Achieving Control of Asthma in Children In Africa

NCT ID: NCT03990402

Last Updated: 2023-03-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

3767 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-16

Study Completion Date

2022-12-31

Brief Summary

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The main aim of the study is to identify altogether 3000 children aged between 12 and 16 years old with asthma symptoms in six sub-Saharan African countries. The study furthermore aims to assess their asthma control, current treatment, knowledge of and attitudes to asthma, as well as the barriers to achieving good asthma control.

Detailed Description

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Asthma prevalence in young people has been rising in several African countries during the last decade, reaching between 10% and 20% in Central Africa, and up to 20% in South Africa. In addition, asthma related mortality in many African countries is high. South Africa has the third highest asthma related mortality rate in the world. Yet to date, a lack of asthma research and research infrastructure means that we do not have the evidence to either inform advocacy or to develop interventions that improve asthma outcomes.

This study aims to collect data about asthma prevalence and to identify existing barriers to effective asthma management of young people in 6 sub-Saharan countries: Malawi, South Africa, Zimbabwe, Uganda, Ghana, and Nigeria. Each of these countries identifies 500 young people with asthma between 12 and 16 years of age through a screening questionnaire in schools. These 3000 young people with asthma symptoms fill in a survey about asthma, including questions around asthma control, current treatment and access to care, asthma knowledge, asthma attitudes, smoking and environmental influences. Some of the participants also discuss asthma related topics in focus groups. A subset of the participants furthermore do Spirometry and FeNO testing. In addition to the data collection, the study develops and tests options for an intervention aimed at improving asthma control, including the adaption of a United Kingdom - based theater play about asthma awareness. The development of WiFi infrastructure and IT solutions is promoted by the study, where appropriate.

Conditions

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Asthma

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Malawi group

500 young people with asthma symptoms in Malawi

No interventions assigned to this group

South Africa group

500 young people with asthma symptoms in South Africa

No interventions assigned to this group

Uganda group

500 young people with asthma symptoms in Uganda

No interventions assigned to this group

Nigeria

500 young people with asthma symptoms in Nigeria

No interventions assigned to this group

Zimbabwe group

500 young people with asthma symptoms in Zimbabwe

No interventions assigned to this group

Ghana group

500 young people with asthma symptoms in Ghana

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* aged between a minimum of 12 years, and
* a maximum of 14 years

Exclusion Criteria

* Age less than 12 years
* age more than 14 years
Minimum Eligible Age

12 Years

Maximum Eligible Age

14 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute for Health Research, United Kingdom

OTHER_GOV

Sponsor Role collaborator

Queen Mary University of London

OTHER

Sponsor Role lead

Responsible Party

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Jonathan Grigg

Professor of Paediatric Respiratory and Environmental Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jonathan Grigg, Professor

Role: PRINCIPAL_INVESTIGATOR

Queen Mary University of London, Blizard Institute

Locations

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Kwame Nkrumah University of Science & Technology (KNUST)

Kumasi, Ashanti Region, Ghana

Site Status

Malawi-Liverpool-Wellcome Trust Clinical Research Programme

Blantyre, , Malawi

Site Status

Lagos State University College of Medicine

Lagos, , Nigeria

Site Status

University of Kwa-Zulu Natal

Durban, KwaZulu-Natal, South Africa

Site Status

Makarere University College of Health Sciences

Kampala, , Uganda

Site Status

University of Zimbabwe College of Health Sciences

Harare, , Zimbabwe

Site Status

Countries

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Ghana Malawi Nigeria South Africa Uganda Zimbabwe

References

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Oyenuga VO, Mosler G, Addo-Yobo E, Adeyeye OO, Arhin B, Fortune F, Griffiths CJ, Kasekete M, Mkutumula E, Mphahlele R, Mujuru HA, Muyemayema S, Nantanda R, Nkhalamba LM, Ojo OT, Owusu SK, Ticklay I, Ubuane PO, Yakubu RC, Zurba L, Masekela R, Grigg J. Asthma symptoms, severity, and control with and without a clinical diagnosis of asthma in early adolescence in sub-Saharan Africa: a multi-country, school-based, cross-sectional study. Lancet Child Adolesc Health. 2024 Dec;8(12):859-871. doi: 10.1016/S2352-4642(24)00232-3. Epub 2024 Oct 21.

Reference Type DERIVED
PMID: 39447587 (View on PubMed)

Other Identifiers

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269211

Identifier Type: -

Identifier Source: org_study_id

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