Electronic Monitoring Combined With Weekly Feedback and Reminders

Shanghai Children's Medical Center96 enrolled

Overview

A total of 96 recruited children (aged 6 months to 3 years) with mild or moderate persistent asthma who were on regular inhaled corticosteroids (ICS) were randomly allocated to receive electronic monitoring combined with instant messaging software -based weekly feeding back adherence and reminders to keep taking the ICS (intervention group) and to receive electronic monitoring only (control group). The device-monitored adherence rates and caregiver-reported adherence rates were analyzed.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE

Enrollment

Conditions

Asthma

Interventions

intervention groupBEHAVIORAL

All the device-monitored adherence data from the previous week were downloaded from the background database and calculated by a qualified asthma nurse. Through free IMS (WeChat; Tencent, Shenzhen, CHN) available on mobile, the nurse offered feedback to the caregivers weekly according to the adherence rate and reminded them to keep taking the ICS. Caregivers were asked monthly "Has our child inhaled the medicine according to the doctor's instructions?" and "How about the frequency?" by telephone.

Eligibility

Sex: ALLMin age: 6 MonthsMax age: 3 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. patients having mild or moderate persistent asthma 2. 6 months-3 years 3. taking regular inhaled steroids, with no change in their medication in the last month. Exclusion Criteria: Participants who had severe persistent asthma or another respiratory disease or did not live in Shanghai were excluded.

Locations (1)

Shanghai children's medical center

Shanghai, Shanghai Municipality, China

Outcomes

Primary Outcomes

device monitored adherence rate

The primary outcome of the study was change in the adherence rate monitored by the electronic device for 6 consecutive months. This adherence rate was calculated as the number of device recorded times /number of total times prescribed × 100%.

Time frame: up to 6 months

Secondary Outcomes

caregiver-reported adherence rate

The secondary outcomes for the study were the caregiver-reported adherence rate and the difference between device-monitored and caregiver-reported adherence rates for 6 consecutive months. The caregiver-reported adherence rate was recorded on a monthly basis. It was offered by the caregivers of patients through answering the questions "Has our child inhaled the medicine according to the doctor's instructions" and "How about the frequency". The device-monitored and caregiver-reported adherence rates were compared monthly.

Time frame: up to 6 months

Data from ClinicalTrials.gov

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