Performance and Adherence in Children Using Spacers
- Conditions
- AsthmaAsthma in Children
- Interventions
- Other: Tailored educationOther: Standard care education
- Registration Number
- NCT05366309
- Lead Sponsor
- University Hospitals of North Midlands NHS Trust
- Brief Summary
Asthma is a common disease which causes swelling in the airways, making it difficult to breathe. Asthma is common in children, affecting 1 in 11 children in the UK. Asthma is treated with inhalers which reduce the swelling. If inhalers are taken correctly they can help keep symptoms under control, allowing asthma sufferers to go about their day with less chance of having an asthma attack. Many patients have been found to not take their inhalers correctly and either under use (which leads to poor control of symptoms) or over use (which leads to potential side effects).
Although asthma in most patients can be controlled with inhalers, not using inhalers correctly is one of the most common causes of poor control. This is common in children and young people (CYP) with all severities of asthma, resulting in high burden on the families and healthcare systems.
The biggest challenge facing doctors and nurses helping CYP with asthma is finding a way to ensure that they take the medication. Whilst there are many studies looking into inhaler use, there are no large studies about how inhalers are used between clinic visits in CYP with asthma.
The Smart Spacer is monitoring device which allows doctors to monitor when and how effectively inhalers are being used. This study wants to find out how well this device works, how well and how often CYP are using their inhalers, and if tailored education improves asthma control. To do this, participants in the study will be randomly selected to have "tailored education" or "standard care education".
The investigators are inviting 100 children and young people (CYP) aged 6-18 years who have asthma to join this study.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 100
- Aged 6-18 years;
- Attending secondary care with a diagnosis of asthma;
- Willing and able to give fully informed consent, or, participants having an acceptable individual capable of giving consent on the participant's behalf (e.g. parent or guardian of a child under 16 years of age);
- Able to perform lung function and exhaled nitric oxide measurements;
- Take twice-daily preventer medication using a valved holding chamber (spacer device) i.e. inhaled corticosteroid with or without long-acting beta antagonist;
- Willing and able to comply with the study procedures.
- Significant co-existing respiratory disease (e.g. cystic fibrosis);
- Currently participating in another clinical trial of an investigational medicinal product or medical device;
- Non-English speaker where translation facilities are insufficient to guarantee informed consent.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Tailored Education Group Tailored education Participants randomised to this group will receive tailored education, which is additional to standard care. Standard Care (Control) Group Standard care education Participants randomised to this group will receive usual care in terms of their education.
- Primary Outcome Measures
Name Time Method Overall adherence to inhaled treatment (the product of persistence (number of doses taken as prescribed) and technique) From recruitment up until 12-16 weeks follow-up time point Overall adherence
- Secondary Outcome Measures
Name Time Method Recruitment and attrition rates over the study via screening and enrolment logs From recruitment up until 12-16 weeks follow-up time point Recruitment and attrition
Feedback from System Usability Score (SUS) At 12-16 weeks follow-up time point SUS
UKIG score From recruitment to 12-16 weeks follow-up time point UKIG
Rate of device failure from any cause (including loss of device, inability to retrieve data from SD card) From recruitment to 12-16 weeks follow-up time point Device failure
Need for oral steroid burst From recruitment to 12-16 weeks follow-up time point Oral steroid burst use
The success rate of obtaining data from the Smart spacer device From recruitment up until 12-16 weeks follow-up time point Success rate
Asthma Control Questionnaire From recruitment to 12-16 weeks follow-up time point ACQ
Salbutamol (rescue) use From recruitment to 12-16 weeks follow-up time point Salbutamol use
FeNO (ppb) From recruitment to 12-16 weeks follow-up time point FeNO (ppb)
The proportion of children and young people with asthma who are eligible for participation within the study from secondary care via screening logs From recruitment up until 12-16 weeks follow-up time point Proportion eligible
Feedback from Net Promoter Score (NPS) At 12-16 weeks follow-up time point NPS
Asthma control test (ACT) or Childhood Asthma Control Test (c-ACT) From recruitment to 12-16 weeks follow-up time point ACT
FEV1 z score From recruitment to 12-16 weeks follow-up time point FEV1 z
GINA control score From recruitment to 12-16 weeks follow-up time point GINA
m-PAQLQ score From recruitment to 12-16 weeks follow-up time point m-PAQLQ
Trial Locations
- Locations (1)
Robert James Bowler
🇬🇧Stoke-on-Trent, Staffordshire, United Kingdom