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COPDNCT05664347

Video-based Teach-to-goal Intervention on Inhaler Technique on Jordanian Adults With Asthma and COPD

A study testing Verbal teach to goal education and Video based teach to goal education in people with COPD and Asthma, run by University of Jordan at 1 site in Jordan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study was an interventional educational study that was intended to find out the effect of a video based inhaler technique education on improving inhaler technique mastery, disease control, medication adherence and patient quality of life in comparison to verbal education among adults with asthma or COPD. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
COPD, Asthma, Inhaled Steroid Dependent Asthma
What is being tested?
Verbal teach to goal education and Video based teach to goal education
Could I receive a placebo?
No, everyone receives an active treatment
How many people
154 participants
Where
1 siteJordan
Study dates
9 Mar 2020to 21 Feb 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Established diagnosis of Asthma or COPD.
  • Started on one or more inhaler devices for a minimum of one month.
  • Expected to continue using their inhaler devices chronically.

Who cannot join

  • Patients at high risk of infection (immunocompromised).
  • Patients presenting with a very severe clinical presentation (severe dyspnoea, confusion due to hypoxemia, the need for continuous oxygen therapy).

Trial locations and contacts

1 site in 1 country.

Jordan1 site
  • Jordan University Hospital

    Amman

Other trials in Jordan

About this study

Official title: Video-based Teach-to-goal Intervention on Inhaler Technique on Adults With Asthma and COPD: a Randomized Controlled Trial

This study was an interventional educational study that was intended to find out the effect of a video based inhaler technique education on improving inhaler technique mastery, disease control, medication adherence and patient quality of life in comparison to verbal education among adults with asthma or COPD.

Being tested
Verbal teach to goal education, Video based teach to goal education
Keywords
Video-Based, Teach To Goal Education, Chronic Obstructive Pulmonary Disease, Asthma, Randomized Controlled Trial, Patient Education, Quality of Life, Medication adherence, Inhaler technique
Medical subject headings
Pulmonary Disease, Chronic Obstructive, Asthma, Medication Adherence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Verbal teach to goal educationBehavioural

    Also called verbal TTG

    Participants were showed how to use correctly their inhalers and then asked again to show the technique. For each incorrect step, the patients were corrected and asked to repeat the steps until they mastered the technique. This process was repeated a maximum of three times.

  • Video based teach to goal educationBehavioural

    Also called video-based TTG

    Participants were educated by the a video-based teach to goal method. using a smartphone, an educational video illustrating the correct technique for each of the inhalers used by the patient was displayed. After watching the video, the patients were asked to show again how to use their inhaler and for each wrong step the video was displayed again until mastering the correct technique a maximum of three times. At the end of the interview participants in the intervention group received a copy of the video via WhatsApp and were all invited to watch the video whenever needed.

Study groups in NCT05664347
Study groupRoleWhat they receive
ControlActive comparatorStandard verbal teach to goal inhaler technique education
Receives: Behavioral: Verbal teach to goal education
InterventionActive comparatorVideo based teach to goal inhaler technique education
Receives: Behavioral: Video based teach to goal education

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of participants with correct Inhaler technique

    The ability of the participants to use their inhaler devices correctly: using standardized checklists

    Measured: At base line "first interview"

  2. Number of participants with correct Inhaler technique

    The ability of the participants to use their inhaler devices correctly: using standardized checklists

    Measured: After three months of intervention "second interview"

Secondary outcomes (10)
  1. Number of participants with moderate-high medication adherence

    Adherence to inhaled medications used for the management of Asthma or COPD using morisky-green levien scale (MGLS). This scale is a 4 point previously validated score for the assessment of medication adherence, increase in score from 1 to 4 means better medication adherence. patients with a MGLS of 1 were considered to have low medication adherence while those with a score that is equal or higher than 2 were considered to have moderate-high level of adherence.

    Measured: At base line "first interview"

  2. Number of participants with moderate-high medication adherence

    Adherence to inhaled medications used for the management of Asthma or COPD using morisky-green levien scale (MGLS). This scale is a 4 point previously validated score for the assessment of medication adherence, increase in score from 1 to 4 means better medication adherence. patients with a MGLS of 1 were considered to have low medication adherence while those with a score that is equal or higher than 2 were considered to have moderate-high level of adherence.

    Measured: After Three months of intervention "second interview"

  3. Number of asthmatic patients with well-controlled Disease

    Assessment of symptom frequency and severity using the Asthma control test (ACT). a scale of 25 points, the minimum score is 5 points which indicates the worst symptom control while the maximum score "best disease control" is indicated by the score of 25.

    Patients with a score of 5-19 were considered having uncontrolled asthma while those with a score of 20-25 had a well controlled asthma.

    Measured: At base line "first interview"

  4. Number of asthmatic patients with well-controlled Disease

    Assessment of symptom frequency and severity using the Asthma control test (ACT). a scale of 25 points, the minimum score is 5 points which indicates the worst symptom control while the maximum score "best disease control" is indicated by the score of 25.

    Patients with a score of 5-19 were considered having uncontrolled asthma while those with a score of 20-25 had a well controlled asthma.

    Measured: After Three months of intervention "second interview"

  5. Number of COPD patients with well-controlled Disease

    Assessment of symptom frequency and severity using the COPD assessment test. a scale of 40 points; disease control is considered better as the score decreases. participants with scores of 0-9 were considered having less symptoms "well controlled COPD" while those with a score between 10-40 were considered having more symptoms "less controlled COPD".

    Measured: At base line "first interview"

  6. Number of COPD patients with well-controlled Disease

    Assessment of symptom frequency and severity using the COPD assessment test. a scale of 40 points; disease control is considered better as the score decreases. participants with scores of 0-9 were considered having less symptoms "well controlled COPD" while those with a score between 10-40 were considered having more symptoms "less controlled COPD".

    Measured: After Three months of intervention "second interview"

  7. Asthma related quality of life

    Assessment of asthmatic patients quality of life using the mini asthma quality of life questionnaire (mini-AQLQ). A 15 questions scale with a score of 1-7 for each question. average score was calculated to give a result between 1-7. as the average score increased from 1-7 the disease related quality of life was considered better;

    1. total impairment
    2. highly impaired
    3. very impaired
    4. moderately impaired
    5. somehow impaired
    6. little impairment
    7. no impairment.

    Measured: At base line "first interview"

  8. Asthma related quality of life

    Assessment of asthmatic patients quality of life using the mini asthma quality of life questionnaire (mini-AQLQ). A 15 questions scale with a score of 1-7 for each question. average score was calculated to give a result between 1-7. as the average score increased from 1-7 the disease related quality of life was considered better;

    1. total impairment
    2. highly impaired
    3. very impaired
    4. moderately impaired
    5. somehow impaired
    6. little impairment
    7. no impairment.

    Measured: After Three months of intervention "second interview"

  9. COPD related quality of life

    Assessment of COPD patients quality of life using the St.George respiratory questionnaire.

    a 50-item validated tool. Each question had a specific weight assigned by the developer and the SGRQ scores are calculated using an automated application that was also designed and afforded by the questionnaire developer.

    The automated application can thus produce four final results; a total score that represents the total burden of COPD on the patient's quality of life, a 'symptom' score, an 'activity limitation' score and an 'impact' score.

    The total SGRQ score and the score for each of the three domains can range from 0 to 100, where an increase in the score indicates more impairment exerted by the disease on the patient's QoL.

    Measured: At base line "first interview"

  10. COPD related quality of life

    Assessment of COPD patients quality of life using the St.George respiratory questionnaire.

    a 50-item validated tool. Each question had a specific weight assigned by the developer and the SGRQ scores are calculated using an automated application that was also designed and afforded by the questionnaire developer.

    The automated application can thus produce four final results; a total score that represents the total burden of COPD on the patient's quality of life, a 'symptom' score, an 'activity limitation' score and an 'impact' score.

    The total SGRQ score and the score for each of the three domains can range from 0 to 100, where an increase in the score indicates more impairment exerted by the disease on the patient's QoL.

    Measured: After Three months of intervention "second interview"

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2022
  2. Study start9 Mar 2020
  3. Primary completion21 Feb 2021
  4. Study completion21 Feb 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Patients diagnosed with asthma or COPD, who were started on any inhaler for a minimum of one month and will continue using them chronically were met in the JUH respiratory clinic and invited to participate. Patients at high risk for infection, or those presenting with a very severe clinical presentation were excluded. Taking into account the non-invasive nature of the educational intervention, and the need to reduce the risk of spread of COVID19 virus (sharing pens or papers), a verbal consent was obtained. Enrolled participants were randomized using simple randomization into two groups; odd numbers for the control group (received a verbal TTG education on their inhaler technique) and even numbers for the intervention group ( received a video based TTG education). The primary and secondary outcomes of the study were inhaler technique mastery, amelioration of disease control, disease related quality of life and medication adherence at follow-up (after 3 months).
Masking
None (open label)
Enrolment
154 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05664347
Sponsor's protocol ID
124454
Status last verified
Dec 2022
First submitted
30 Sep 2022
Last updated
23 Dec 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • G.I.f.C.O.L.D. (GOLD), Global Strategy for the Diagnosis, Managment, and Prevention of Chronic Obstructive Pulmonary Disease, 2020. https://goldcopd.org/gold-reports/. (Accessed November 11, 2019.

  • G.I.f.A. (GINA), Global Strategy for Ashtma Managment and Prevention, 2021. https://ginasthma.org/gina-reports/. (Accessed June 15, 2021.

  • W.H.O. WHO, Chronic Obstructive Pulmonary Disease (COPD) 2017. https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd). (Accessed January, 22 2020.

  • W.H.O. WHO, Asthma, 2020. https://www.who.int/news-room/q-a-detail/asthma. (Accessed May, 24 2020.

  • European Respiratory Society, The Global Impact of Respiratory Disease, Sheffield, 2017.

  • The global asthma report (GAR), The Burden of Asthma, 2018. http://www.globalasthmareport.org/burden/mortality.php. (Accessed February, 18 2020.

  • Lokke A, Lange P, Lykkegaard J, Ibsen R, Andersson M, de Fine Licht S, Hilberg O. Economic Burden of COPD by Disease Severity - A Nationwide Cohort Study in Denmark. Int J Chron Obstruct Pulmon Dis. 2021 Mar 10;16:603-613. doi: 10.2147/COPD.S295388. eCollection 2021.

    PubMed 33731990
  • C.f.D.C.a.P. CDC, Chronic obstructive pulmonary disease (COPD), 2021. https://www.cdc.gov/copd/infographics/copd-costs.html. (Accessed Jan, 11 2021 2021).

  • Abu-Ekteish F, Otoom S, Shehabi I. Prevalence of asthma in Jordan: comparison between Bedouins and urban schoolchildren using the International Study of Asthma and Allergies in Childhood phase III protocol. Allergy Asthma Proc. 2009 Mar-Apr;30(2):181-5. doi: 10.2500/aap.2009.30.3208.

    PubMed 19463207
  • Khassawneh BY, Samrah SM, Jarrah MI, Ibdah RK, Ibnian AM, Al-Mistarehi AW, Zghayer AA, Abuqudairi SI, Khader YS. Prevalence of undiagnosed COPD in male patients with coronary artery disease: a cross-sectional study in Jordan. Int J Chron Obstruct Pulmon Dis. 2018 Sep 5;13:2759-2766. doi: 10.2147/COPD.S172679. eCollection 2018.

    PubMed 30233166
  • Lavorini F, Fontana GA, Usmani OS. New inhaler devices - the good, the bad and the ugly. Respiration. 2014;88(1):3-15. doi: 10.1159/000363390. Epub 2014 May 27.

    PubMed 24902629
  • Melani AS, Bonavia M, Cilenti V, Cinti C, Lodi M, Martucci P, Serra M, Scichilone N, Sestini P, Aliani M, Neri M; Gruppo Educazionale Associazione Italiana Pneumologi Ospedalieri. Inhaler mishandling remains common in real life and is associated with reduced disease control. Respir Med. 2011 Jun;105(6):930-8. doi: 10.1016/j.rmed.2011.01.005. Epub 2011 Mar 2.

    PubMed 21367593
  • Basheti IA, Obeidat NM, Ammari WG, Reddel HK. Associations between inhaler technique and asthma control among asthma patients using pressurised MDIs and DPIs. Int J Tuberc Lung Dis. 2016 May;20(5):689-95. doi: 10.5588/ijtld.15.0557.

    PubMed 27084826
  • Duarte-de-Araujo A, Teixeira P, Hespanhol V, Correia-de-Sousa J. COPD: misuse of inhaler devices in clinical practice. Int J Chron Obstruct Pulmon Dis. 2019 May 30;14:1209-1217. doi: 10.2147/COPD.S178040. eCollection 2019.

    PubMed 31213798
  • Basheti IA, Obeidat NM, Reddel HK. Inhaler technique education and asthma control among patients hospitalized for asthma in Jordan. Saudi Pharm J. 2018 Dec;26(8):1127-1136. doi: 10.1016/j.jsps.2018.06.002. Epub 2018 Jul 7.

    PubMed 30532633

Questions about this trial

What is this clinical trial studying?

A study testing Verbal teach to goal education and Video based teach to goal education in people with COPD and Asthma, run by University of Jordan at 1 site in Jordan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Dec 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Jordan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants with correct Inhaler technique (time frame: At base line "first interview"). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05664347, which also lists 69 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Dec 2022.

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