Inhaler training and reminders to improve medication adherence in older adults
The Effect Of Metered-Dose İnhaler Training And Reminders On Medication Adherence In Elderly Individuals: A Randomized Controlled Study
This program will test whether inhaler training plus reminder tools help people aged 65 and older use their metered-dose inhalers correctly and stay on their prescribed medication.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 64 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | Çanakkale Onsekiz Mart University Academic / other |
| Locations | 1 site (Çanakkale) |
| Trial ID | NCT07381166 on ClinicalTrials.gov |
What this trial studies
This interventional project enrolls adults aged 65 or older who have used a metered-dose inhaler for at least six months and who make at least one inhaler technique error. Participants receive structured MDI training and reminder supports, including a reminder card and an instructional app video, and are followed for changes in inhaler technique and adherence. The study recruits from the pulmonary ward, pulmonary function test unit, and pulmonary outpatient clinic and requires basic literacy, phone use ability, and a smartphone with internet access. Primary outcomes focus on correction of critical inhaler errors and adherence to inhaler therapy, with implications for symptoms and healthcare use.
Who should consider this trial
Good fit: Ideal candidates are literate adults aged 65 or older who have been using a metered-dose inhaler for at least six months, have internet access and a smartphone, can use a phone, and demonstrate at least one inhaler-use error.
Not a fit: Patients who are illiterate, under 65, have used MDI for less than six months, cannot use a smartphone or phone, require assistance to use their inhaler, or are hospitalized outside the pulmonary ward or in intensive care are unlikely to benefit from participation.
Why it matters
Potential benefit: If successful, the intervention could improve inhaler technique and adherence, which may reduce symptoms, emergency visits, and hospitalizations.
How similar studies have performed: Similar education-and-reminder approaches have previously improved inhaler technique and short-term adherence in older adults, although long-term effects on hospitalizations and clinical outcomes have been variable.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion criteria for the study: * Age ≥ 65 years old * Having at least basic literacy, * Receiving metered-dose inhaler therapy for at least 6 months, * Being hospitalized in the pulmonary ward, * Presenting to the pulmonary function test unit, * Presenting to the pulmonary outpatient clinic, * Signing the informed consent form for participation in the study, * Having internet access and a mobile device with Android/iOS operating system, * Being able to use a telephone, * Having no communication barriers, * Being able to use the inhaler without needing assistance, * Making an error in at least one of the usage steps according to the MDI usage skills chart. Exclusion criteria for the study: * Age \<65 * Illiteracy * Receiving metered-dose inhaler therapy for \<6 months * Outpatient treatment * Being hospitalized in the intensive care unit * Being hospitalized in wards other than the pulmonary ward (such as surgery, physical therapy) * Visiting outpatient clinics other than the pulmonary clinic (such as surgery, physical therapy) * Not signing the informed consent form for participation in the study * Not having internet access and a mobile device with Android/iOS operating system * Not having telephone skills * Having communication barriers * Requiring assistance while using the inhaler * Not making any errors in the usage steps according to the MDI usage skills chart * Wanting to withdraw from the study/withdrawing from participation during the research process * Not completing the questionnaire
Where this trial is running
Çanakkale
- Department of Nursing, Faculty of Health Sciences, Canakkale Onsekiz Mart University — Çanakkale, Turkey (Türkiye) (Recruiting)
Study contacts
- Principal investigator: Sevda Ateş, Associate Professor — Çanakkale Onsekiz Mart University
- Study coordinator: Sevda Ates Associate Professor
- Email: sevdaefil@comu.edu.tr
- Phone: +902862181397
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.