Virtual care for paediatric asthma: A randomized controlled trial

Int J Nurs Pract. 2024 Aug 6:e13290. doi: 10.1111/ijn.13290. Online ahead of print.

ABSTRACT

AIMS: This work aims to investigate whether virtual care can improve clinical outcomes for children with asthma, similar to face-to-face specialty care.

DESIGN: The study used a randomized controlled trial design, with participants allocated to either a virtual care group (n = 47) or a control group (n = 50) using simple randomization.

METHODS: The study was conducted from March to August 2021, and a sample of 97 children with asthma was recruited. Children in the virtual care group received online training in four modules within the first month and support through virtual meetings and phone or video calls, while the control group received standard care. The primary outcome of the study was the Asthma Control Test and Child Asthma Control Test.

RESULTS: The virtual care group had significantly better outcomes than the control group in terms of C-ACT scores for children aged 7-11 years, fewer days under 80% of the optimum level of peak expiratory flow, lower peak expiratory flow variability, fewer rescue medication uses, and more symptom-free days. The virtual care group also had a lower number of unscheduled hospital visits and a greater improvement in quality of life compared with the control group.

CONCLUSION: This study demonstrated that virtual care can improve disease management and quality of life for children with asthma.

PMID:39107823 | DOI:10.1111/ijn.13290