Personalized Mobile Phone Video Recording to Improve Inhaler Techniques in Asthma Patients.

Study Overview
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Brief Summary
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To investigate the effectiveness of addition of recording video of the patient performing inhaler techniques using mobile phone for discussion with the patient, to standard care inhaler education compared to standard care inhaler education alone, in improving inhaler technique of asthma patients.

Detailed Description
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This is a single-centre, randomized, controlled, parallel group, assessor-blinded trial to evaluate the effectiveness of Personalized Mobile Phone Video Recording in addition to standard care, compared to standard care alone, in improving inhaler technique among patients with asthma. Patients are randomised to either Personalized Video Recording with standard clinical practice group (intervention) or to standard clinical practice group (control) in 1:1 ratio. Subject's inhaler technique assessment is performed by using a standard checklist of steps according to the type of inhaler used by subject. All inhaler technique assessment and asthma control questionnaire will be administered before the intervention/control treatment by a blinded assessor. Both intervention and control treatment will be administered by the same investigators.

Official Title
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A Randomized Control Trial to Evaluate the Effectiveness of Personalized Mobile Phone Video Recording in Addition to Standard Care Compared to Standard Care Alone in Improving Inhaler Technique Among Patients With Asthma. (RECORD)

Conditions
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Asthma

Intervention / Treatment
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* Procedure: Personalized Mobile Phone Video Recording


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years old and above Informed consent Established clinical diagnosis of asthma by patient's treating doctor Prescribed with inhalers (any type) for therapeutic indication for at least 3 months Exclusion Criteria: Unable to converse/understand Malay or English Not able to perform inhalation on his/her own self Using spacer/valved holding chamber in addition to MDI Not able to comply with study procedures in the opinion of investigators More than two different types of inhaler which require different techniques

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Personalized Mobile Phone Video Recording in addition to Standard care | Procedure: Personalized Mobile Phone Video Recording<br>* Subjects will be asked to perform inhaler technique while on video recording. The video will be shown to subjects immediately during technique education session and mistakes (if any) will be pointed out to subject.<br>|
| No Intervention: Control<br>Standard care alone | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Inhaler Technique | Correct inhaler technique (able to do all the steps of inhaler technique, as stipulated in checklist of subject's inhaler) | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Asthma Control | Mean score of Asthma Control Questionnaire (ACQ) | 1, 3 and 6 months | 
| Inhaler Technique | Correct inhaler technique (able to do all the steps of inhaler technique, as stipulated in checklist of subject's inhaler) | 1 and 3 months | 
| Inhaler Technique Error | Number of errors committed by patients according to checklist | 1, 3 and 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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inhaler technique, compliance