1. What data in particular will be shared?
   Response - All of the individual participant data collected during the trial, after de-identification.
   


2. What additional supporting information will be shared?
   Response -  Study Protocol
   Response -  Statistical Analysis Plan
   Response - Clinical Study Report
   
   
3. Who will be able to view these files?
   Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
   


4. For what types of analyses will this data be available?
   Response - To achieve aims in the approved proposal.
   


5. By what mechanism will data be made available?
   Response - Data are available indefinitely at (Link to be included http:datashare.is.ed.ac.uk).
   


6. For how long will this data be available start date provided 31-08-2025 and end date provided 01-08-2030?
   Response - Beginning 3 months and ending 5 years following article publication.
   


7. Any URL or additional information regarding plan/policy for sharing IPD? 
   Additional Information - De-identification data will be shared with University of Edinburgh data repository - data SHARE.

Chronic respiratory diseases (CRDs) are a global health problem with low- and middle-income countries contributing about 90% of global DALYs and deaths - and India alone contributing approximately one-third of cases, suggesting a high CRD burden and unmet health need. CRDs in low resource settings are neglected, and often poorly diagnosed, leading to missed opportunities for early initiation of treatment, and poor patient pathways. While CRDs are not curable, they can be treated effectively using evidence-based protocols for diagnosis and treatment to control symptoms and improve quality of life. The government health system, with its three-tier healthcare and state/country wide network is in a unique position to provide a solution to this problem, provided orientation and training are made available to health care providers and evidence-based guidelines are followed. The aim of this research project is capacity building, targeting government primary health centres in Tirupathur district (Madhanur  and Alangayam blocks) through alignment to evidence based CRD management achieved by education, training and skill development to change CRD health care through improvement of knowledge, attitudes and practice. The study will be conducted using a one-group pre-test/post-test, quasi-experimental study design. A needs assessment will be conducted using a tool developed by the investigators (WHO Harmonised Health Facility Assessment, interviews, and review of reports and registers) to assess the gaps in facility and resources and the KAP of the providers; further, there will be exit interviews among patients. Tailored training sessions for doctors, community health workers and therapists on management of CRDs will be provided to orient them to evidence-based diagnosis and management of CRDs including health education, follow-up and referral.  Weekly review meetings will be held as a part of monitoring and evaluation to assess the progress of patient education, screening, clinical review and follow-up. The outputs that will be measured are numbers of training sessions, awareness programmes, screenings done, protocol-based clinical reviews done, spirometry investigations, chest x-rays done and patients diagnosed and treated. Improvement in CRD care in the government health system will be identified using the WHO Harmonized Health Facility Assessment combined core questionnaire tool for CRD. Perceived experience of CRD care by patients will be assessed with the adapted British Lung Foundation COPD Patient Passport responses. Improvement in KAP related to CRD care among providers will be assessed by pre- and post- KAP surveys. Increased compliance to treatment will be assessed using TAI by providers at 3, 6, 9 and 12 months; improvement in KAP of providers will also be assessed at the end of the intervention period. This educational intervention will help in improving the quality of CRD care at primary healthcare level in Government health system using existing manpower through capacity building and skills training.