Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: United Kingdom (cont’d)
ELECTRA: Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma
Centre for General Practice & Primary Care - University of London
E1 4NS United Kingdom
Chris Griffiths, PhD
The study "ELECTRA: Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomized controlled trial for high risk asthma" was implemented from 1998-2000. The objective of the study was to determine whether asthma specialist nurses, using a liaison model of care, reduce unscheduled care in a deprived multiethnic area.
The study was implemented in 44 general practices within two boroughs in east London. The study population consisted of 324 people aged 4-60 years who were admitted to or were attending the hospital or the general practitioner out-of-hours service with acute asthma. Intervention practices received patient review in a nurse-led clinic and liaison with general practitioners and practice nurses to provide educational outreach, promotion of guidelines for high risk asthma, and ongoing clinical support. Control practices received a visit promoting standard asthma guidelines, and control patients were checked for proper inhaler technique.
Evaluation results show that the Intervention delayed time to first attendance with acute asthma and reduced the percentage of participants attending with acute asthma.
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