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Asthma is one of the major chronic health problems in children in the Netherlands. The Pelican is a paediatric asthma-related quality of life instrument for children with asthma from 6–11 years old, which is suitable for clinical practice in primary and specialized care. | van Bragt et al. BMC Pediatrics 2012 12 137 http www.biomedcentral.eom 1471-2431 12 137 BMC Pediatrics STUDY PROTOCOL Open Access PELICAN A quality of life instrument for childhood asthma Study Protocol of two Randomized Controlled Trials in Primary and Specialized Care in the Netherlands 1 1 1 1 21 Stephanie van Bragt Lisette van den Bemt Bart Thoonen Chris van Weel Peter Merkus and Tjard Schermer Abstract Background Asthma is one of the major chronic health problems in children in the Netherlands. The Pelican is a paediatric asthma-related quality of life instrument for children with asthma from 6-11 years old which is suitable for clinical practice in primary and specialized care. Based on this instrument we developed a self-management treatment to improve asthma-related quality of life. The Pelican intervention will be investigated in different health care settings. Results of intervention studies are often extrapolated to other health care settings than originally investigated. Because of differences in organization disease severity patient characteristics and care provision between health care settings extrapolating research results could lead to unnecessary health costs without the desired health care achievements. Therefore interventions have to be investigated in different health care settings when possible. This study is an example of an intervention study in different health care settings. In this article we will present the study protocol of the Pelican study in primary and specialized care. Method design This study consists of two randomized controlled trials to assess the effectiveness of the Pelican intervention in primary and specialized care. The trial in primary care is a multilevel design with 170 children with asthma in 16 general practices. All children in one general practices are allocated to the same treatment group. The trial in specialized care is a multicentre trial with 100 children with asthma. Children in one outpatient clinic are .
