Inhaler training and reminders to improve medication adherence in older adults

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

Why it matters

Who can join: the full rules

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 it's running

• 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

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.