STudy of Asthma Adherence Reminders

NCT ID: NCT02451709

Last Updated: 2015-11-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-10-31

Study Completion Date

2015-11-30

Brief Summary

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To determine whether electronic adherence monitoring with feedback and reminder alarms can improve adherence and health outcomes in childhood asthma.

Detailed Description

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This study will investigate whether adding an electronic adherence monitor to inhaled steroids, and feeding this information back to patients and families can improve adherence and outcomes in childhood asthma. The devices will also sound twice daily reminder alarms to act as direct medication prompts. This intervention will be compared to a control group in which adherence is monitored, but with no feedback or alarms.

Conditions

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Childhood Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Feedback and alarms

Standard education about importance of inhaled steroids and regular adherence to inhaled steroids after recruitment to study.

Randomized to receive an electronic adherence device ( activated smartinhaler or smartturbo - Nexus 6) with twice daily alarm reminders activated. Patient decides times, different times on weekdays and weekends if required. This device fitted to their regular preventer inhaler, patient aware of its presence and its purpose in the context of the study.

Reviewed in standard asthma clinic every 3 months for 12 months. At each clinic visit, adherence information downloaded from device and data shared with patient and family (feedback of adherence data). Discussion about adherence rates, and action planning for the next 3 months to improve adherence if necessary.

Group Type EXPERIMENTAL

Activated Smartinhaler or Smartturbo

Intervention Type DEVICE

Medication reminder alarms

Feedback of adherence data

Intervention Type OTHER

Review of adherence data with action planning

No feedback or alarms

Standard education about importance of inhaled steroids and regular adherence to inhaled steroids after recruitment to study.

Randomized to receive an electronic adherence device. Deactivated Smartinhaler or Smartturbo.

Device not activated to play reminder alarms. This device fitted to their regular preventer inhaler, patient aware of its presence and its purpose in the context of the study.

Reviewed in standard asthma clinic every 3 months for 12 months. At each clinic visit, adherence information downloaded from device but data not shared with patient, and no adherence discussion.

Group Type ACTIVE_COMPARATOR

Deactivated Smartinhaler or Smartturbo

Intervention Type DEVICE

Alarms deactivated and no feedback

Interventions

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Activated Smartinhaler or Smartturbo

Medication reminder alarms

Intervention Type DEVICE

Feedback of adherence data

Review of adherence data with action planning

Intervention Type OTHER

Deactivated Smartinhaler or Smartturbo

Alarms deactivated and no feedback

Intervention Type DEVICE

Other Intervention Names

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Electronic adherence monitor Electronic adherence monitor

Eligibility Criteria

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Inclusion Criteria

* Doctor diagnosed asthma.
* On at least BTS stage 2, which means they will be on regular inhaled steroids.
* No change in regular asthma treatment in the last 1 month (on regular inhaled steroids, no change in steroid dose for

1 month, no change in add on therapy in the last month).
* ACQ (Asthma Control Questionnaire) score more than or equal to 1.5.
* Can speak and understand English.

Exclusion Criteria

* BTS stage 5 asthma (complex issues, too unstable).
* Recent changes to asthma treatment within the last month. (see above)
* ACQ (Asthma Control Questionnaire) score \< 1.5.
* Another chronic health condition (eg diabetes, congenital heart disease, cystic fibrosis).
* Can't speak or understand English.
Minimum Eligible Age

6 Years

Maximum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sheffield Children's NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Morton

Role: PRINCIPAL_INVESTIGATOR

Investigator

Locations

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Sheffield Children's NHS Foundation Trust

Sheffield, Sheffield (South Yorkshire District), United Kingdom

Site Status

Countries

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United Kingdom

References

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Morton RW, Elphick HE, Rigby AS, Daw WJ, King DA, Smith LJ, Everard ML. STAAR: a randomised controlled trial of electronic adherence monitoring with reminder alarms and feedback to improve clinical outcomes for children with asthma. Thorax. 2017 Apr;72(4):347-354. doi: 10.1136/thoraxjnl-2015-208171. Epub 2016 Nov 4.

Reference Type DERIVED
PMID: 27815524 (View on PubMed)

Other Identifiers

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SCH/13/041

Identifier Type: -

Identifier Source: org_study_id