Effect of Mobile Application-Based Education on Self-Efficacy, Medication Adherence and Sleep Quality in Asthma.

The Effect of Mobile Application-Based Education on Self-Efficacy, Medication Adherence and Sleep Quality in Asthma Patients.

Asthma patients with recurrent airway obstruction frequently exhibit poor symptom control, characterized by treatment non-adherence and sleep-wake cycle disturbances. A nurse-led mobile health education intervention may address these challenges by enhancing collaborative disease management, enabling remote patient monitoring, and strengthening self-management competencies.

The AstımAsistan application was designed to monitor changes in patient self-efficacy, medication adherence, and sleep quality through three core features: (1) patient education modules, (2) breathing exercise/medication reminders, and (3) mobile consultation capabilities.

Study data were collected using four instruments: (1) the Participant Information Form, (2) the Chronic Disease Self-Efficacy Scale, (3) the Medication Adherence Reporting Scale, and (4) the Pittsburgh Sleep Quality Index. The mobile education-based application was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instructional design model."

Inclusion Criteria:

1. Being between the ages of 18-65
2. Having been diagnosed with asthma at least 6 months ago
3. Being treated for asthma in oral, inhaler or injection forms
4. Being literate in Turkish
5. Having an Android phone on which the mobile application can be installed and being able to use the phone
6. Having mobile network or wireless internet access
7. Volunteering to participate in research
8. Living in Ankara

Exclusion Criteria:

1. Being hospitalized for asthma treatment
2. Having a language barrier that hinders communication
3. Being diagnosed with COPD
4. Being diagnosed with a psychiatric disease
5. Being on psychoactive or opioid therapy
6. Being diagnosed with a sleep disorder related to non-respiratory reasons (physical and psychological) and being treated

Exclusion criteria when the study is going on :

Intervention group;

1. The participant was diagnosed with a health problem requiring inpatient treatment during the study period.
2. The participant withdraws from the study voluntarily.
3. Inability to use the mobile application during the research
4. Reading fewer than 6 theme headings in the mobile application (75% or less) and missing breathing exercises for more than 16 days (80% or less)

Control group;

1. The participant was diagnosed with a health problem requiring inpatient treatment during the study period.
2. The participant withdraws from the study voluntarily.