Mobile Phone Daily Alarm To Improve Compliance Of Intranasal Corticosteroid Among Allergic Rhinitis Patients.

Study Overview
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Brief Summary
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This is a randomized controlled trial to compare the compliance of allergic rhinitis patients towards intranasal steroids between those who use mobile daily alarm reminder and those who do not.

Detailed Description
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In this single blinded RCT, adults with allergic rhinitis are randomized into either he intervention or control arm. The intervention involves installing an alarm with a prerecorded nmessage Have you take your intranasal steroids which will automatically ring every day on the patients mobile phone. The control arm do not have any alarm set up. Both groups are offered counseling and education regarding the importance of compliance to intranasal steroid upon recruitment. Daily reminder to take medication may eliminate reason for forgetting medication schedule, hence, improve compliance towards INCS among patients with allergic rhinitis. This study aims to assess the effectiveness of using daily mobile alarm on patient's compliance towards INCS.

Official Title
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Mobile Phone Daily Alarm To Improve Compliance Of Intranasal Corticosteroid Among Allergic Rhinitis Patients.

Conditions
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Rhinitis, Allergic, Compliance, Medication

Intervention / Treatment
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* Other: Mobile phone alarm reminder


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: • Patients aged 15 years old to 60 years old with persistent AR Positive SPT towards DF, DP, BT, cockroach, Aspergillus, Cat fur Own and able to operate functioning mobile smartphone with built in alarm Able to understand simple instructions Patients who can read in English and Malay Newly diagnosed AR or previous patients who only take intranasal corticosteroid less than 4 times per week Exclusion Criteria: • Patients on immunotherapy Patients with mild intermittent AR Pregnant patients Patient with psychiatric illness Patients with gross anatomical obstruction (severe DNS, gross polyposis, nasal tumour) Chronic rhinosinusitis(CRS) with or without nasal polyposis Patients who have adverse reaction towards INCS Patients with severe hearing loss

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 66 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: Other
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: Single blinded randomized controlled trial
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobile daily alarm<br>A mobile smartphone with functioning alarm system and solely owned by the patient. The alarm will be set by the second investigator to alert the participant between 6am - 10am (based on participant's preference) in the morning daily. A recorded dual-language (English and Malay version) tone for alarm mobile phone will be used. Apart from that participants are also counseled and educated about allergic rhinitis and are also asked to fill up self monitored adherence card to document their nasal steroid intake. | Other: Mobile phone alarm reminder<br>* Patients are reminded to take their INCS using a mobile phone alarm set to ring daily<br>|
| No Intervention: Control<br>This group of participant will receive counseling and education regarding allergic rhinitis and the importance of compliance. Patients are also given a self monitored adherence card to document their nasal steroid intake. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compliance | Compliance was taken as 2/3rd use of INCS (20 days out of 30) = 20 x 0.38 = 7.6 g reduced weight. | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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allergic rhinitis, Intranasal steroid spray, compliance, mobile alarm