pilotAIM-BroTher - Randomized controlled pilot study on an outpatient telemedicine integrative care approach for acute bronchitis patients

急性支气管炎是向医生办公室或急诊科提出的最常见的情况之一。尽管这种主要是病毒性疾病不需要抗生素，但患者经常要求使用抗生素，医生也经常开具抗生素处方。国家和国际指南建议对患者进行教育，并就简单的基于症状的自我治疗提供建议，其中一些来自综合医学。这些措施缺乏系统的科学依据。在一项随机对照试验中，我们希望研究一种综合医疗远程医疗概念，用于指导自我治疗，其在更快减轻症状和安全性方面的有效性。此外，我们想测试这样的概念是否可以进一步减少抗生素和退烧药的消耗。作为干预措施，患者将收到有关茶、油敷料（百里香、薰衣草）、敷布（凝乳、柠檬）、饮食和生活方式建议的指导。为了准备这项研究，我们正在进行一项试点研究，特此请求资助。在这项试点研究中，我们想测试•关于招募、随机化和治疗开始的研究程序是否适用于此类研究；•是否有足够的患者同意被随机分为干预组和对照组；•对患者的远程医疗支持是否可行和成功；•患者是否有能力进行指导的自我治疗；•是否必须在某些患者群体中实施特定的支持或预防措施；•在研究程序方面必须解决哪些挑战或作出哪些调整；•在研究人群中报告的症状持续时间。

Acute bronchitis is one of the most common conditions for presentation to a physician's office or emergency department. Even though antibiotics are not indicated for this mostly viral disease, they are frequently requested by patients and prescribed by physicians. National and international guidelines recommend patient education and give advice for simple symptom-based self-treatment, some of which are from integrative medicine. Systematic scientific evidence for these measures is lacking. In a randomized controlled trial we want to investigate an integrative medical telemedicinal concept for guided self-treatment regarding its effectiveness in terms of faster symptom reduction and safety. Furthermore, we want to test whether such a concept can further reduce the consumption of antibiotics and antipyretics. As interventions, patients will receive instructions on teas, oil dressings (thyme, lavender), compresses (curd, lemon), dietary and lifestyle advice. In preparation for this study, we are conducting a pilot study for which we hereby request funding. In this pilot study we would like to test • whether the study procedures regarding recruitment, randomization and treatment start are feasible for such a study; • whether sufficient patients agree to be randomized in the intervention and control group; • whether telemedicinal support of the patients is feasible and successful; • whether the patients are capable to carry out the guided self-treatments; • whether a specific support or precautions have to be implemented in certain patient populations; • which challenges have to be addressed or adaptions made with regard to the study procedures; • what symptom duration is reported in the study population.