Influence of an Asthma Education Programme on Asthma Control During Pregnancy

Study Overview
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Brief Summary
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Asthma is the most frequent respiratory disease during pregnancy. In a third of cases, the level of asthma control can decrease during the pregnancy, especially between the 29th and the 36th week. The occurrence of such complications are linked with a high asthma severity level just before the conception and an history of respiratory complications in a previous pregnancy. Many reviews and recommendations claim that pregnant women with asthma should be included in an educational progamme. However, this is poorly studied. The purpose of this study is to observe if an educational programme given before the 20th weeks of gestation has an effect on asthma control until the end of gestation.

Official Title
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Assessment of an Educational Programme for Pregnant Asthmatic Women on the Level of Asthma Control and Unscheduled Doctor Visits During the Pregnancy

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: Health education about asthma


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant woman (less than 20 weeks of gestation at the inclusion time) Diagnosis of asthma before the pregnancy (clinical history and specific medications used) Agreement to enter into the study Exclusion Criteria: Pregnant woman (more than 20 weeks of gestation at the inclusion time) History of major respiratory problems during previous pregnancy(ies) Refusal to enter into the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Education<br> | Behavioral: Health education about asthma<br>* Three face-to-face appointments (<20, 36 weeks of gestation and 12 weeks after the baby birth). Topics: What is asthma? What influence the course of asthma? How to monitor it? How to manage it?<br>|
| No Intervention: No education<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The level of asthma control | Assessment by the Asthma Control Questionnaire | Inclusion (baseline), 36 weeks of gestation, 12 weeks post partum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of unscheduled visits to the doctor for asthma |  | Inclusion (baseline), 36 weeks of gestation, 12 weeks post partum | 
| Quality of life | Asthma Quality of life questionnaire | Inclusion (baseline), 36 weeks of gestation, 12 weeks post partum | 
| Knowledge about asthma | Survey of asthma knowledge of French language Questionnaire de connaissance de l'asthme de langue française | Inclusion (baseline), 36 weeks of gestation, 12 weeks post partum | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Asthma, Health education, Pregnancy