The Effect of Mobile Application Game Training Designed for Children
Condition: Asthma in Children; Life Style; Quality of Life
MeSH terms: Asthma
Study type: Interventional

Summary: 
      The aim of this research is to examine the effect of mobile application game training
      designed for children aged 8-16 years on asthma management and quality of life. The
      population of the study will be children in the 8-12 age group who applied to the Mersin
      Pediatric Allergy, Asthma and Immunology Specialist's clinic, and the sample will consist of
      78 children with asthma who meet the criteria for inclusion in the research. This age group
      has problems in solving abstract problems, it is necessary to embody it in order to
      facilitate the understanding of the disease process. Therefore, it is important to embody the
      training given in the increase of self-management related to the disease process of this age
      group. While determining the sample size of the study, Arıkan-Ayyıldız et al. (2016) based on
      the scientific study named "Efficacy of asthma education program on asthma control in
      children with uncontrolled asthma". In the Arıkan-Ayyıldız study, it was reported that the
      total mean score of "ACT" (Asthma Control Test-Asthma Control Test) was 13.8±3.4 in the
      experimental group and 15.6±3.2 in the control group. As a result of the Power analysis
      (G*Power 3.1.9.2) made according to these data; effect size = 0.78, with 95% confidence
      interval, 95% power, it was calculated that a total of 72 children with asthma, at least 36
      in each group, should be included. Considering that there may be dropout and confounders
      during the research process, the number of groups was increased by 10%. The sample of the
      research; was a total of 78 children, including 39 children in each intervention group.

      In collecting research data; the Child and Parent Information Form, Inhaler Usage Skills
      Evaluation Form, Asthma Symptom and Treatment Need Scoring, DISABKIDS Asthma Scale will be
      used. A statistical package program (SPSS 20) will be used in the analysis of the research
      data. The statistical significance level was determined as 0.05. Kolmogorov-Smirnov will be
      used in the normality analysis of dependent variables. Chi-square and mean-to-means
      comparison tests will be used to determine the similarity of the groups. Appropriate
      parametric or non-parametric tests will be used according to the distribution's normality in
      comparing the means between groups and within groups.
    

Detailed description: 
      -  Data will be collected in the waiting room after the child is examined at the clinic. In
           data collection, the pediatric patients who applied to the clinic of the Pediatric
           Allergy, Asthma and Immunology Specialist who met the inclusion criteria of the study
           and agreed to participate in the study, and their parents, who were diagnosed with
           asthma at least one year ago, will be informed about the purpose of the study and their
           parents, and their verbal and written consent will be obtained.

        -  Randomization will be provided by randomly and evenly dividing the patients who meet the
           sample selection criteria into 2 groups (1st experimental group, 2nd group control
           group) through a computer program (http://www1.assumption.edu/users/avadum/applets/).
           RandAssign/GroupGen.html).

        -  The data collection forms in the research will be applied to the children and parents in
           the sample group.

        -  Mobile application game training will be introduced to the children and parents in the
           experimental group and they will be provided to download the application to their mobile
           device or tablet.

        -  Data collection forms will be re-applied immediately after children complete one round
           of the game, 4 months and 6 months after the training.

        -  No application will be made to the children and parents in the control group, and the
           forms will be re-applied 4 months and 6 months after the first application of the data
           collection forms.
    

Intervention name(s): Mobile Application Game Training
Intervention type(s): Other
Intervention description(s): Mobile application game training can be used interactively with smartphones and tablets.
A user account will be created after the application is downloaded to the mobile phone/tablet.
After logging into the application, the map of the game will be displayed.
The game will start with the first level of the game consisting of 5 levels.
At each level, first of all, educational videos prepared in the form of short (1-2 minutes) animations will be watched. The number of videos varies between 1 and 3.
After watching the videos, interactive games will be played.
Children are required to complete each stage in the game, and each stage is planned to take approximately 7-10 minutes.
After passing the first level, children will be able to move on to the next level of games and will not be able to move on to the next level until the previous level is finished.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Health Services Research