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Virtual care for paediatric asthma: A randomized controlled trial
Merve Gümüş1, Figen Yardimci1, Handan Duman Şenol2
1Pediatric Nursing Department, Ege University Faculty of Nursing, Bornova, Izmir, Turkey.
Insights
Virtual care significantly improved asthma management in children, leading to better control and quality of life compared to standard care. This approach offers a viable alternative to traditional face-to-face specialty visits.
Area of Science:
- Pediatric Pulmonology
- Digital Health
- Asthma Management
Background:
- Asthma is a common chronic respiratory disease in children.
- Effective asthma management is crucial for improving clinical outcomes and quality of life.
- Traditional face-to-face specialty care has limitations in accessibility and continuity.
Purpose of the Study:
- To evaluate the efficacy of virtual care in improving clinical outcomes for pediatric asthma patients.
- To compare the effectiveness of virtual care with standard face-to-face specialty care.
Main Methods:
- A randomized controlled trial involving 97 children with asthma.
- Participants were assigned to either a virtual care group (n=47) or a control group (n=50).
- Virtual care included online training modules and remote support; the control group received standard care.
Main Results:
- The virtual care group showed significantly better Asthma Control Test scores in children aged 7-11 years.
- Improvements were observed in peak expiratory flow, reduced rescue medication use, and more symptom-free days.
- Virtual care also led to fewer unscheduled hospital visits and enhanced quality of life.
Conclusions:
- Virtual care is an effective strategy for improving asthma disease management in children.
- This approach enhances the quality of life for pediatric asthma patients.
- Virtual care presents a promising alternative to traditional specialty care for childhood asthma.
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.
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