Optimizing asthma care for children using eHealth interventions

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to enhance pediatric asthma management by implementing a cohort multiple randomized controlled trial (cmRCT) design to evaluate various eHealth interventions. It focuses on children aged 4-18 diagnosed with asthma, assessing both clinical outcomes and quality of life through regular questionnaires and observational data collection. The study compares the effectiveness of eHealth care pathways against traditional outpatient care, while also developing patient risk profiles based on personal and clinical markers. The goal is to provide real-time insights into asthma symptoms and improve overall care quality.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Is 4 to 18 years old
* Is patient at the children's department at Medisch Spectrum Twente at moment of inclusion
* Is diagnosed with asthma by a pediatrician following the Global Initiative for Asthma(GINA) guidelines 2022 \[8\]:

  \*Medical history fitting asthma diagnosis:
* Based on (typical) symptoms: (nighttime) wheezing, dyspnea, coughing (triggered by either viral infections, exercise, allergens or weather changes)
* (Possibly) supplemented with a family history/atopy

AND

\*Spirometry variable expiratory airflow limitation by at least one of these criteria:

* FEV1/FVC reduced compared to lower limit of normal(Z-score ≤ -1.64)
* Positive bronchodilator responsiveness(increase FEV1\>12%)
* Positive Exercise Challenge Test (ECT)(decrease FEV1≥ 13%)
* Excessive variation in lung function (LF) between tests from different dates (variation FEV1\>12% pred)

Exclusion Criteria:

* The child and/or parent(s) has/have insufficient command of the Dutch language resulting in the insufficient ability to understand and/or answer questions

Where it's running

• Medisch Spectrum Twente
  Enschede, Overijssel, Netherlands Recruiting

Study contacts

• Study coordinator: CIRCUSstudy
• Email: circusstudie@mst.nl
• Phone: +31 53 487 23 10

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.