Effect of Mobile Application-Based Education on Self-Efficacy, Medication Adherence and Sleep Quality in Asthma.

Gulhane Training and Research Hospital

Status: Completed

Conditions: PATIENT EDUCATION

Treatments: Behavioral: Mobile education

Study type: Interventional

Funder types: Other

Identifiers

NCT07139080

Asthma Mobil Nursing Education

Details and patient eligibility

About

Asthma patients with recurrent airway obstruction frequently exhibit poor symptom control, characterized by treatment non-adherence and sleep-wake cycle disturbances. A nurse-led mobile health education intervention may address these challenges by enhancing collaborative disease management, enabling remote patient monitoring, and strengthening self-management competencies.

The AstımAsistan application was designed to monitor changes in patient self-efficacy, medication adherence, and sleep quality through three core features: (1) patient education modules, (2) breathing exercise/medication reminders, and (3) mobile consultation capabilities.

Study data were collected using four instruments: (1) the Participant Information Form, (2) the Chronic Disease Self-Efficacy Scale, (3) the Medication Adherence Reporting Scale, and (4) the Pittsburgh Sleep Quality Index. The mobile education-based application was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) instructional design model."

Enrollment: 68 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Being between the ages of 18-65
2. Having been diagnosed with asthma at least 6 months ago
3. Being treated for asthma in oral, inhaler or injection forms
4. Being literate in Turkish
5. Having an Android phone on which the mobile application can be installed and being able to use the phone
6. Having mobile network or wireless internet access
7. Volunteering to participate in research
8. Living in Ankara

Exclusion criteria

1. Being hospitalized for asthma treatment
2. Having a language barrier that hinders communication
3. Being diagnosed with COPD
4. Being diagnosed with a psychiatric disease
5. Being on psychoactive or opioid therapy
6. Being diagnosed with a sleep disorder related to non-respiratory reasons (physical and psychological) and being treated

Exclusion criteria when the study is going on :

Intervention group;

1. The participant was diagnosed with a health problem requiring inpatient treatment during the study period.
2. The participant withdraws from the study voluntarily.
3. Inability to use the mobile application during the research
4. Reading fewer than 6 theme headings in the mobile application (75% or less) and missing breathing exercises for more than 16 days (80% or less)

Control group;

1. The participant was diagnosed with a health problem requiring inpatient treatment during the study period.
2. The participant withdraws from the study voluntarily.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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68 participants in 2 patient groups

Mobile Education Group

Experimental group

Description:

It consists of participants who will download the mobile patient education and breathing exercise reminder program and apply it for 10 weeks.

Treatment:

Behavioral: Mobile education

Control Group

No Intervention group

Description:

This is the group of participants to be followed within the standard treatment plan. A mobile training and breathing exercise reminder program will be downloaded to patients in this group at the end of the study.