Nursing Interventions to Mitigate Climate Change-related Effects on Asthma

NCT07106047 | Not Yet Recruiting

• 1 other identifier: Asthmatic senior
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to evaluate the effectiveness of targeted nursing interventions in reducing asthma symptom severity and improving physical capacity among older adults during periods of heightened environmental stress caused by climate change (e.g., heat waves, poor air quality). By equipping seniors with practical self-management strategies and personalized support, the study seeks to enhance resilience against climate-related health risks and promote overall well-being.

Conditions

Elsner's Asthma

Outcome Measures

Primary Outcomes (1)

• Change in Asthma Symptom Severity Score

  Assessed using a validated instrument such as the Asthma Control Test (ACT), this outcome measures the change in asthma symptom severity from baseline to the end of the intervention period. A higher ACT score indicates better asthma control.

  Baseline and 12 weeks post-intervention

Study Arms (1)

Nurse-Led Climate-Responsive Asthma Management Program

EXPERIMENTAL

Participants in this arm will receive a structured, nurse-led intervention designed to reduce asthma symptom severity and maintain physical capacity in older adults during climate change-related environmental stressors such as extreme heat or poor air quality. The intervention includes: Personalized Asthma Action Plan tailored to the individual's triggers and medication regimen. Environmental Exposure Education on recognizing and responding to climate-related asthma triggers (e.g., heat, pollen, pollution). Weekly Nurse Coaching Sessions (30-45 minutes via phone or in-person) for 12 weeks, focusing on self-management strategies, symptom tracking, inhaler technique, and physical activity guidance. Distribution of Support Tools, including peak flow meters, symptom diaries, and access to real-time air quality alerts. Physical Activity Modification Plans developed with nursing staff to maintain mobility while minimizing risk during high-pollution or extreme weather days.

Behavioral: Nurse-Led Climate-Responsive Asthma Management Program

Interventions

Nurse-Led Climate-Responsive Asthma Management Program BEHAVIORAL

A structured behavioral intervention delivered by trained nurses, focusing on climate-adapted asthma self-management for older adults. The program includes personalized coaching on symptom monitoring, environmental risk response, inhaler technique, and safe physical activity planning during climate stress events. Intervention is delivered weekly over 12 weeks through a combination of phone and in-person sessions, supported by tools such as symptom diaries, air quality alerts, and peak flow meters.

Also known as: Climate-Smart Asthma Care for Seniors

Nurse-Led Climate-Responsive Asthma Management Program

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults aged 65 years and older
• Clinically diagnosed with asthma (physician-confirmed)
• Stable asthma (no hospitalizations for asthma in the past 30 days)
• Able to understand and provide informed consent
• Willing and able to participate in a 12-week nursing intervention program
• Has access to a telephone or internet-enabled device for coaching sessions and monitoring
• Resides in an area prone to climate-related environmental stressors (e.g., urban heat, poor air quality)

You may not qualify if:

• Diagnosis of chronic obstructive pulmonary disease (COPD) or other significant pulmonary conditions (e.g., interstitial lung disease)
• Severe cognitive impairment (e.g., diagnosed dementia) that would interfere with participation
• Current participation in another asthma-related interventional study
• Residing in long-term care facilities where independent asthma self-management is not feasible
• Any unstable medical condition that could confound outcomes or pose safety risks, as determined by the study physician

Sponsors & Collaborators

• Norther Private Collage of Nursing: lead
• Minia University: collaborator

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SCREENING
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: July 25, 2025
• First Posted: August 6, 2025
• Study Start: August 1, 2025
• Primary Completion: September 1, 2025
• Study Completion: September 15, 2025
• Last Updated: August 6, 2025

Record last verified: 2025-07