Study protocol of a prospective, interventional non-randomised trial investigating the impact of asthma education on specific disease understanding, health literacy and therapy outcome in childhood Article Swipe
Jan Bardelle
,
Hanna Abady
,
Michael Paulussen
,
Peter Lampen-Eberle
,
Hermann Kalhoff
,
A. Pizzulli
,
Kirn Parasher
,
Patrick Brzoska
,
Malik Aydin
,
Claudia Kiessling
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2023-083180
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/bmjopen-2023-083180
Introduction Childhood asthma is a highly prevalent chronic disease. A failure to implement patient education programmes may result in increased morbidity, despite the availability of distinct diagnostic and therapeutic approaches. Patients with lower socioeconomic status (SES) tend to have a higher asthma prevalence. Moreover, the progression of asthma is significantly influenced by factors such as health literacy and the children’s specific knowledge about the condition. With this trial, the primary objective is to evaluate whether asthma education enhances specific disease understanding in children with asthma (primary outcome). Secondary objectives include evaluating training effects on health literacy, retention rates of information, ‘Children Asthma Control Test’ (C-ACT) score, frequency of emergency room and physician visits (secondary outcomes) and whether SES influences training effects. Methods and analysis To address the research objectives, this study comprises two projects. The first subproject will investigate the influence of asthma training on the development of disease understanding and health literacy. The second subproject will analyse the influence of SES on the outcome of children participating in asthma training. This research is designed as a comparative, non-randomised study involving two paediatric groups between the ages of ≥7 and < 14 years. After being diagnosed with asthma, the intervention group undergoes standardised psychoeducational asthma training at a certified centre associated with paediatricians in private practice in Germany, following the recommendations of the ‘Arbeitsgruppe Asthmaschulung im Kindes- und Jugendalter e.V.’, a national association aiming to establish uniform and guideline-based standards for patient education in children and adolescents. The comparison group receives a significantly shorter period of education and instruction on the usage of asthma medication at outpatient clinics. Data will be collected from patients and their parents at three specific survey time points, based on standardised tools. To describe mean differences between the intervention and control group over time (subproject 1), a repeated-measures analysis of variance (ANOVA) will be conducted. In subproject 2, multivariate linear regression analysis will be used to analyse the variables determining the changes in specific disease understanding and health literacy, including SES. The sample size calculation is based on a mixed ANOVA model with two groups and two measurements resulting in a total of 126 participants. Ethics and dissemination All protocols and a positive ethics approval were obtained from the Witten/Herdecke University, Germany (S-159, 2023; application submission: 24 June 2023, final vote: 10 July 2023). Furthermore, the study was registered at the German Clinical Trials Register (DRKS), DRKS00032423. The application submission was on 3 August 2023, and the final approval was on 4 August 2023. The results will be disseminated among experts and participants and will be published in peer-reviewed, international journal with open access. Trial registration number DRKS00032423.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmjopen-2023-083180
- https://bmjopen.bmj.com/content/bmjopen/14/5/e083180.full.pdf
- OA Status
- gold
- References
- 12
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4396939705
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4396939705Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/bmjopen-2023-083180Digital Object Identifier
- Title
-
Study protocol of a prospective, interventional non-randomised trial investigating the impact of asthma education on specific disease understanding, health literacy and therapy outcome in childhoodWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-01Full publication date if available
- Authors
-
Jan Bardelle, Hanna Abady, Michael Paulussen, Peter Lampen-Eberle, Hermann Kalhoff, A. Pizzulli, Kirn Parasher, Patrick Brzoska, Malik Aydin, Claudia KiesslingList of authors in order
- Landing page
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https://doi.org/10.1136/bmjopen-2023-083180Publisher landing page
- PDF URL
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https://bmjopen.bmj.com/content/bmjopen/14/5/e083180.full.pdfDirect link to full text PDF
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
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https://bmjopen.bmj.com/content/bmjopen/14/5/e083180.full.pdfDirect OA link when available
- Concepts
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Medicine, Asthma, Guideline, Health literacy, Family medicine, Socioeconomic status, Disease, Randomized controlled trial, Pediatrics, Physical therapy, Health care, Population, Environmental health, Internal medicine, Economics, Pathology, Economic growthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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12Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.about | 62 |
| abstract_inverted_index.among | 424 |
| abstract_inverted_index.based | 283, 341 |
| abstract_inverted_index.being | 194 |
| abstract_inverted_index.final | 384, 412 |
| abstract_inverted_index.first | 135 |
| abstract_inverted_index.group | 200, 249, 296 |
| abstract_inverted_index.lower | 32 |
| abstract_inverted_index.mixed | 344 |
| abstract_inverted_index.model | 346 |
| abstract_inverted_index.rates | 97 |
| abstract_inverted_index.study | 130, 179, 391 |
| abstract_inverted_index.their | 275 |
| abstract_inverted_index.three | 278 |
| abstract_inverted_index.total | 356 |
| abstract_inverted_index.usage | 261 |
| abstract_inverted_index.vote: | 385 |
| abstract_inverted_index.2023). | 388 |
| abstract_inverted_index.Asthma | 101 |
| abstract_inverted_index.August | 408, 417 |
| abstract_inverted_index.Ethics | 360 |
| abstract_inverted_index.German | 396 |
| abstract_inverted_index.Trials | 398 |
| abstract_inverted_index.aiming | 233 |
| abstract_inverted_index.asthma | 2, 41, 47, 75, 84, 142, 169, 204, 263 |
| abstract_inverted_index.centre | 209 |
| abstract_inverted_index.ethics | 368 |
| abstract_inverted_index.groups | 183, 349 |
| abstract_inverted_index.health | 55, 94, 151, 332 |
| abstract_inverted_index.higher | 40 |
| abstract_inverted_index.highly | 5 |
| abstract_inverted_index.linear | 314 |
| abstract_inverted_index.number | 441 |
| abstract_inverted_index.period | 254 |
| abstract_inverted_index.result | 17 |
| abstract_inverted_index.sample | 337 |
| abstract_inverted_index.score, | 105 |
| abstract_inverted_index.second | 154 |
| abstract_inverted_index.status | 34 |
| abstract_inverted_index.survey | 280 |
| abstract_inverted_index.tools. | 286 |
| abstract_inverted_index.trial, | 67 |
| abstract_inverted_index.visits | 112 |
| abstract_inverted_index.years. | 192 |
| abstract_inverted_index.(ANOVA) | 306 |
| abstract_inverted_index.(C-ACT) | 104 |
| abstract_inverted_index.(DRKS), | 400 |
| abstract_inverted_index.(S-159, | 377 |
| abstract_inverted_index.Control | 102 |
| abstract_inverted_index.Germany | 376 |
| abstract_inverted_index.Kindes- | 226 |
| abstract_inverted_index.Methods | 121 |
| abstract_inverted_index.Test’ | 103 |
| abstract_inverted_index.access. | 438 |
| abstract_inverted_index.address | 125 |
| abstract_inverted_index.analyse | 157, 321 |
| abstract_inverted_index.asthma, | 197 |
| abstract_inverted_index.between | 184, 291 |
| abstract_inverted_index.changes | 326 |
| abstract_inverted_index.chronic | 7 |
| abstract_inverted_index.control | 295 |
| abstract_inverted_index.despite | 21 |
| abstract_inverted_index.disease | 79, 148, 329 |
| abstract_inverted_index.effects | 92 |
| abstract_inverted_index.experts | 425 |
| abstract_inverted_index.factors | 52 |
| abstract_inverted_index.failure | 10 |
| abstract_inverted_index.include | 89 |
| abstract_inverted_index.journal | 435 |
| abstract_inverted_index.outcome | 164 |
| abstract_inverted_index.parents | 276 |
| abstract_inverted_index.patient | 13, 241 |
| abstract_inverted_index.points, | 282 |
| abstract_inverted_index.primary | 69 |
| abstract_inverted_index.private | 214 |
| abstract_inverted_index.results | 420 |
| abstract_inverted_index.shorter | 253 |
| abstract_inverted_index.uniform | 236 |
| abstract_inverted_index.whether | 74, 116 |
| abstract_inverted_index.(primary | 85 |
| abstract_inverted_index.Clinical | 397 |
| abstract_inverted_index.Germany, | 217 |
| abstract_inverted_index.Patients | 30 |
| abstract_inverted_index.Register | 399 |
| abstract_inverted_index.analysis | 123, 303, 316 |
| abstract_inverted_index.approval | 369, 413 |
| abstract_inverted_index.children | 82, 166, 244 |
| abstract_inverted_index.clinics. | 267 |
| abstract_inverted_index.describe | 288 |
| abstract_inverted_index.designed | 174 |
| abstract_inverted_index.disease. | 8 |
| abstract_inverted_index.distinct | 25 |
| abstract_inverted_index.e.V.’, | 229 |
| abstract_inverted_index.effects. | 120 |
| abstract_inverted_index.enhances | 77 |
| abstract_inverted_index.evaluate | 73 |
| abstract_inverted_index.literacy | 56 |
| abstract_inverted_index.national | 231 |
| abstract_inverted_index.obtained | 371 |
| abstract_inverted_index.patients | 273 |
| abstract_inverted_index.positive | 367 |
| abstract_inverted_index.practice | 215 |
| abstract_inverted_index.receives | 250 |
| abstract_inverted_index.research | 127, 172 |
| abstract_inverted_index.specific | 60, 78, 279, 328 |
| abstract_inverted_index.training | 91, 119, 143, 205 |
| abstract_inverted_index.variance | 305 |
| abstract_inverted_index.Childhood | 1 |
| abstract_inverted_index.Moreover, | 43 |
| abstract_inverted_index.Secondary | 87 |
| abstract_inverted_index.certified | 208 |
| abstract_inverted_index.collected | 271 |
| abstract_inverted_index.comprises | 131 |
| abstract_inverted_index.diagnosed | 195 |
| abstract_inverted_index.education | 14, 76, 242, 256 |
| abstract_inverted_index.emergency | 108 |
| abstract_inverted_index.establish | 235 |
| abstract_inverted_index.following | 218 |
| abstract_inverted_index.frequency | 106 |
| abstract_inverted_index.implement | 12 |
| abstract_inverted_index.including | 334 |
| abstract_inverted_index.increased | 19 |
| abstract_inverted_index.influence | 140, 159 |
| abstract_inverted_index.involving | 180 |
| abstract_inverted_index.knowledge | 61 |
| abstract_inverted_index.literacy, | 95, 333 |
| abstract_inverted_index.literacy. | 152 |
| abstract_inverted_index.objective | 70 |
| abstract_inverted_index.outcome). | 86 |
| abstract_inverted_index.outcomes) | 114 |
| abstract_inverted_index.physician | 111 |
| abstract_inverted_index.prevalent | 6 |
| abstract_inverted_index.projects. | 133 |
| abstract_inverted_index.protocols | 364 |
| abstract_inverted_index.published | 431 |
| abstract_inverted_index.resulting | 353 |
| abstract_inverted_index.retention | 96 |
| abstract_inverted_index.standards | 239 |
| abstract_inverted_index.training. | 170 |
| abstract_inverted_index.undergoes | 201 |
| abstract_inverted_index.variables | 323 |
| abstract_inverted_index.(secondary | 113 |
| abstract_inverted_index.associated | 210 |
| abstract_inverted_index.comparison | 248 |
| abstract_inverted_index.condition. | 64 |
| abstract_inverted_index.conducted. | 309 |
| abstract_inverted_index.diagnostic | 26 |
| abstract_inverted_index.evaluating | 90 |
| abstract_inverted_index.influenced | 50 |
| abstract_inverted_index.influences | 118 |
| abstract_inverted_index.medication | 264 |
| abstract_inverted_index.morbidity, | 20 |
| abstract_inverted_index.objectives | 88 |
| abstract_inverted_index.outpatient | 266 |
| abstract_inverted_index.paediatric | 182 |
| abstract_inverted_index.programmes | 15 |
| abstract_inverted_index.registered | 393 |
| abstract_inverted_index.regression | 315 |
| abstract_inverted_index.submission | 404 |
| abstract_inverted_index.subproject | 136, 155, 311 |
| abstract_inverted_index.(subproject | 299 |
| abstract_inverted_index.Jugendalter | 228 |
| abstract_inverted_index.University, | 375 |
| abstract_inverted_index.application | 379, 403 |
| abstract_inverted_index.approaches. | 29 |
| abstract_inverted_index.association | 232 |
| abstract_inverted_index.calculation | 339 |
| abstract_inverted_index.determining | 324 |
| abstract_inverted_index.development | 146 |
| abstract_inverted_index.differences | 290 |
| abstract_inverted_index.instruction | 258 |
| abstract_inverted_index.investigate | 138 |
| abstract_inverted_index.objectives, | 128 |
| abstract_inverted_index.prevalence. | 42 |
| abstract_inverted_index.progression | 45 |
| abstract_inverted_index.submission: | 380 |
| abstract_inverted_index.therapeutic | 28 |
| abstract_inverted_index.‘Children | 100 |
| abstract_inverted_index.Furthermore, | 389 |
| abstract_inverted_index.Introduction | 0 |
| abstract_inverted_index.adolescents. | 246 |
| abstract_inverted_index.availability | 23 |
| abstract_inverted_index.children’s | 59 |
| abstract_inverted_index.comparative, | 177 |
| abstract_inverted_index.disseminated | 423 |
| abstract_inverted_index.information, | 99 |
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| abstract_inverted_index.measurements | 352 |
| abstract_inverted_index.multivariate | 313 |
| abstract_inverted_index.participants | 427 |
| abstract_inverted_index.registration | 440 |
| abstract_inverted_index.standardised | 202, 285 |
| abstract_inverted_index.DRKS00032423. | 401, 442 |
| abstract_inverted_index.dissemination | 362 |
| abstract_inverted_index.international | 434 |
| abstract_inverted_index.participants. | 359 |
| abstract_inverted_index.participating | 167 |
| abstract_inverted_index.significantly | 49, 252 |
| abstract_inverted_index.socioeconomic | 33 |
| abstract_inverted_index.understanding | 80, 149, 330 |
| abstract_inverted_index.Asthmaschulung | 224 |
| abstract_inverted_index.non-randomised | 178 |
| abstract_inverted_index.paediatricians | 212 |
| abstract_inverted_index.peer-reviewed, | 433 |
| abstract_inverted_index.Witten/Herdecke | 374 |
| abstract_inverted_index.guideline-based | 238 |
| abstract_inverted_index.recommendations | 220 |
| abstract_inverted_index.‘Arbeitsgruppe | 223 |
| abstract_inverted_index.psychoeducational | 203 |
| abstract_inverted_index.repeated-measures | 302 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5072349701 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I155976169 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/4 |
| sustainable_development_goals[0].score | 0.8999999761581421 |
| sustainable_development_goals[0].display_name | Quality Education |
| citation_normalized_percentile.value | 0.11600408 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |