Improving the management of acute asthma in children through an integrated care pathway: an implementation study protocol.
Marta Montejo, Natalia Paniagua, Alvaro Sanchez...
https://pubmed.ncbi.nlm.nih.gov/40904739Actively Recruiting
Phase Not Applicable
All Genders
ID06437444
Asthma Crisis in Paediatrics: Impact of a Care Pathway in Primary and Hospital Care
Led by Basque Health Service · Updated on 2025-09-19
249
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
B
Basque Health Service
Lead Sponsor
H
Health Department of the Basque Government
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the impact of a new Asthma Integrated Care Pathway within the Basque Healthcare Service to improve care for children experiencing asthma attacks. This pathway aims to reduce variability in care among professionals and settings by following a structured, multidisciplinary plan based on evidence. The study includes children aged 2 to 14 years who have had mild to moderate asthma attacks and assesses key quality indicators along with the experiences of families and healthcare providers. The study has two phases: a quantitative phase assessing implementation outcomes through a pretest-posttest quasi-experimental design comparing care pathway adoption at two integrated healthcare organizations against controls. The primary outcome is the percentage of bronchodilator treatments given with a spacer chamber. Secondary measures include documentation of pulmonary scores, assessment of persistent asthma symptoms, and initiation of background treatment. The second phase involves qualitative evaluation using discussion groups of paediatricians to identify barriers and facilitators related to the care pathway implementation. Participants include primary care and hospital paediatricians and nurses involved in asthma care at the selected healthcare organizations. The study tracks bronchodilator treatment rates and other quality indicators over 12, 24, and 36 months. Data collection involves electronic health records, monthly feedback reports, and interactive training sessions. The study also gathers insights from healthcare professionals through structured discussions to guide future pathway improvements and broader implementation.
CONDITIONS
Brief Title
Asthma Crisis in Paediatrics: Impact of a Care Pathway in Primary and Hospital Care
Who Can Participate
All Genders
Eligibility Criteria
You may qualify if you...
- Primary care paediatricians and nurses
- Paediatricians and nurses in the Paediatric Emergency Department
- Paediatricians and nurses on the inpatient ward
- Paediatric Intensive Care paediatricians and nurses
- Paediatric Pneumology paediatricians and nurses
- Children between 2 and 14 years with an acute asthma episode attended between May 7, 2023 and May 7, 2025
- Acute asthma episode defined by wheezing with previous asthma diagnosis or wheezing episode
- First episode in child over 2 years with personal/family atopy history and positive bronchodilator response assessed by Pulmonary Score
You will not qualify if you...
History of severe allergic reactions to study medication Currently pregnant or breastfeeding Recent participation in another clinical trial within the last 30 days Presence of uncontrolled medical conditions that could affect safety
AI-Screening
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1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Outpatient Treatment
Duration - Up to 24 months
Participants receive the implementation strategy to encourage adoption of the Asthma Care Pathway, including training, feedback, and communication tools, aimed at improving asthma crisis management in primary and hospital care.
Monthly visits for up to 24 months
Follow-up
Duration - Up to 12 months after treatment
Participants are monitored for health outcomes related to asthma management following the treatment period.
Periodic visits over 12 months
Trial Site Locations
Total: 1 location
1
Primary Care Research Unit of Bizkaia
Barakaldo, Bizkaia, Spain, 48903
Actively Recruiting
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Research Team
A
Alvaro Sanchez Perez
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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