{"id":2950,"date":"2018-05-11T13:05:45","date_gmt":"2018-05-11T19:05:45","guid":{"rendered":"https:\/\/www.epicore.ualberta.ca\/home\/\/?p=2950"},"modified":"2020-05-27T11:13:37","modified_gmt":"2020-05-27T17:13:37","slug":"breathe","status":"publish","type":"post","link":"https:\/\/www.epicore.ualberta.ca\/home\/breathe\/","title":{"rendered":"BREATHE A Randomized Trial of a Community Based Asthma Education and Care Program"},"content":{"rendered":"

Primary Objective:<\/strong>
\nTo 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 (Juniper EF)<\/p>\n

Secondary Objective:<\/strong>
\nTo determine the effect of an education and referral intervention program by community on ER visits \/ hospitalizations, inhaled corticosteroid use, courses of oral steroids and FEV1<\/p>\n

Principal Investigator:<\/strong>
\nTsuyuki, RT<\/p>\n

Co-Investigators:<\/strong>
\nCharrois T, Nilsson C, Sin D, Newman S, Senthilselva A.<\/p>\n

Time Line:<\/strong>
\nSeptember 2002 – February 2004<\/p>\n

Status:<\/strong>
\nComplete<\/p>\n

Abstracts:<\/strong>
\nImproving Asthma Symptom Control: Design of the BREATHE Study. Presented: Canadian Association of Population Therapeutics Annual Conference, Quebec City, QC, March 30 – April 1, 2003. Published: Can J Clin Pharmacol 2003; 10(1):42.<\/p>\n

Improving Asthma Symptom Control: Design of the Better Respiratory Education and Asthma Treatment in Hinton (BREATHE) Study<\/p>\n

The role of multi-disciplinary teams in improving asthma care has been identified as an integral part of asthma management. Community pharmacists have access to refill data on reliever medications, therefore may be well-positioned to identify patients with poor control.<\/p>\n

Purpose:<\/strong>
\nTo determine the effect of an education, assessment and referral intervention program initiated by community pharmacists, working with high-risk asthma patients, family physicians and respiratory therapists, on asthma control.<\/p>\n

Design: <\/strong>
\nRandomized, controlled trial involving community pharmacies in Hinton and Edson, Alberta. One-hundred high-risk patients (defined as having an ER visit or hospitalization for asthma within the last 12 months or using >3 canisters of short-acting beta-agonist in the previous 6 months) are randomized to intervention or usual care. Patients in intervention will receive intense education (by both pharmacists and respiratory therapists), medication assessment and referral (to both physicians and respiratory therapists).<\/p>\n

Follow-up will occur at 2 weeks, 1, 2, 4 and 6 months. During follow-up, pharmacists will continue to educate, assess and refer as needed. Patients in usual care will receive written information, respiratory therapist referral and minimal follow-up.<\/p>\n

The primary endpoint will be asthma control (as measured by the Asthma Control Questionnaire). Secondary endpoints include ER visits\/hospitalizations, inhaled corticosteroid use, courses of oral steroids and FEV1.<\/p>\n

Conclusions:<\/strong>
\nBREATHE offers a unique design and management program, involving the whole community, for the multidisciplinary management of asthma.<\/p>\n

Publications:<\/strong><\/p>\n

    \n
  1. \nCharrois T, Newman S, Sin D, Senthilselvan A, Tsuyuki RT. Improving asthma symptom control in rural communities: the design of the Better Respiratory Education and Asthma Treatment in Hinton and Edson study. Control Clin Trials. 2004;25:502\u2013514.<\/a><\/li>\n
  2. \nCharrois T, Newman S, Sin D, Senthilselvan A, Tsuyuki RT. Improving Asthma Control in the Rural Setting: The BREATHE (Better Respiratory Education and Asthma Treatment in Hinton and Edson) Study. Canadian Pharmacist Journal. 2006;139:44-50. <\/a>\n<\/li>\n<\/ol>\n

    Posters:<\/strong>
    \n    Improving Asthma Care in a Rural Setting: The Design of the BREATHE Study.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Primary Objective: 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 (Juniper EF) Secondary Objective: To determine the effect of an education and referral intervention program by community on […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[31],"tags":[],"_links":{"self":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2950"}],"collection":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/comments?post=2950"}],"version-history":[{"count":6,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2950\/revisions"}],"predecessor-version":[{"id":4488,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/posts\/2950\/revisions\/4488"}],"wp:attachment":[{"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/media?parent=2950"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/categories?post=2950"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.epicore.ualberta.ca\/home\/wp-json\/wp\/v2\/tags?post=2950"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}