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

NCT ID: NCT07139080

Last Updated: 2025-08-24

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

68 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-01

Study Completion Date

2025-04-28

Brief Summary

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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."

Detailed Description

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Conditions

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PATIENT EDUCATION

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants
Randomization will be performed according to disease duration via calculatorsoup.com, a web-based program. It will be defined as the intervention group (M) and the control group (K). During the randomization process, numbered envelopes will be prepared by an academician outside the research for the patients included in the intervention and control groups. The researcher will learn the information about the intervention or control group in the prepared envelopes when the relevant envelope is opened during the interview with the patient. Thus, statistical blinding will be ensured.

Study Groups

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Mobile Education Group

It consists of participants who will download the mobile patient education and breathing exercise reminder program and apply it for 10 weeks.

Group Type EXPERIMENTAL

Mobile education

Intervention Type BEHAVIORAL

It consists of participants who will download the mobile patient education and breathing exercise reminder program and apply it for 10 weeks.

Control Group

This is the group of participants to be followed within the standard treatment plan. A mobile training and breathing exercise reminder program will be downloaded to patients in this group at the end of the study.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mobile education

It consists of participants who will download the mobile patient education and breathing exercise reminder program and apply it for 10 weeks.

Intervention Type BEHAVIORAL

Eligibility Criteria

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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


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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gulhane Training and Research Hospital

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ezgi Yildirim

Principal İnvestigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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AYLA DEMİRTAŞ, Associate Professor

Role: STUDY_DIRECTOR

UNIVERSITY OF HEALTH SCIENCES GULHANE FACULTY OF NURSING

Locations

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Gulhane Training and Research Hospital

Ankara, KEÇİÖREN, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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Asthma Mobil Nursing Education

Identifier Type: -

Identifier Source: org_study_id

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