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Title: Feasibility and acceptability of spirometry and FeNO testing in children treated for asthma in primary care
Authors: Danvers, Lesley
Lo, David
Harcombe, Nichola
Roland, Damian
Richardson, Matthew
Yang, Yaling
Wilson, Andrew
Gaillard, Erol
Beardsmore, Caroline
First Published: 1-Sep-2017
Presented at: European-Respiratory-Society (ERS) International Congress, Milan, ITALY
Start Date: 9-Sep-2017
End Date: 13-Sep-2017
Publisher: European Respiratory Society: ERJ
Citation: European Respiratory Journal, 2017, 50: PA1328
Abstract: Abstract Background: Confirming a diagnosis of asthma in children can be difficult and in primary care is predominantly centred on clinical history. Recent reports highlight that misdiagnosis of asthma is common (Looijmans-van den Akker, I. et al. Br J Gen Pract 2016; 66(644):e152-7). Current UK draft guidelines propose objective tests to diagnose and monitor children with asthma in all care settings. Feasibility and acceptability of objective testing in primary care are not known. Aim: To evaluate the success and acceptability of spirometry and FeNO testing in children treated for asthma and barriers to their implementation in a primary care setting. Methods: We currently conduct a 2 year observational study to investigate feasibility and acceptability of spirometry, bronchodilator reversibility and FeNO. Questionnaires are used to elicit opinions about acceptability of the tests from GP practice staff before and after implementation, and to ascertain views of children and their parents. Results: To date 17 staff at 7 practices have received training and 225 children (5-16yrs) recruited. Spirometry was successful in 210 children (93%) and FeNO in 175 (78%). Of those who provided feedback 153/172 children (89%) would be happy to do the tests again and 167/170 parents (98%) would recommend the tests. Practice staff reported they found the tests useful in their management 92% (n=155) of the time. Pre-implementation questionnaires highlighted staff concerns regarding funding (n=13/35, 37%), workload (n=21/35, 60%) and training (n=16/35, 46%). Conclusion: Our data suggests that providing spirometry and FeNO testing is feasible and acceptable to children treated for asthma and their parents.
DOI Link: 10.1183/1393003.congress-2017.PA1328
ISSN: 0903-1936
eISSN: 1399-3003
Version: Post-print
Status: Peer-reviewed
Type: Conference Paper
Rights: Copyright © The Author(s), 2018.
Description: Abstract only
Appears in Collections:Conference Papers & Presentations, Dept. of Health Sciences

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