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Not yet recruitingNCT07106047Updated Aug 6, 2025

Nursing Interventions to Mitigate Climate Change-related Effects on Asthma

An interventional study of Nurse-Led Climate-Responsive Asthma Management Program in Elsner's Asthma, sponsored by Norther Private Collage of Nursing. Not yet recruiting. Open to participants aged 60 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-06.

Sponsored by Norther Private Collage of Nursing · Not applicable, Interventional, and Screening

From the registry’s dates

  • Primary completion was expected by Sep 2025, 1 year 1 month ago, but the record still lists the study as not yet recruiting.
Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Not applicable
Ages
60 Years to 100 Years
Sex
All
01

Study 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.

Read the 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.

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Conditions studied

  • Elsner's Asthma
03

In context

Lead sponsor

Norther Private Collage of Nursing is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
60 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

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

05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Nurse-Led Climate-Responsive Asthma Management Program

    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

  • BehavioralNurse-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 meters.

    Also known as: Climate-Smart Asthma Care for Seniors

06

What researchers measure

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.

    Time frame: Baseline and 12 weeks post-intervention

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Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07106047
Lead sponsor
Norther Private Collage of Nursing
Collaborators
Minia University
Responsible party
Amal Hashem (Associate professor, Norther Private Collage of Nursing) — Principal investigator
First posted
Aug 6, 2025
Start date
Aug 1, 2025 (estimated)
Primary completion
Sep 1, 2025 (estimated)
Completion
Sep 15, 2025 (estimated)
Last update
Aug 6, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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