An interventional study of Letter in General Practice (GP), Primary Care Settings, sponsored by University of Sheffield. Completed at 1 site in United Kingdom. Open to participants aged 4 Years to 16 Years. Per ClinicalTrials.gov, last updated 2023-05-18.
Sponsored by University of Sheffield · Not applicable, Interventional, and Prevention
In England and Wales, unscheduled care for school-aged children with asthma significantly increases after their return to school in September, a trend linked with decreased asthma preventer prescriptions during the summer holidays. The PLEASANT study found that a reminder letter from GPs to parents of children with asthma led to a 30% increase in prescription uptake during August and reduced unscheduled medical visits from September to December.
The TRAINS trial will now assess if informing GPs of PLEASANT findings would lead to its implementation. This pragmatic cluster randomised implementation trial will use routine data from Clinical Practice Research Datalink (CPRD).
University of Sheffield is the lead sponsor of 74 studies on the registry; 16 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
Inclusion criteria of practices Practices inclusion criteria
1- General practices who are currently contributing part of the CPRD in England.
Inclusion criteria for the data extraction from CPRD:
1- School-aged children with asthma aged between 4 to 16 years old as of 1st September 2021 with a coded diagnosis of asthma who have been prescribed asthma medication in the last 12 months.
Exclusion Criteria:
Practice exclusion criteria:
Exclusion criteria of children with asthma:
GP practices randomised to the intervention will receive a mail and email about the result of the PLEASANT study and advising them to implement the study findings.
Behavioral: Letter
GP practices randomised to control will not receive either mail or email and they will continue with usual care.
Selected GP practices currently registered with CPRD will receive correspondence by both email and mail informing them about the result of the PLEASANT study and advising them how to implement what has been learnt. Included in the mailing would be a suggested letter and SMS text.
The proportion of children with asthma who have a prescription for an asthma preventer medication from 1st August 2021 to 30th September 2021.
prescription uptake of asthma preventer medication for children with asthma.
Time frame: 8 weeks
The number of asthma preventer medication prescriptions per School-aged child with asthma patient from 1st August 2021 to 30th September 2021.
preventer medication prescriptions per School-aged child with asthma patient.
Time frame: 8 weeks
The number of prescription uptake of asthma preventer medication per patient in the month of August 2021.
prescription uptake of asthma preventer medication per patient.
Time frame: 4 weeks
The number of prescription uptake of asthma preventer medication per patient in the month of September 2021
prescription uptake of asthma preventer medication per patient.
Time frame: 4 weeks
The proportion of children who have a prescription for asthma preventer medication per patient in the month of August 2021.
The proportion of children who have a prescription for asthma preventer medication per patient
Time frame: 4 weeks
The proportion of children who have a prescription for asthma preventer medication per patient in the month of September 2021.
children who have a prescription for asthma preventer medication per patient
Time frame: 4 weeks
The number of prescription uptake of asthma preventer medication in the 6 months following the intervention 1st July 2021.
The number of prescription uptake of asthma preventer medication
Time frame: 6 months
The proportion of patients with unscheduled medical contact from 1st September 2021 to 30th December 2021 and the individual months of 1st September 2021 to 31st December 2021.
The proportion of patients with unscheduled medical contact
Time frame: 4 months
The number of unscheduled medical contact per patient from 1st September 2021 to 31th December 2021 and the individual months from 1st September 2021 to 31st December 2021.
The number of unscheduled medical contact per patient
Time frame: 4 months and each one of them
The proportion of patients who have a medical contact (either unscheduled and scheduled) from 1st September 2021 to 30th December 2021 and the individual months from 1st September 2021 to 31st December 2021.
The proportion of patients who have a medical contact (either unscheduled and scheduled)
Time frame: 4 months and each one of them
The total number of medical contact (either unscheduled and scheduled) per patient in the period 1st September 2021 to 30th December 2021 and the individual months of 1st September 2021 to 31st December 2021.
The total number of medical contact (either unscheduled and scheduled) per patient
Time frame: 4 months and each one of them
The proportion of patients who have an unscheduled medical contact in the period 1st September 2021 to 30th December 2021 and the individual months of 1st September 2021 to 30th December 2021 associated with a respiratory diagnosis.
The proportion of patients who have an unscheduled medical contact associated with a respiratory diagnosis.
Time frame: 4 months and each one of them
The number of unscheduled medical contacts per patient and from 1st September 2021 to 30th December 2021 and the individual months of 1st September 2021 to 31st December 2021associated with a respiratory diagnosis.
The number of unscheduled medical contacts per patient associated with a respiratory diagnosis.
Time frame: 4 months and each one of them
Plan to share: Undecided
This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.
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University of Sheffield