Empowering Asthmatic Seniors: Nursing Interventions to Mitigate Climate Change-related Effects on Symptom Severity and Physical Capacity
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 主要终点
- Change in Asthma Symptom Severity Score
研究概览
简要总结
This study aims to evaluate the effectiveness of targeted nursing interventions in reducing asthma symptom severity and improving physical capacity among older adults during periods of heightened environmental stress caused by climate change (e.g., heat waves, poor air quality). By equipping seniors with practical self-management strategies and personalized support, the study seeks to enhance resilience against climate-related health risks and promote overall well-being.
详细描述
Climate change has increasingly been linked to the worsening of chronic respiratory conditions, particularly among vulnerable populations such as older adults with asthma. Rising temperatures, extreme weather events, and elevated air pollution levels pose serious health threats by exacerbating symptoms and limiting physical activity.
This interventional study focuses on developing and implementing a nursing-led, community-based support model that empowers asthmatic seniors to better manage their condition amid climate change stressors. The intervention includes personalized asthma action plans, environmental exposure education, physical activity guidance, and symptom monitoring tools. Participants will receive individualized coaching from trained nurses to build adaptive behaviors that reduce symptom severity and maintain physical capacity during adverse environmental conditions.
Primary outcomes include changes in asthma symptom scores, physical function (e.g., six-minute walk test), and quality of life metrics. Secondary outcomes include frequency of asthma exacerbations, healthcare utilization, and adherence to preventive behaviors.
The study underscores the role of nursing in advancing climate-resilient care models that address the health needs of aging populations in an increasingly volatile environment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults aged 65 years and older
- •Clinically diagnosed with asthma (physician-confirmed)
- •Stable asthma (no hospitalizations for asthma in the past 30 days)
- •Able to understand and provide informed consent
- •Willing and able to participate in a 12-week nursing intervention program
- •Has access to a telephone or internet-enabled device for coaching sessions and monitoring
- •Resides in an area prone to climate-related environmental stressors (e.g., urban heat, poor air quality)
排除标准
- •Diagnosis of chronic obstructive pulmonary disease (COPD) or other significant pulmonary conditions (e.g., interstitial lung disease)
- •Severe cognitive impairment (e.g., diagnosed dementia) that would interfere with participation
- •Current participation in another asthma-related interventional study
- •Residing in long-term care facilities where independent asthma self-management is not feasible
- •Any unstable medical condition that could confound outcomes or pose safety risks, as determined by the study physician
研究组 & 干预措施
Nurse-Led Climate-Responsive Asthma Management Program
Participants in this arm will receive a structured, nurse-led intervention designed to reduce asthma symptom severity and maintain physical capacity in older adults during climate change-related environmental stressors such as extreme heat or poor air quality.
The intervention includes:
Personalized Asthma Action Plan tailored to the individual's triggers and medication regimen.
Environmental Exposure Education on recognizing and responding to climate-related asthma triggers (e.g., heat, pollen, pollution).
Weekly Nurse Coaching Sessions (30-45 minutes via phone or in-person) for 12 weeks, focusing on self-management strategies, symptom tracking, inhaler technique, and physical activity guidance.
Distribution of Support Tools, including peak flow meters, symptom diaries, and access to real-time air quality alerts.
Physical Activity Modification Plans developed with nursing staff to maintain mobility while minimizing risk during high-pollution or extreme weather days.
干预措施: Nurse-Led Climate-Responsive Asthma Management Program (Behavioral)
结局指标
主要结局
Change in Asthma Symptom Severity Score
时间窗: Baseline and 12 weeks post-intervention
Assessed using a validated instrument such as the Asthma Control Test (ACT), this outcome measures the change in asthma symptom severity from baseline to the end of the intervention period. A higher ACT score indicates better asthma control.
次要结局
未报告次要终点
研究者
Amal Hashem
Associate professor
Norther Private Collage of Nursing