ClinicalTrials.gg
RecruitingNCT07786220DUAL-INHUpdated Aug 26, 2026

Cognitive Load and Inhaler Technique in COPD

An interventional study of Working-Memory Cognitive Load During Inhaler Use and Single-Task Inhaler Use in COPD, sponsored by Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie Dr. Victor Babeș Timișoara. Recruiting at 1 site in Romania. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-08-26.

Sponsored by Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie Dr. Victor Babeș Timișoara · Not applicable, Interventional, and Other

From the registry’s dates

  • Started Aug 2026; still recruiting 2 months later.

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Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 103 studies in Pulmonary Disease, Chronic Obstructive with a site in Romania — 9 open to participants now, 12 under way, 5 of them phase 3. Pulmonary Disease, Chronic Obstructive · Romania.

Planned enrollment
89th of 93
100 · median 872
Started
2026
with 2 others
No phase
4 of 103
2 open now
Primary completion
2027-09
later than 5 of 11 live
Registered
103rd of 103
by date
Lead sponsor
3 of 103
Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie Dr. Victor Babeș Timișoara

Among the 103 studies in Pulmonary Disease, Chronic Obstructive with a site in Romania, this one is the 89th largest by planned enrollment of the 93 interventional ones that give a count, is one of 3 that started in 2026, is one of 4 with no phase, reaches primary completion later than 5 of the 11 other live ones, and was the 103rd registered.

Pulmonary Disease, Chronic Obstructive

5,521 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

9 of the 103 studies in Pulmonary Disease, Chronic Obstructive with a site in Romania are open now. Recruiting first, the newest first:

3 more — sign in →

All 9 open studies →

A study can be open while its sites in Romania have not opened yet or have stopped. Only those recruiting at a site in Romania →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 88 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

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02

Study summary

This study evaluates whether cognitive load affects inhaler technique in adults with chronic obstructive pulmonary disease (COPD). During a single study visit, participants will complete assessments of cognitive function, mobility, and respiratory status. Dual-task mobility will be assessed using the Timed Up and Go test performed alone and while completing a cognitive task. Inhaler technique will then be evaluated in two conditions: usual inhaler use without an additional task and inhaler use while maintaining a short sequence of digits in working memory. Inhaler technique will be scored using a standardized five-step device-specific checklist, and inhaler use time will also be recorded. The study will examine whether inhaler technique worsens under cognitive load and whether this deterioration is associated with dual-task mobility performance, cognitive function, respiratory symptoms, and functional capacity. No inhaler training or correction will be provided between the two inhaler conditions. All assessments are performed during a single visit.

03

Conditions studied

  • COPD

Keywords

  • Chronic Obstructive Pulmonary Disease
  • Inhaler Technique
  • Cognitive Load
  • Dual-Task Performance
  • Timed Up and Go
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18 years or older
  • Confirmed diagnosis of (COPD)
  • Clinically stable at the time of assessment
  • Current use of at least one handheld maintenance inhaler (pMDI, SMI, or DPI)
  • Able to understand and follow study instructions
  • Able to perform the Timed Up and Go test
  • Able to complete the cognitive tasks and inhaler technique assessment
  • Able and willing to provide written

Exclusion criteria

Exclusion Criteria:

  • Recent exacerbation with incomplete recovery to baseline clinical status
  • Acute respiratory or other acute medical condition at the time of assessment
  • Known severe cognitive impairment or dementia that prevents completion of study procedures
  • Neurological or musculoskeletal impairment that prevents safe completion of the Timed Up and Go test
  • Severe visual, hearing, or communication impairment that prevents completion of the cognitive or inhaler tasks
  • Inability to independently handle or use the study inhaler device for assessment purposes
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Single-Task Followed by Cognitive Dual-Task

    Participants first perform inhaler use under the single-task condition, without a concurrent cognitive task. After a short rest and without any inhaler-technique training or correction, they perform inhaler use under a working-memory cognitive load. In both conditions, inhaler technique is scored using the same standardized five-item device-specific checklist and inhaler-use time is recorded.

    Behavioral: Working-Memory Cognitive Load During Inhaler Use · Behavioral: Single-Task Inhaler Use

  • Experimental
    Cognitive Dual-Task Followed by Single-Task

    Participants first perform inhaler use under a working-memory cognitive load. After a short rest and without any inhaler-technique training or correction, they perform inhaler use under the single-task condition without a concurrent cognitive task. In both conditions, inhaler technique is scored using the same standardized five-item device-specific checklist and inhaler-use time is recorded.

    Behavioral: Working-Memory Cognitive Load During Inhaler Use · Behavioral: Single-Task Inhaler Use

Interventions

  • BehavioralWorking-Memory Cognitive Load During Inhaler Use

    Participants are presented with a standardized five-digit sequence before inhaler use and are instructed to retain the sequence in working memory while completing their usual inhaler technique. The sequence is presented once at approximately one digit per second. Participants do not verbalize the digits during inhaler use. Immediately after completing the inhaler maneuver, they reproduce the sequence in reverse order. Inhaler technique is simultaneously assessed using a standardized five-item device-specific checklist, and inhaler-use time is recorded.

  • BehavioralSingle-Task Inhaler Use

    Participants use their usual maintenance inhaler without a concurrent cognitive task. They are instructed to use the inhaler as they normally do at home. Inhaler technique is assessed using the same standardized five-item device-specific checklist, and inhaler-use time is recorded. No inhaler-technique training, correction, or feedback is provided before completion of both study conditions.

06

What researchers measure

Primary outcomes

  1. Change in Inhaler Technique Performance Under Cognitive Load

    Difference in the number of satisfactory inhaler-technique steps between the cognitive dual-task condition and the single-task condition, assessed using the same standardized 5-item device-specific inhaler technique checklist. Each checklist item is scored as 1 = satisfactory or 0 = unsatisfactory/omitted, yielding a total score of 0 to 5 for each condition. The primary outcome is calculated as dual-task satisfactory score minus single-task satisfactory score, with a possible range from -5 to +5. Negative values indicate deterioration of inhaler technique under cognitive load.

    Time frame: During the single study visit, immediately after completion of both inhaler conditions

Secondary outcomes

  1. New Inhaler Error Under Cognitive Load

    Binary outcome indicating whether inhaler technique deteriorates under cognitive load. A new inhaler error is defined as having fewer satisfactory items on the standardized 5-item inhaler technique checklist during the cognitive dual-task condition than during the single-task condition. Coded as 1 = deterioration under cognitive load and 0 = no deterioration.

    Time frame: During the single study visit, immediately after completion of both inhaler conditions

  2. Worsening of Inhaler Technique Classification Under Cognitive Load

    Binary outcome indicating whether the participant's inhaler technique classification worsens from Acceptable during the single-task condition to Unacceptable during the cognitive dual-task condition. Inhaler technique is classified using the standardized 5-item checklist, with 4-5 satisfactory steps classified as Acceptable and 0-3 satisfactory steps classified as Unacceptable. Coded as 1 = classification worsened and 0 = no worsening.

    Time frame: During the single study visit, immediately after completion of both inhaler conditions

  3. Inhaler Time Dual-Task Cost

    Percentage change in inhaler-use time between the cognitive dual-task and single-task conditions. It is calculated as \[(dual-task inhaler time - single-task inhaler time) / single-task inhaler time\] × 100. Positive values indicate slower inhaler use under cognitive load.

    Time frame: During the single study visit, immediately after completion of both inhaler conditions

  4. Inhaler Cognitive Dual-Task Cost

    Percentage change in working-memory performance between the cognitive single-task condition and the inhaler cognitive dual-task condition. It is calculated as \[(single-task cognitive accuracy - dual-task cognitive accuracy) / single-task cognitive accuracy\] × 100. Positive values indicate poorer cognitive performance while using the inhaler under cognitive load.

    Time frame: During the single study visit, immediately after completion of the inhaler cognitive assessments

  5. Physical Dual-Task Cost During Timed Up and Go

    Percentage increase in Timed Up and Go completion time during the cognitive dual-task condition compared with the single-task condition. It is calculated as \[(TUG dual-task time - TUG single-task time) / TUG single-task time\] × 100. Positive values indicate slower mobility performance during dual-tasking.

    Time frame: During the single study visit, immediately after completion of the single-task and dual-task Timed Up and Go assessments

  6. Cognitive Dual-Task Cost During Timed Up and Go

    Percentage reduction in cognitive performance during the dual-task Timed Up and Go condition compared with the cognitive single-task condition. Cognitive performance is quantified using the rate of correct responses per second. The outcome is calculated as \[(single-task correct-response rate - dual-task correct-response rate) / single-task correct-response rate\] × 100. Positive values indicate poorer cognitive performance during dual-task walking.

    Time frame: During the single study visit, immediately after completion of the cognitive single-task and dual-task Timed Up and Go assessments

  7. Change in Inhaler Completion Time Under Cognitive Load

    Absolute difference in inhaler-use time between the cognitive dual-task and single-task conditions. It is calculated as dual-task inhaler time minus single-task inhaler time, expressed in seconds. Positive values indicate longer inhaler-use time under cognitive load.

    Time frame: During the single study visit, immediately after completion of both inhaler conditions

07

Study locations

1 of 1 sites recruiting
  • "Dr. Victor Babeș" Clinical Hospital of Infectious Diseases and Pneumophthisiology, Timișoara
    Timișoara, Timiș County 300041, Romania
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be made publicly available. De-identified data may be provided by the corresponding investigator upon reasonable request, subject to approval by the study team and, where required, the relevant ethics committee and institutional data-protection requirements.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Sep 2027, 13 months after the start.

Of 1,095 non-industry interventional studies with no phase under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 22 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 41. This study's planned 13 months is below that.

Counting every sponsor, half of 1,182 studies reached it within 22 months; a quarter within 10 and three quarters within 39.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 21, 2026
First posted
Aug 25, 2026
StartActual
Aug 21, 2026
Primary completionEst.
Sep 30, 2027
CompletionEst.
Nov 30, 2027
Last update
Aug 26, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 26, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07786220
Lead sponsor
Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie Dr. Victor Babeș Timișoara
Responsible party
Crisan Alexandru Florian (Lecturer, University Clinic of Medical rehabilitation, "Victor Babeș" University of Medicine and Pharmacy Timișoara, Spitalul Clinic de Boli Infecțioase și Pneumoftiziologie Dr. Victor Babeș Timișoara) — Principal investigator
First posted
Aug 25, 2026
Start date
Aug 21, 2026
Primary completion
Sep 30, 2027 (estimated)
Completion
Nov 30, 2027 (estimated)
Last update
Aug 26, 2026

Study contacts

Alexandru Crișan
Contact
crisan@umft.ro
0765525688

Oversight

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

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