Practice development plans to improve the primary care management of acute asthma: randomised controlled trial
2007

Improving Primary Care Management of Acute Asthma

Sample size: 23 publication Evidence: moderate

Author Information

Author(s): Juliet M Foster, Gaylor Hoskins, Barbara Smith, Amanda J Lee, David Price, Hilary Pinnock

Primary Institution: University of Aberdeen

Hypothesis

Can a professional development program improve the management of acute asthma in primary care settings?

Conclusion

The study found no significant benefit at the 6-month assessment point, but there was an improvement in the objective assessment of attacks after 12 months.

Supporting Evidence

  • 23 practices participated in the study, with 11 in the early intervention group.
  • Significant improvement in the objective assessment of attacks was observed at 12 months.
  • Practices that withdrew were likely more motivated, which may have skewed results.

Takeaway

The study tried to help doctors manage asthma better, and while it didn't show big changes after 6 months, it did show some improvement after a year.

Methodology

A randomized controlled trial involving 59 general practices in Scotland, with audits conducted at baseline, 6 months, and 12 months.

Potential Biases

Data collection was done by practice staff, which could introduce bias.

Limitations

Five practices withdrew before submitting baseline data, which may have affected the results.

Participant Demographics

Practices included a mix of urban, semi-rural, and rural settings.

Statistical Information

P-Value

p = 0.02

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2296-8-23

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