Animated Cartoons and Cooperation in Young Children Receiving Inhaled Medications

NCT ID: NCT02879240

Last Updated: 2017-06-06

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

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2017-03-31

Brief Summary

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Up to 50% of infants and young children cry during the administration of their inhaled treatment for their asthma. This results in decreased lung deposition, and thus decreased effectiveness of their inhaled treatment.

The objective of this study is to evaluate whether animated cartoons can increase the cooperation of young children with asthma who are not cooperative during the delivery of their ICS therapy through a pMDI/spacer.

Detailed Description

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Conditions

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Patient Compliance Inhalation Spacers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group animated cartoon-black screen (AB)

In this group, children will be exposed to a animated cartoon during the delivery of their inhaled treatment twice a day during one week, then they will be exposed to a black screen in the same conditions for one other week.

Group Type OTHER

Animated Cartoon

Intervention Type OTHER

An animated cartoon chosen by the parents is displayed on a smartphone attached on the spacer of the child.

Black screen

Intervention Type OTHER

A video displaying a black screen is used as control, and displayed on a smartphone attached on the spacer of the child.

Group black screen - animated cartoon (BA)

In this group, children will be exposed to a black screen during the delivery of their inhaled treatment twice a day during one week, then they will be exposed to an animated cartoon in the same conditions for one other week.

Group Type OTHER

Animated Cartoon

Intervention Type OTHER

An animated cartoon chosen by the parents is displayed on a smartphone attached on the spacer of the child.

Black screen

Intervention Type OTHER

A video displaying a black screen is used as control, and displayed on a smartphone attached on the spacer of the child.

Interventions

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Animated Cartoon

An animated cartoon chosen by the parents is displayed on a smartphone attached on the spacer of the child.

Intervention Type OTHER

Black screen

A video displaying a black screen is used as control, and displayed on a smartphone attached on the spacer of the child.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Dyad parent-child.
* Parent must be 18 years or older and own a smartphone which can record videos and display animated cartoons.
* Child must be 6-47 months old, and require an inhaled corticosteroid therapy, and use a pressurized metered-dose inhaler and a spacer, and have difficulties in cooperation at least half of the time on the last week.

Exclusion Criteria

* Children with a medical history of epilepsy, or visual or hearing impairment not corrected by an appropriate device/treatment.
* Parents not speaking French or English.
* Parents not able to run the mobile application used to record the videos of the child despite repeated explanations.
Minimum Eligible Age

6 Months

Maximum Eligible Age

47 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hôpital Necker-Enfants Malades

OTHER

Sponsor Role lead

Responsible Party

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David Drummond

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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David Drummond, M.D.

Role: PRINCIPAL_INVESTIGATOR

Necker hospital

Locations

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Department of pediatrics, Mignot Hospital

Le Chesnay, , France

Site Status

Department of pediatric pulmonology, Hopital Robert Debré

Paris, , France

Site Status

Department of pediatric pulmonology, Necker Hospital

Paris, , France

Site Status

Countries

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France

References

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Guilbert TW, Morgan WJ, Zeiger RS, Mauger DT, Boehmer SJ, Szefler SJ, Bacharier LB, Lemanske RF Jr, Strunk RC, Allen DB, Bloomberg GR, Heldt G, Krawiec M, Larsen G, Liu AH, Chinchilli VM, Sorkness CA, Taussig LM, Martinez FD. Long-term inhaled corticosteroids in preschool children at high risk for asthma. N Engl J Med. 2006 May 11;354(19):1985-97. doi: 10.1056/NEJMoa051378.

Reference Type BACKGROUND
PMID: 16687711 (View on PubMed)

Iles R, Lister P, Edmunds AT. Crying significantly reduces absorption of aerosolised drug in infants. Arch Dis Child. 1999 Aug;81(2):163-5. doi: 10.1136/adc.81.2.163.

Reference Type BACKGROUND
PMID: 10490528 (View on PubMed)

Lee J, Lee J, Lim H, Son JS, Lee JR, Kim DC, Ko S. Cartoon distraction alleviates anxiety in children during induction of anesthesia. Anesth Analg. 2012 Nov;115(5):1168-73. doi: 10.1213/ANE.0b013e31824fb469. Epub 2012 Sep 25.

Reference Type BACKGROUND
PMID: 23011563 (View on PubMed)

Other Identifiers

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Distract01

Identifier Type: -

Identifier Source: org_study_id

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