Asthma
Conditions
Brief summary
Randomized clinical trial to assess acquisition and maintenance of paediatric asthma control through innovative devices supporting usual care. In the first study arm, a new application (DragONE) for iOS and Android will be only used for patient monitoring. In the second study arm, a small portable device (SmartONE) will also be connected to the DragONE APP, for daily assessment of the peak expiratory flow (PEF). The study duration is 12 weeks. The main outcome of the study is the Childhood Asthma Control Test (C-ACT) score, assessed once every 4 weeks for 12 weeks.
Interventions
The DragONE application for iOS and Android, developed in collaboration with the Institute for Educational Technologies of the National Research Council of Palermo, allow children to daily fill electronically the C-ACT questionnaire and the symptom diary card.
A little portable spirometer connected to DragONE allows daily PEF monitoring.
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of moderate persistent asthma * Uncontrolled symptoms (C-ACT≤ 19) * Treated for at least 3 months * FEV1 between 60% and 90% of predicted value
Exclusion criteria
* Symptoms of acute respiratory infection * Immunological or metabolic systemic disease * Major malformations of the upper airways * Active smoker
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acquisition and maintenance of the control status | Once every 4 weeks, for 12 weeks | mean C-ACT score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to asthma treatment | 12 weeks | MARS score |
| Lung function: FEV1 | 12 weeks | Forced expiratory volume in the first second |
| Lung function: FVC | 12 weeks | Forced vital capacity |
| Lung function: FEF 25-75 | 12 weeks | Forced expiratory flow at 25-75% |
| Quality of life in asthma children | 12 weeks | PAQLQ score |
Countries
Italy