|
Effect of training on:
|
|
Asthma knowledge
|
Increased (1.1 da, CI: 0.7 to 1.4)
|
Increased (1.3 da, CI: 0.5 to 2.5)
|
|
Relevant history taking
|
Increased markedly (79.1%, CI 73.9 to 84.3%)
|
Increased somewhat (25.0%, CI 15.1 to 34.9%)
|
|
Relevant clinical examination
|
Increase in 5/5 actions (Table 5)
|
Decrease in 4/5 actions (Table 5)
|
|
SABA, trial or prescription
|
Increased (19.5%, CI 6.6 to 32.4%)
|
No change (−8.9%, CI − 18.2 to 0.4%)
|
|
Asthma diagnosis
|
No change
|
No change
|
|
Antibiotics use
|
Decreased markedly (−42.2%, CI − 55.1% to −29.3%)
|
No change (8.9%, CI − 0.05 to 18.3%)
|
|
Use of antivirals and cough medicine
|
No change (16.8%, CI −0.5 to 34.1%)
|
No change (2.8%, CI − 6.5 to 12.1%)
|
|
Contextual factors:
|
|
Time for consultation
|
15 min
|
2 min
|
|
WHO region
|
European region
|
Western Pacific region
|
|
Type of health care worker
|
Several cadres (medical doctors, clinical officers, nurses)
|
Only medical doctors
|
|
Baseline performance
|
Lower
|
Higher
|
|
Rural vs. urban setting
|
Tendency toward higher increases in clinical performance in the rural setting
|
Not available
|
