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The goal of this study is to see if a short educational session and demonstration by a nurse can help asthmatic children (6-17 years-old), under hospital control, to manage their asthma better, to use their inhaler correctly, and to know when it should be used.
The main question it aims to answer is how much improvement is reached on asthma self-management. The comparison group is the same group. Researchers will compare results before and after educational intervention.
The goal of this study is to see if a short educational session and demonstration by a nurse can help children manage their asthma better, use their inhaler correctly, and know when it should be used.
The study lasts about six months and has two visits:
Visit 1:
Participants will do the usual breathing tests, will show the nurse how to use the inhaler, and answer a few short questionnaires.
Then, the nurse will give some practical education using pictures and demonstrations. She will explain the right way to use the inhaler, to know the device, go over when and why to use inhaled medicine, and teach the participant how to recognize when asthma is getting worse and what can participant do about it.
Visit 2 (after 6 months):
Participants will repeat the same breathing tests and answer questionnaires again, so investigators can see what has changed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study population will be pediatric patients with a diagnosis of asthma, scheduled for consultation | Experimental | The included population will undergo an objective assessment with pulmonary function tests and will be given questionnaires to evaluate their knowledge about asthma treatment. Afterwards, they will receive a brief educational intervention and will be scheduled for a follow-up visit at 6 months to reassess pulmonary function parameters and knowledge level. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Educational Intervention | Other | Educational Intervention: The nurse will deliver a brief health education session focused on:
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Correct inhaler technique | For the qualitative variable "inhaler technique," the Inhaler Technique Questionnaire (InTeQ), validated in pediatrics for the use of pressurized inhalers, will be used. This questionnaire includes 5 items considered critical, with an additional item, "shake the device," added for those using pMDIs. The 5 critical steps assessed are: exhale completely before inhalation, close lips firmly, inhale deeply, hold breath afterward, and exhale slowly, which are applicable to both pressurized metered-dose inhalers (pMDI) with a spacer and dry powder inhalers (DPI). The item "device activation" was removed, as it is inherent to the procedure and to facilitate practical applicability. | From the nursing intervention until the following 6 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Treatment Adherence | It will be used the only specific questionnaire designed to measure adherence to inhalers, called the Inhaler Adherence Test (IAT). It consists of 10 items to be completed by the patient/caregiver when we want to identify patients with low adherence, and 2 additional items to be completed by the healthcare professional, which are specifically intended to determine the type of unintentional non-adherence. |
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Inclusion Criteria:
Exclusion Criteria:
. Inability to understand Spanish.
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36528520 | Background | Frey SM, Fagnano M, Halterman JS. Adolescent Knowledge of When to Use Inhaled Asthma Medications: Implications for Management. J Adolesc Health. 2023 Apr;72(4):623-628. doi: 10.1016/j.jadohealth.2022.10.034. Epub 2022 Dec 15. | |
| 34261742 | Background | Manti S, Licari A, Leonardi S, Marseglia GL. Management of asthma exacerbations in the paediatric population: a systematic review. Eur Respir Rev. 2021 Jul 13;30(161):200367. doi: 10.1183/16000617.0367-2020. Print 2021 Sep 30. |
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The information will be anonymized by the Principal Investigator (PI)
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | May 14, 2025 | Sep 18, 2025 | Prot_SAP_000.pdf |
| ICF | No | No | Yes | Informed Consent Form: Participant consent for children aged 6-10 years | May 14, 2025 | Sep 30, 2025 | ICF_001.pdf |
| ICF | No | No | Yes | Informed Consent Form: Participant consent for children aged 11-17 years | May 14, 2025 | Sep 30, 2025 | ICF_002.pdf |
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| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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|
| From the nursing intervention until the following 6 months. |
| 31225980 | Background | Kosse RC, Koster ES, Kaptein AA, de Vries TW, Bouvy ML. Asthma control and quality of life in adolescents: The role of illness perceptions, medication beliefs, and adherence. J Asthma. 2020 Oct;57(10):1145-1154. doi: 10.1080/02770903.2019.1635153. Epub 2019 Jul 5. |
| 36043978 | Background | Ciprandi G, Licari A, Castagnoli R, Ciprandi R, Marseglia GL. Asthma control in adolescents: the importance of assessing adherence. Acta Biomed. 2022 Aug 31;93(4):e2022264. doi: 10.23750/abm.v93i4.12448. |
| 38549668 | Background | Lizano-Barrantes C, Garin O, Mayoral K, Dima AL, Pont A, Caballero-Rabasco MA, Praena-Crespo M, Valdesoiro-Navarrete L, Guerra MT, Bercedo-Sanz A, Ferrer M. Impact of treatment adherence and inhalation technique on asthma outcomes of pediatric patients: a longitudinal study. Front Pharmacol. 2024 Mar 13;15:1340255. doi: 10.3389/fphar.2024.1340255. eCollection 2024. |
| 29885170 | Background | Basharat S, Jabeen U, Zeeshan F, Bano I, Bari A, Rathore AW. Adherence to asthma treatment and their association with asthma control in children. J Pak Med Assoc. 2018 May;68(5):725-728. |
| 38476591 | Background | McCrossan P, Shields MD, McElnay JC. Medication Adherence in Children with Asthma. Patient Prefer Adherence. 2024 Mar 5;18:555-564. doi: 10.2147/PPA.S445534. eCollection 2024. |
| 32199068 | Background | Gonzalez Betlza M, Bruno I, Yemini L, Zuniga C, Bello Pedrosa O. [Impact of a program of health education for the asthmatic child and their families]. Arch Argent Pediatr. 2020 Apr;118(2):145-149. doi: 10.5546/aap.2020.145. Spanish. |
| 26037396 | Background | Capanoglu M, Dibek Misirlioglu E, Toyran M, Civelek E, Kocabas CN. Evaluation of inhaler technique, adherence to therapy and their effect on disease control among children with asthma using metered dose or dry powder inhalers. J Asthma. 2015 Oct;52(8):838-45. doi: 10.3109/02770903.2015.1028075. Epub 2015 Jun 2. |
| 33497530 | Background | Almomani BA, Al-Qawasmeh BS, Al-Shatnawi SF, Awad S, Alzoubi SA. Predictors of proper inhaler technique and asthma control in pediatric patients with asthma. Pediatr Pulmonol. 2021 May;56(5):866-874. doi: 10.1002/ppul.25263. Epub 2021 Jan 26. |
| 36879363 | Background | Tao S, Fan Q, Hariharan VS, Zhi H. Effectiveness of nursing interventions for management of children with bronchial asthma: A systematic review and meta-analysis. Int J Nurs Pract. 2023 Dec;29(6):e13139. doi: 10.1111/ijn.13139. Epub 2023 Mar 6. |
| 28288272 | Background | Normansell R, Kew KM, Mathioudakis AG. Interventions to improve inhaler technique for people with asthma. Cochrane Database Syst Rev. 2017 Mar 13;3(3):CD012286. doi: 10.1002/14651858.CD012286.pub2. |
| 36063773 | Background | Roche N, Aggarwal B, Boucot I, Mittal L, Martin A, Chrystyn H. The impact of inhaler technique on clinical outcomes in adolescents and adults with asthma: A systematic review. Respir Med. 2022 Oct;202:106949. doi: 10.1016/j.rmed.2022.106949. Epub 2022 Sep 2. |
| 27060726 | Background | Sanchis J, Gich I, Pedersen S; Aerosol Drug Management Improvement Team (ADMIT). Systematic Review of Errors in Inhaler Use: Has Patient Technique Improved Over Time? Chest. 2016 Aug;150(2):394-406. doi: 10.1016/j.chest.2016.03.041. Epub 2016 Apr 7. |
| 28286157 | Background | Price DB, Roman-Rodriguez M, McQueen RB, Bosnic-Anticevich S, Carter V, Gruffydd-Jones K, Haughney J, Henrichsen S, Hutton C, Infantino A, Lavorini F, Law LM, Lisspers K, Papi A, Ryan D, Stallberg B, van der Molen T, Chrystyn H. Inhaler Errors in the CRITIKAL Study: Type, Frequency, and Association with Asthma Outcomes. J Allergy Clin Immunol Pract. 2017 Jul-Aug;5(4):1071-1081.e9. doi: 10.1016/j.jaip.2017.01.004. Epub 2017 Mar 9. |
| Background | Moral Gil L, Asensi Monzó M, Juliá Benito JC, Ortega Casanueva C, Paniagua Calzón NM, Pérez García MI, Rodríguez Fernández-Oliva CR, Sanz Ortega J, Valdesoiro Navarrete L, Valverde Molina J. Asma en pediatría. Consenso regAp. Alicante (España): Luis Morales; 2021. Disponible en: https://neumoped.org/wp-content/uploads/2021/02/Asma-en-pediatria-consenso-regap-2021_94549.pdf |
| D011314 | Preventive Health Services |