ClinicalTrials.gg
CompletedNCT07930546Updated Nov 12, 2026

Robot-Assisted Intervention for Recurrent Respiratory Infections in Preschoolers

An interventional study of Robot-Assisted Ecological Momentary Intervention (RESPIRE) in Recurrent Respiratory Tract Infections, sponsored by Xi'an Jiaotong University. Completed at 1 site in China. Open to participants aged 2 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by Xi'an Jiaotong University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 4 years 6 months after the study started (first participant enrolled May 2022, registered Nov 2026).
Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
164
Allocation
Randomized
Ages
2 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 40 studies in Respiratory Tract Infections with a site in China — 13 open to participants now, 15 under way, 3 of them phase 3. Respiratory Tract Infections · China.

Enrollment
16th of 30
164 · median 202
Started
2022
with 7 others
No phase
9 of 40
2 open now
Registered
40th of 40
by date

Among the 40 studies in Respiratory Tract Infections with a site in China, this one is the 16th largest by enrollment of the 30 interventional ones that give a count, is one of 8 that started in 2022, is one of 9 with no phase, and was the 40th registered.

Respiratory Tract Infections

753 studies on the registry are indexed under Respiratory Tract Infections; 114 are open to participants now.

Browse Respiratory Tract Infections studies →

Open to participants now

13 of the 40 studies in Respiratory Tract Infections with a site in China are open now. Recruiting first, the newest first:

8 more — sign in →

All 13 open studies →

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

Who these studies take

Of the 74 Respiratory Tract Infections studies recruiting now, 35 (47%) set no upper age limit and 31 (42%) stop at 75 or younger; 34 take children under 18; 25 take healthy volunteers.

This study: 2 Years and older · all sexes · healthy volunteers too.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 40 studies in Respiratory Tract Infections with a site in China, or all of them as a file.
02

Study summary

Recurrent respiratory tract infections (RRTIs) are common among preschool children and can affect children's health and place considerable caregiving demands on their families. Parents play an important role in recognizing respiratory symptoms, providing appropriate home care, and seeking timely medical attention. Improving parental health literacy and providing accessible health management support may help families manage recurrent respiratory infections.

This study evaluated RESPIRE, a robot-assisted ecological momentary intervention designed to support respiratory symptom monitoring and parental management of RRTIs in preschool children.

The study used a two-arm, parallel-group, cluster-randomized controlled trial design involving two public kindergartens in Dingxi, Gansu Province, China. Eligible preschool children with RRTIs and one primary caregiver for each child were included. The two kindergartens were randomly assigned to either the intervention group or the control group.

The intervention group received an eight-week RESPIRE program combining kindergarten-based robot-assisted health screening with a mobile application for parents. The program included daily respiratory health monitoring, personalized health guidance, interactive health education, and online peer support. The control group received routine kindergarten health care and reported children's respiratory symptoms daily.

The primary outcome was parental health literacy, assessed at baseline, week 4, and week 8. Secondary outcomes included the frequency of respiratory tract infections, the proportion of days with respiratory symptoms, parenting sense of competence, parenting stress, intervention adherence, system usability, and participant satisfaction.

The study aimed to evaluate whether the RESPIRE program could improve parental health literacy and support the management of recurrent respiratory tract infections among preschool children.

Read the detailed description

The RESPIRE intervention was developed using a patient and public involvement (PPI) approach informed by Nutbeam's health literacy model and the ecological momentary intervention (EMI) framework. The development process included a literature review, two rounds of Delphi consultation with 10 multidisciplinary experts, iterative intervention design involving five caregivers over eight weeks, and an eight-day single-group pilot involving 15 preschool children with recurrent respiratory tract infections (RRTIs) and their caregivers.

The formal evaluation employed a two-arm, parallel-group, cluster-randomized controlled trial. Two public kindergartens were selected from a sampling frame of six kindergartens based on similarities in institutional characteristics, size, and student populations. The kindergartens were randomly allocated using computer-generated random numbers, with one kindergarten assigned to the intervention group and the other to the control group. Eligible children with RRTIs and their primary caregivers were recruited following cluster allocation. The study protocol specified that outcome assessors would remain blinded to group allocation.

The RESPIRE program integrated a kindergarten-based health screening robot with a mobile application designed for parents. The intervention consisted of three major components: (1) Interactive Health Education: Parents accessed educational materials about RRTIs, symptom recognition, home management, and preventive measures through interactive quizzes and personalized feedback. (2) Online Peer Support: A mobile discussion platform enabled parents to exchange experiences, discuss child health concerns, and communicate with health professionals. (3) Intelligent Health Monitoring and Management: A kindergarten-based robot conducted daily non-contact health screening, including preliminary assessments of body temperature, the oropharyngeal region, and the eyes. Suspected abnormalities were reviewed by kindergarten health professionals. Parents received health notifications and individualized guidance through the mobile application. The platform also delivered daily environmental health recommendations and supported symptom tracking through electronic health diaries.

The control group continued to receive routine kindergarten health care, including conventional morning health checks and standard communication with parents when respiratory symptoms were identified. Parents in the control group reported their children's respiratory symptoms daily through a designated WeChat group.

The intervention lasted eight weeks. Parental health literacy, parenting sense of competence, and parenting stress were assessed at baseline, week 4, and week 8. Children's respiratory symptoms were monitored daily, with infection frequency and the proportion of symptomatic days summarized over consecutive two-week periods. Intervention adherence and platform engagement were evaluated using system-generated activity records. System usability and participant satisfaction were assessed at the end of the intervention.

The statistical analysis plan specified generalized estimating equation models to evaluate intervention effects across repeated measurements. Multiple imputation was planned for missing questionnaire data, with analyses of the non-imputed dataset conducted as sensitivity analyses.

03

Conditions studied

  • Recurrent Respiratory Tract Infections

Keywords

  • Recurrent Respiratory Tract Infections
  • Preschool Children
  • Parental Health Literacy
  • Ecological Momentary Intervention
  • Robot-Assisted Health Monitoring
  • Mobile Health
  • Parenting Self-Efficacy
  • Cluster Randomized Controlled Trial
04

Who can participate

Ages eligible
2 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

Children:

  • Children diagnosed with recurrent respiratory tract infections (RRTIs) according to the diagnostic criteria specified in the study protocol and based on the Clinical Diagnostic Pathway for Recurrent Respiratory Tract Infections in Children (2022 edition).
  • Children enrolled in one of the participating kindergartens.
  • Children expected to maintain stable attendance at the participating kindergarten during the study period.

Parents or Primary Caregivers:

  • One primary caregiver for each eligible child.
  • Living with the participating child throughout the intervention period.
  • Able to use a smartphone proficiently and independently receive information and complete electronic questionnaires.
  • Able to read and understand the study information and questionnaires independently.
  • No participation in similar intervention programs during the preceding 12 months and willingness not to participate in other similar interventions during the study.
  • Willingness to participate in the digital health intervention program and provision of voluntary written .

Exclusion criteria

Exclusion Criteria:

Children:

  • Presence of chronic respiratory conditions affecting pulmonary function, including asthma, cough-variant asthma, or cystic fibrosis.
  • Primary immunodeficiency or secondary immunodeficiency due to medications or other causes.
  • Severe neurological, cardiac, hepatic, or renal disease or functional impairment.

Parents or Primary Caregivers:

  • Presence of severe psychiatric or psychological disorders.
  • Presence of severe acute or chronic physical illness.
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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
164 participants (actual)

Study arms

  • Experimental
    RESPIRE Intervention Group

    Participants in the intervention group received the eight-week RESPIRE program, a robot-assisted ecological momentary intervention combining kindergarten-based health screening with a parent-oriented mobile application. The program included daily non-contact health screening using a robot, respiratory symptom monitoring, personalized health guidance, interactive education about recurrent respiratory tract infections, online peer support, and daily electronic health diaries. Parents received real-time feedback and individualized recommendations based on their children's respiratory health status and environmental conditions.

    Behavioral: Robot-Assisted Ecological Momentary Intervention (RESPIRE)

  • No intervention
    Routine Care Control Group

    Participants in the control group received routine kindergarten health care without access to the RESPIRE robot-assisted intervention or mobile application. Children underwent conventional daily morning health checks performed by kindergarten health personnel or teachers, including visual assessment of general health status and body temperature measurement. Parents were informed when respiratory symptoms were suspected and were advised to seek medical care or provide home observation according to routine practices. For study outcome assessment, parents reported their children's respiratory symptoms and severity daily through a designated WeChat group during the eight-week study period.

Interventions

  • BehavioralRobot-Assisted Ecological Momentary Intervention (RESPIRE)

    The RESPIRE program was delivered over eight weeks and combined kindergarten-based robot-assisted health screening with a parent-oriented mobile application. Children underwent daily non-contact health screening using a robot, including preliminary assessments of body temperature, oropharyngeal findings, and eye conditions. Suspected abnormalities were reviewed by kindergarten health personnel. Parents received an integrated ecological momentary intervention consisting of interactive health education and quizzes about recurrent respiratory tract infections, an online peer-support forum, daily environmental health recommendations, real-time screening notifications, personalized symptom management guidance, and electronic health diaries. Parents recorded their children's respiratory symptoms and health behaviors daily. The mobile application provided automated reminders and individualized feedback based on reported symptoms, screening results, and environmental conditions.

06

What researchers measure

Primary outcomes

  1. Parental Health Literacy Score

    Parental health literacy was assessed using a 33-item health literacy scale for parents of preschool children. The scale covers three dimensions: functional health literacy, interactive health literacy, and critical health literacy. The total health literacy score was assessed at three time points to evaluate changes throughout the eight-week intervention period.

    Time frame: Baseline (Week 0), Week 4, and Week 8

Secondary outcomes

  1. Number of Respiratory Tract Infection Episodes

    The number of newly occurring respiratory tract infection episodes in each consecutive two-week observation period was determined using daily caregiver reports of children's respiratory symptoms. Respiratory infection episodes separated by seven days or fewer were counted as a single episode. Higher counts indicate more frequent respiratory tract infections.

    Time frame: Weeks 1-2, 3-4, 5-6, and 7-8

  2. Proportion of Days With Respiratory Tract Infection Symptoms

    The proportion of days with respiratory tract infection symptoms was calculated for each consecutive two-week observation period. The numerator was the number of days on which the child experienced respiratory tract infection symptoms, and the denominator was the total number of days with submitted health reports during the same period. The result was expressed as a percentage, with higher values indicating a greater burden of respiratory symptoms.

    Time frame: Weeks 1-2, 3-4, 5-6, and 7-8

  3. Parenting Sense of Competence Scale Score

    Parenting sense of competence was assessed using the 17-item Parenting Sense of Competence Scale (PSOC), which includes parenting efficacy and parenting satisfaction dimensions. Each item is rated on a six-point Likert scale, with reverse scoring applied to the parenting satisfaction items as specified in the study protocol. The possible total score ranges from 17 to 102, with higher scores indicating greater parenting sense of competence.

    Time frame: Baseline (Week 0), Week 4, and Week 8

  4. Parenting Stress Index Short Form Score

    Parenting stress was measured using the 15-item Parenting Stress Index Short Form (PSI-SF-15). The instrument includes three dimensions: parental distress, parent-child dysfunctional interaction, and difficult child. Each item is rated on a five-point Likert scale. The total score ranges from 15 to 75, with higher scores indicating greater parenting stress.

    Time frame: Baseline (Week 0), Week 4, and Week 8

Other outcomes

  1. Daily Electronic Health Diary Completion Rate

    The completion rate of daily electronic health diaries was calculated as the number of diary entries completed by caregivers divided by the number of scheduled diary entries during the eight-week intervention, multiplied by 100. Completion data were obtained from RESPIRE application logs. Higher percentages indicate better adherence to daily symptom reporting.

    Time frame: Daily throughout the 8-week intervention

  2. System Usability Scale Score

    System usability was assessed among intervention-group caregivers using the 10-item System Usability Scale (SUS). Each item was rated on a five-point scale. Item scores were adjusted for positive and negative wording, summed, and multiplied by 2.5 to obtain a total score ranging from 0 to 100. Higher scores indicate better perceived system usability.

    Time frame: Week 8

  3. Percentage of Caregivers Satisfied With the RESPIRE Program

    Intervention satisfaction was evaluated among caregivers in the RESPIRE group using a five-point Customer Satisfaction Score (CSAT). Ratings of 4 or 5 were classified as satisfied. The overall satisfaction rate was calculated as the number of caregivers reporting satisfaction divided by the total number of intervention participants, multiplied by 100. Higher percentages indicate greater satisfaction.

    Time frame: Week 8

07

Study locations

1 site
  • Dingxi Anding District Kindergarten
    Dingxi, Gansu 743000, China
08

References and documents

Individual participant data

Plan to share: No — There is no current plan to share de-identified individual participant data with external researchers. The study involves preschool children and their primary caregivers. Any future data-sharing arrangements would require consideration of informed consent, ethical approval, and applicable data privacy requirements.

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Ran from May 2022 to primary completion in Aug 2022, 3 months.

Of 119 non-industry interventional studies with no phase under Respiratory Tract Infections, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 30. This study's 3 months is below that.

Counting every sponsor, half of 146 studies reached it within 12 months; a quarter within 6 and three quarters within 29.

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

Registered
Nov 4, 2026
First posted
Nov 12, 2026
StartActual
May 1, 2022
Primary completionActual
Aug 30, 2022
CompletionActual
May 30, 2023
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07930546
Lead sponsor
Xi'an Jiaotong University
Responsible party
Yitong Jia (Principal Investigator, Xi'an Jiaotong University) — Principal investigator
First posted
Nov 12, 2026
Start date
May 1, 2022
Primary completion
Aug 30, 2022
Completion
May 30, 2023
Last update
Nov 12, 2026

Oversight

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

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