Phone sex trials with no cc

Phone sex trials with no cc-33
We recruited patients aged 12 and over who were registered with participating practices, had poorly controlled asthma (defined as score ≥1.5 on asthma control questionnaire (ACQ)19), and had, or were willing to borrow, a compatible mobile phone handset and a contract with a compatible network.We excluded people who had other lung disease, were unable to communicate in English, or were receiving specialist care for severe/difficult asthma, and those whose general practitioner advised against inclusion for major social/clinical problems.

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The practice nurse forwarded contact details of patients allocated to the intervention (mobile) group to OBS Medical (Abingdon, UK), who contacted the patient at a time convenient to them (normally within a week), downloaded the t Asthma application (fig 1Fig 1 Mobile phone monitoring system.

t Asthma application, running on web enabled handset, allowed patient to record symptoms, drug use, and peak flow from Piko meter.

Our multicentre, investigator blinded randomised controlled trial was conducted in UK primary care in 2008-9.

A detailed protocol has been published elsewhere18; we made no important changes to our methods during the trial.

Design Multicentre randomised controlled trial with cost effectiveness analysis. Participants 288 adolescents and adults with poorly controlled asthma (asthma control questionnaire (ACQ) score ≥1.5) from 32 practices.

Intervention Participants were centrally randomised to twice daily recording and mobile phone based transmission of symptoms, drug use, and peak flow with immediate feedback prompting action according to an agreed plan or paper based monitoring. Results There was no significant difference in the change in asthma control or self efficacy between the two groups (ACQ: mean change 0.75 in mobile group −2.4, mean difference 2.0 (−0.3 to 4.2)).

Conclusions Mobile technology does not improve asthma control or increase self efficacy compared with paper based monitoring when both groups received clinical care to guidelines standards. Mobile phones, the most pervasive and accessible form of technology globally,14 offer a highly convenient system for self monitoring coupled with instantaneous feedback, potentially engaging the patient in the monitoring and management of their asthma.

Set within the Medical Research Council’s framework for the design and evaluation of complex interventions,15 16 our phase III trial was underpinned by preliminary work that suggested that mobile phone based self monitoring of asthma care was feasible to deliver and acceptable to both patients and clinicians.9 12 17 We hypothesised that, in adolescents and adults with poorly controlled asthma offered treatment according to the British Thoracic Society/Scottish Intercollegiate Guideline Network (BTS-SIGN) asthma guideline,6 the use of mobile phone based monitoring of lung function and symptoms with feedback to patients would improve both control of asthma and patient self efficacy at six months compared with paper based monitoring strategies.

Potential participants attended a baseline assessment visit in their general practice at which they were provided with further information about the trial, eligibility was confirmed with the seven question version of the ACQ (which includes FEV (forced expiratory volume in one second) in addition to the six questions described below as a primary outcome measure), and written consent was obtained.

All consenting patients who met the eligibility criteria were enrolled into the trial.—The primary outcome measure was the change in asthma control between baseline and six months as measured by ACQ (six question version).20 21 The ACQ measures clinical goals of asthma management on a scale of 0 (good control) to 6 (poor control), is responsive to change,20 and has a minimum important difference within individuals of 0.5.22 Postal administration gives comparable results with supervised completion.23—Self efficacy was measured as the change in KASE-AQ between the intervention and control groups at six months.

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