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首页> 外文期刊>Controlled clinical trials >Improving asthma symptom control in rural communities: the design of the Better Respiratory Education and Asthma Treatment in Hinton and Edson study.
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Improving asthma symptom control in rural communities: the design of the Better Respiratory Education and Asthma Treatment in Hinton and Edson study.

机译：改善农村社区的哮喘症状控制：Hinton和Edson研究中更好的呼吸教育和哮喘治疗的设计。

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METHODS: The prevalence of asthma in adults in the United States is approximately 7%, and 9% of asthma patients will require hospitalization each year. Many patients do not seek care, as they do not recognize overuse of beta-agonists as a risk factor for poorly controlled asthma. However, pharmacists are able to identify these patients through refill information on reliever medication prescriptions and potentially initiate community-management opportunities for these patients. DESIGN: The study is a randomized, controlled trial. Patients are randomized to intervention or usual care. STUDY POPULATION: Patients are high-risk asthma patients (defined as having an ER visit or hospitalization in the previous year, or using >2 canisters of short-acting beta-agonist in the previous 6 months). They are identified through community pharmacies. OBJECTIVES: The primary objective is to determine the effect of an education and referral intervention program initiated by community pharmacists, working with high-risk asthma patients, family physicians and respiratory therapists, on asthma control, as measured by the Asthma Control Questionnaire (ACQ). Secondary objectives include determining the effect of this program on ER visits/hospitalizations, inhaled corticosteroid use, courses of oral steroids and FEV(1). INTERVENTION: The intervention includes patient education, assessment and optimization of drug therapy, and physician referral as needed. Patients are referred to a respiratory therapist within 1 week of randomization for measurement of FEV(1) and reinforcement of education. Patients assigned to usual care receive written asthma information, referral to a respiratory therapist and usual pharmacy and physician care. UNIQUE ASPECTS: The design of the Better Respiratory Education and Asthma Treatment in Hinton and Edson (BREATHE) study is unique, given the multidisciplinary involvement, rural and community based, pharmacist initiated and targets specifically high risk patients. We believe that this study will show that management of asthma patients, involving the major role-players in their asthma care, will improve their asthma control.
机译：方法：在美国成年人中，哮喘的患病率约为7％，每年有9％的哮喘患者需要住院治疗。许多患者不寻求护理，因为他们不认识到过度使用β-激动剂是哮喘控制不佳的危险因素。但是，药剂师能够通过补充药物处方的补充信息来识别这些患者，并有可能为这些患者提供社区管理机会。设计：该研究是一项随机对照试验。患者被随机分入干预或常规护理。研究人群：患者为高危哮喘患者（定义为前一年进行过ER访视或住院，或在过去6个月中使用了超过2个短效β-激动剂药罐）。他们是通过社区药店鉴定的。目标：主要目标是确定由社区药师与高危哮喘患者，家庭医生和呼吸治疗师一起开展的教育和转诊干预计划对哮喘控制的影响，这是由哮喘控制问卷（ACQ）衡量的。次要目标包括确定该计划对急诊就诊/住院，吸入糖皮质激素的使用，口服类固醇的疗程和FEV（1）的影响。干预措施：干预措施包括患者教育，药物治疗的评估和优化，以及根据需要推荐医生。在随机分配的1周内将患者转介给呼吸治疗师以测量FEV（1）和加强教育。分配给常规护理的患者会收到书面哮喘信息，转介给呼吸治疗师以及常规药房和医师护理。独特的方面：欣顿和埃德森（BREATHE）研究中的更好的呼吸教育和哮喘治疗的设计是独特的，考虑到涉及农村和社区的多学科参与，由药剂师发起并且专门针对高危患者。我们相信，这项研究将表明，哮喘患者的治疗（涉及其哮喘护理中的主要角色）将改善他们的哮喘控制。

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