2018-025867
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