Study and Development of Application Models of "Therapeutic Education to the Patient" (TEP) in Asthmatic Children (TEP)

December 16, 2020 updated by: Stefania La Grutta, MD

It is an interventional prospective study. The study will assess the intervention of the "Therapeutic Education to the Patient (TEP)" on the quality of life in asthmatic children.

The patients will be enrolled from the 1st of May 2016 to the 31st of December 2016 in the outpatient clinic of Pediatric Allergology & Pulmonology (PAP) of Respiratory Disease Research Center (RDRC) within the Institute of Biomedicine and Molecular Immunology (IBIM) of the National Research Council (CNR) of Palermo (RDRC-IBIM CNR), Italy.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

It is an interventional prospective study. The study will assess the intervention of the "Therapeutic Education to the Patient (TEP)" on the quality of life in asthmatic children.

The patients will be enrolled from the 1st of May 2016 to the 31st of December 2016 in the outpatient clinic of Pediatric Allergology & Pulmonology (PAP) of Respiratory Disease Research Center (RDRC) within the Institute of Biomedicine and Molecular Immunology (IBIM) of the National Research Council (CNR) of Palermo (RDRC-IBIM CNR), Italy.

25 Case Patients will follow the Therapeutic Education to the Patient (TEP) and 25 Control Patients will follow the usual care program.

The following procedures will be performed:

  • Pediatric Asthma Quality of Life Questionnaire (PAQLQ);
  • Children Asthma Control Test (C-ACT);
  • Pediatric Caregiver Asthma Quality of Life Questionnaire (PCAQLQ);
  • Familiar Empowerment Scale (FES);
  • Functional respiratory tests: forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% (FEF 25-75), forced vital capacity (FVC) and Peak expiratory flow (PEF); in addition, FEV1 and PEF will be daily recorded through the SmartOne device (Medical International Research s.r.l.), a portable flow peak meter for smartphones;
  • Evaluation of the presence of Cotinine and Nicotine from Hair and Urine analysis respectively;
  • Evaluation of levels of exposure to polycyclic aromatic hydrocarbons (PAH) through urine analysis.

Data collection about asthma control, quality of life and spirometry will be managed through DragONE, a downloadable APP for smartphones.

Study Type

Interventional

Enrollment (Actual)

50

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Italy
    • Sicily
      • Palermo, Sicily, Italy, 90146
        • Institute of Biomedicine and Molecular Immunology (IBIM), National Research Council

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

6 years to 11 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Diagnosis of asthma

Exclusion Criteria:

  • Acute respiratory infection signs
  • Immunologic and metabolic systemic disease
  • Major malformation of upper respiratory tract
  • Active smokers patients

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: TEP-CASES

25 Case Patients will follow the Therapeutic Education to the Patient (TEP).

In addition the following procedures will be performed:

  • Pediatric Asthma Quality of Life Questionnaire (PAQLQ);
  • Children Asthma Control Test (C-ACT);
  • Pediatric Caregiver Asthma Quality of Life Questionnaire (PCAQLQ);
  • Functional respiratory tests: forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% (FEF 25-75), forced vital capacity (FVC) and Peak expiratory flow (PEF)
Other: Therapeutic Education to the Patient (TEP)
  • Educational Diagnosis, asking what patient has, what he knows, what he is doing, what he would like to do.
  • Therapeutic Contract, to define objectives to reach at the end of educational path, integrating new knowledges and replacing wrong cognitive-behavior models with new schemes.
  • Educational Therapeutic Intervention, with individual or group methodologies (Role Playing, Brain Storming) and a disease diary in which patients could describe symptoms, therapies, behaviors and benefits.
  • Assessing of the knowledges acquired by patients.
Other Names:
  • TEP
No Intervention: TEP-CONTROLS

25 Control Patients will follow the usual care program:

  • The Pediatric Asthma Quality of Life Questionnaire (PAQLQ);
  • The Children Asthma Control Test (C-ACT);
  • the Pediatric Caregiver Asthma Quality of Life Questionnaire (PCAQLQ);
  • Functional respiratory tests: forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% (FEF 25-75), forced vital capacity (FVC) and Peak expiratory flow (PEF)

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Impact of a Short Early Therapeutic Education Program on Quality of life of asthmatic children
Time Frame: 2 YEARS

The main objective is to measure the impact of the program on the QOL of asthmatic primary-school aged children seen for the first time in consultation with a pediatric pulmonologist.

QOL of the children, will be assessed by Pediatric Asthma Quality of Life Questionnaire, PAQLQ.
2 YEARS

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Impact of a Short Early Therapeutic Education Program on QOL of Parents of asthmatic children
Time Frame: 2 YEARS

The secondary objective is to assess the effects of the program on the QOL of parents.

QOL of the accompanying parent will be assessed by the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLQ)
2 YEARS
Impact of a Short Early Therapeutic Education Program on Asthma Management of asthmatic children
Time Frame: 2 YEARS

The secondary objective is to assess the effects of the program on asthma management.

Asthma management will be assessed by Childhood Asthma Control Test (C-ACT)
2 YEARS
Impact of a Short Early Therapeutic Education Program on Functional respiratory test of asthmatic children
Time Frame: 2 YEARS

The secondary objective is to assess the effects of the program on parameters of functional respiratory tests.(FRT).

FRT will be assessed by forced expiratory volume in one second (FEV1), forced expiratory flow between 25% and 75% (FEF 25-75), the forced vital capacity (FVC) and Peak expiratory flow (PEF).
2 YEARS
Presence of Cotinine and Nicotine from Hair and Urine analysis respectively
Time Frame: 2 YEARS
2 YEARS
Levels of exposure to polycyclic aromatic hydrocarbons (PAH) through urine analysis
Time Frame: 2 YEARS
2 YEARS

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Stefania La Grutta, MD

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2017

Primary Completion (Actual)

August 31, 2017

Study Completion (Actual)

August 31, 2017

Study Registration Dates

First Submitted

October 30, 2015

First Submitted That Met QC Criteria

December 18, 2015

First Posted (Estimate)

December 22, 2015

Study Record Updates

Last Update Posted (Actual)

December 19, 2020

Last Update Submitted That Met QC Criteria

December 16, 2020

Last Verified

December 1, 2020

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 8/2014-

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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