Nursing Interventions to Mitigate Climate Change-related Effects on Asthma
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Nurse-Led Climate-Responsive Asthma Management Program.
- Who it may be relevant to
- Registry conditions: Elsner's Asthma. Basic parameters: 60 years — 100 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Empowering Asthmatic Seniors: Nursing Interventions to Mitigate Climate Change-related Effects on Symptom Severity and Physical Capacity
Overview
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.
Detailed description
Climate change has increasingly been linked to the worsening of chronic respiratory conditions, particularly among vulnerable populations such as older adults with asthma. Rising temperatures, extreme weather events, and elevated air pollution levels pose serious health threats by exacerbating symptoms and limiting physical activity.
This interventional study focuses on developing and implementing a nursing-led, community-based support model that empowers asthmatic seniors to better manage their condition amid climate change stressors. The intervention includes personalized asthma action plans, environmental exposure education, physical activity guidance, and symptom monitoring tools. Participants will receive individualized coaching from trained nurses to build adaptive behaviors that reduce symptom severity and maintain physical capacity during adverse environmental conditions.
Primary outcomes include changes in asthma symptom scores, physical function (e.g., six-minute walk test), and quality of life metrics. Secondary outcomes include frequency of asthma exacerbations, healthcare utilization, and adherence to preventive behaviors.
The study underscores the role of nursing in advancing climate-resilient care models that address the health needs of aging populations in an increasingly volatile environment.
Interventions
- Behavioral Nurse-Led Climate-Responsive Asthma Management Program
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 meter
Primary outcome measures
- Change in Asthma Symptom Severity Score [Time frame: Baseline and 12 weeks post-intervention]
Eligibility criteria
Inclusion criteria
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)
Exclusion criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Screening
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07106047 · Asthmatic senior