Use of home visits in pediatric severe asthma: randomized controlled trial
Open Access
- 1 January 2020
- journal article
- research article
- Published by FapUNIFESP (SciELO) in Revista da Escola de Enfermagem da USP
- Vol. 54, e003538
- https://doi.org/10.1590/S1980-220X2018039603538
Abstract
Objective: To evaluate the effectiveness of home visits in a group of children and adolescents with severe asthma by using the inhalation technique score and adherence rates to drug treatment. Method: A 12-month randomized controlled trial involving patients aged between three and 17 years under regular follow-up treatment at a pediatric pulmonology outpatient clinic of a university hospital in southeastern Brazil. A group of patients received only outpatient consultations and the other group received home visits from nurses in addition to outpatient consultations. The differences between groups were analyzed through the outcomes of inhalation technique scores and treatment adherence rate. Results: Participation of 29 patients. In the intervention group, there was a statistically significant increase in inhalation technique scores (p<0.05) and elimination of critical errors between the first and the second evaluation, and results were maintained in the third evaluation. In the control group, there were no significant changes in inhalation technique scores. Rates of adherence to drug treatment in both groups did not rise. Conclusion: Home visits were effective for improving inhalation technique scores in patients with severe asthma.Keywords
This publication has 19 references indexed in Scilit:
- Asthma medication delivery: Mists and mythsPaediatric Respiratory Reviews, 2013
- Inhaler competence in asthma: Common errors, barriers to use and recommended solutionsRespiratory Medicine, 2012
- The importance of nurse-led home visits in the assessment of children with problematic asthmaArchives of Disease in Childhood, 2009
- Adherence rate to inhaled corticosteroids and their impact on asthma controlAllergy, 2009
- Development and cross-sectional validation of the Childhood Asthma Control TestJournal of Allergy and Clinical Immunology, 2007
- Assessment of inhalation technique and determinants of incorrect performance among children with asthmaPediatric Pulmonology, 2006
- An Evaluation of Children's Metered-dose Inhaler Technique for Asthma MedicationsNursing Clinics of North America, 2005
- Development of the asthma control test☆A survey for assessing asthma controlJournal of Allergy and Clinical Immunology, 2004
- Determinants of correct inhalation technique in children attending a hospital‐based asthma clinicActa Paediatrica, 2002
- The Effect of Telepharmacy Counseling on Metered-Dose Inhaler Technique among Adolescents with Asthma in Rural ArkansasTelemedicine and e-Health, 2001