Digital Respiratory Game in Asthma

Study Overview
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Brief Summary
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This study aims to examine the effects of a digital game designed for respiratory training in childhood asthma. Fifteen children aged 8-14 years with asthma were included in the study. There were two groups a digital game group (n=9) and a control group (n=6). Respiratory training was given to the digital game group with a digital game. The control group was followed with medication. Both groups were evaluated at baseline and after 3 weeks.

Detailed Description
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Asthma is a chronic obstructive disease that is common in children worldwide. This study aims to examine the effects of a digital game designed for respiratory training in childhood asthma. Fifteen children aged 8-14 years with asthma were included in the study. There were two groups a digital game group (n=9) and a control group (n=6). Demographic information of the children was recorded. Pulmonary function test (PFT) was evaluated with a portable spirometer (Spirobank MIR), the quality of life of the children was evaluated with the Paediatric Asthma Quality of Life Questionnaire and psychological status was evaluated with the child depression scale. Respiratory training was given to the digital game group with a digital game. The control group was followed with medication. Both groups were evaluated at baseline and after 3 weeks.

Official Title
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Effect of Respiratory Training Digital Game on Respiratory Functions, and Psychological Status in Childhood Asthma

Conditions
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Asthma in Children

Intervention / Treatment
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* Device: Digital Game Application
* Drug: Use of medication for asthma


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 7-17 age range Diagnosed with asthma according to GINA criteria Cooperative Exclusion Criteria: Presence of neurological problems Presence of systemic disorders

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 17 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: Digital game group<br>In addition to routine drug use, children of the digital game group were followed up with 15 sessions of 15 minutes of digital games for respiratory training. | Device: Digital Game Application<br>* The digital game contains brief information about the respiratory system adapted to children, and it is a game whose duration can be adjusted manually to follow the treatment process of the patient, taking into account the ½ ratio in the inhalation and exhalation process in the clinic.<br>Drug: Use of medication for asthma<br>* The children continued to take their current asthma medication on the same schedule. The drugs used by the children were zespira and ventolin.<br>|
| Active Comparator: Routine medical treatment group<br>The children continued their current asthma treatment in the same way. They did not receive any extra treatment. | Drug: Use of medication for asthma<br>* The children continued to take their current asthma medication on the same schedule. The drugs used by the children were zespira and ventolin.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pulmonary Function Test | The respiratory function of the children was evaluated with a portable spirometer (Spirobank MIR, Italy) according to the European Respiratory Society (ERS) and American Thoracic Society (ATS) criteria. The test will be performed in a sitting position, with the patient asked to inhale deeply and then exhale rapidly through the spirometer. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Asthmatic Child Quality of Life Questionnaire | It is used to evaluate the quality of life of children aged 7-17 years by measuring the physical, mental, and social impairment specific to asthma. It is a 23-item quality-of-life scale developed to measure the physical, mental, and social disorders of children with asthma. The total score for all items is 23-161. Higher scores suggest a better quality of life. | 6 months | 
| Depression Scale for Children | The depression status of the children was evaluated with the Child Depression Scale. In this 27-item scale, 1,2,3 items are specified for each question and the scoring is done on a maximum of 54 points, with 0 for 1, 1 for 2 and 2 for 3. The cut-off score is recommended as 19 and the severity of depression increases as the score increases. | 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Digital game, Pediatric asthma, Quality of life, Respiratory training, Psychological status