Establishing the Collaborative Care Model for Pediatric Allergic Rhinitis With Sleep Disorder
Condition: Allergic Rhinitis; Sleep Disorder
MeSH terms: Rhinitis; Rhinitis, Allergic; Sleep Wake Disorders; Parasomnias
Study type: Interventional

Summary: 
      The purpose of study is to compared the impact of the integrative care clinic to ordinary
      western medicine among patients of moderate persistent allergic rhinitis combined with sleep
      disorder and establishing the collaborative care model of TCM and western medicine for
      pediatric allergic rhinitis with sleep disorder.

      Investigators invited children aged below 18 years old to the integrative care clinic as
      experimental group, who have persistent moderate allergic rhinitis, more than 60 scores of
      the OSA-18 sleep questionnaire, and can accept integrative therapy. The controlled group is
      patients who receive ordinary western treatment. Investigators compare these two groups by
      questionnaires of OSA-18,SN-5, PADQLQ,SNAP-IV, the dose of nasal corticosteroid , and
      polysomnography.
    

Detailed description: 
      In Taiwan, there are many patients suffer from pediatric allergic rhinitis and lead to the
      medical heavy budget. The persistent symptoms would cause sleep disorder or complicated with
      pediatric obstructive sleep apnea. It would affect the growth development ,attention
      deficiency, or psychiatric cognition problems. Obstructive sleep apnea for a long time would
      result in cardiovascular, endocrine, and metabolic complications if not well-treated.

      Patients of allergic rhinitis combined with sleep disorder are classified to moderate
      persistent type by ARIA, who are intractable to ordinary treatment. Investigators invited
      them to the integrative care clinic. In addition to the ordinary western medicine, the
      therapies in the integrative care clinic included herbal medicine, nasal aerosol inhalation,
      acupuncture, and health care education. The purpose of our study is to compared the impact of
      the integrative care clinic to ordinary western medicine among patients of moderate
      persistent allergic rhinitis combined with sleep disorder and establishing the collaborative
      care model of TCM and western medicine for pediatric allergic rhinitis with sleep disorder.

      Investigators invited children aged below 18 years old to the integrative care clinic as
      experimental group, who have persistent moderate allergic rhinitis, more than 60 scores of
      the OSA-18 sleep questionnaire, and can accept integrative therapy. The controlled group is
      patients who receive ordinary western treatment. Investigators compare these two groups by
      questionnaires of OSA-18,SN-5, PADQLQ,SNAP-IV, the dose of nasal corticosteroid , and
      polysomnography.

      Investigators hoped to prove the effect of integrative care clinic and to upgrade the quality
      and efficacy of the treatment among persistent moderate allergic rhinitis children.
    

Intervention name(s): TCM; Western medicine
Intervention type(s): Other; Other
Intervention description(s): TCM include oral chinese herb, laser acupuncture, tuina, nasal steam inhalation.; Western medicine include nasal spray steroid, oral antihistamine
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Allergic rhinitis; Sleep disorder; Obstructive sleep apnea; Integrative care clinic; TCM; Western medicine