Exploring the Effects of Sleep Patterns and Physical Activity on Asthma in Adolescents With Wrist-worn Smart Devices

• ClinicalTrials.gov Identifier: NCT02556567
• Recruitment Status: Completed
• First Posted: September 22, 2015
• Last Update Posted: October 8, 2020
• Sponsor: Arkansas Children's Hospital Research Institute
• Collaborators: University of Arkansas; University of Florida
• Information provided by (Responsible Party): Arkansas Children's Hospital Research Institute

Study Description

Brief Summary:

This is a research study to find associations between asthma symptoms and sleep patterns and physical activity among adolescent patients with persistent asthma. The Investigators will collect Fitbit® sensor data and survey data from each adolescent enrolled in the study.

Condition or disease	Intervention/treatment	Phase
Asthma	Other: Fitbit® Charge Heart Rate (HR) wristband	Not Applicable

Detailed Description:

Investigators from the University of Arkansas for Medical Sciences (Pediatrics), the University of Arkansas at Little Rock and the University of Florida will work together to conduct a research study to find associations between asthma symptoms, sleep patterns, and physical activity over an 8-week period among adolescent patients with persistent asthma.

The goal of this research study is to find new ways for teenagers to manage their asthma. Full understanding of the connection and interference of sleep patterns and physical activity with asthma symptoms will be very helpful for teenagers with asthma to better manage their daily routine and asthma care. This research study will use wrist-worn devices (i.e. Fitbit® wristbands) to collect participants' sleep and physical activity data.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 23 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Other
• Official Title: Exploring the Effects of Sleep Patterns and Physical Activity on Asthma in Adolescents With Wrist-worn Smart Devices
• Actual Study Start Date: August 2015
• Actual Primary Completion Date: June 2016
• Actual Study Completion Date: December 2016

Arms and Interventions

Arm	Intervention/treatment
Intervention; Participants will wear the Fitbit® Charge Heart Rate (HR) wristband for eight weeks.	Other: Fitbit® Charge Heart Rate (HR) wristband; The Investigators will conduct a proof of concept and feasibility study to explore associations between asthma symptoms and sleep patterns and physical activity over an 8-week intervention period among 20 adolescent patients with persistent asthma.

Outcome Measures

Primary Outcome Measures :

1. Asthma Symptoms , Sleep Patterns and Physical Activity [ Time Frame: 8 weeks ]
   Fitbit built-in sensors (e.g., accelerometer, gyroscope, and heart rate sensors will measure disruptive sleep patterns, decreased levels of physical activity and asthma symptoms using response pattern scoring from baseline for 8 weeks.

Secondary Outcome Measures :

1. Risk of Increasing Asthma Symptoms [ Time Frame: 8 weeks ]
   Identify risks of increasing asthma symptoms based on daily Fitbit® data from baseline over an 8 week time period.

Other Outcome Measures:

1. Machine Learning Techniques [ Time Frame: 8 weeks ]
   Develop techniques to explore associations between Fitbit® data and patient reported outcome measures.

Eligibility Criteria

• Ages Eligible for Study: 14 Years to 17 Years (Child)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

1. Age ≥ 14 and ≤ 17 years;
2. Teen access to a mobile smartphone device with a data plan or a computer with reliable internet connection, compatible with the Fitbit® application during the study period;
3. Diagnosis of mild, moderate or severe persistent asthma per National Heart Lung Blood Institute (NHLBI).

Exclusion Criteria:

1. Current smokers and adolescents with significant underlying respiratory disease other than asthma (such as cystic fibrosis) that could potentially interfere with asthma-related outcome measures;
2. Prior diagnosis of sleep disorder;
3. Patients with significant co-morbid conditions (such as moderate to severe developmental delay) that could interfere with the adolescent's ability to self-monitor asthma;
4. Inability to speak or understand English (child or parent).

Contacts and Locations

Locations

United States, Arkansas

Arkansas Children's Hospital Research Institute

Little Rock, Arkansas, United States, 72202

Sponsors and Collaborators

Arkansas Children's Hospital Research Institute

University of Arkansas

University of Florida

Investigators

• Principal Investigator: Tamara T. Perry, MD; University of Arkansas

More Information

Publications of Results:

Moorman JE, Rudd RA, Johnson CA, King M, Minor P, Bailey C, Scalia MR, Akinbami LJ; Centers for Disease Control and Prevention (CDC). National surveillance for asthma--United States, 1980-2004. MMWR Surveill Summ. 2007 Oct 19;56(8):1-54.

Akinbami LJ, Moorman JE, Garbe PL, Sondik EJ. Status of childhood asthma in the United States, 1980-2007. Pediatrics. 2009 Mar;123 Suppl 3:S131-45. doi: 10.1542/peds.2008-2233C.

Calmes D, Leake BD, Carlisle DM. Adverse asthma outcomes among children hospitalized with asthma in California. Pediatrics. 1998 May;101(5):845-50. doi: 10.1542/peds.101.5.845.

Smaldone A, Honig JC, Byrne MW. Sleepless in America: inadequate sleep and relationships to health and well-being of our nation's children. Pediatrics. 2007 Feb;119 Suppl 1:S29-37. doi: 10.1542/peds.2006-2089F.

Walker TJ, Reznik M. In-school asthma management and physical activity: children's perspectives. J Asthma. 2014 Oct;51(8):808-13. doi: 10.3109/02770903.2014.920875. Epub 2014 May 14.

Meltzer LJ, Ullrich M, Szefler SJ. Sleep duration, sleep hygiene, and insomnia in adolescents with asthma. J Allergy Clin Immunol Pract. 2014 Sep-Oct;2(5):562-9. doi: 10.1016/j.jaip.2014.02.005. Epub 2014 Apr 13.

Wanrooij VH, Willeboordse M, Dompeling E, van de Kant KD. Exercise training in children with asthma: a systematic review. Br J Sports Med. 2014 Jul;48(13):1024-31. doi: 10.1136/bjsports-2012-091347. Epub 2013 Mar 23.

• Responsible Party: Arkansas Children's Hospital Research Institute
• ClinicalTrials.gov Identifier: NCT02556567
• Other Study ID Numbers: 204310
• First Posted: September 22, 2015
• Last Update Posted: October 8, 2020
• Last Verified: October 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No
• Plan Description: We do not plan to share individual participant data. We will disseminate our research findings in medical sponsored journals, presentations and posters.

Keywords provided by Arkansas Children's Hospital Research Institute:

Sleep patterns; Physical activity; Fitbit

Additional relevant MeSH terms:

Asthma; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases