Chronic Disease Management, Cystic Fibrosis, Inflammatory Bowel Disease, Type 1 Diabetes
Conditions
Keywords
Cystic Fibrosis, Inflammatory Bowel Disease, Type 1 Diabetes, Chronic Disease Management, SMS, Text messages, Internet, Healthcare Interactions
Brief summary
UCSD researchers are conducting a study aimed to develop and evaluate a chronic disease self management web and text message based program on health-related self-efficacy and frequency of adolescent-conducted healthcare interactions. We hypothesize that users of the program will demonstrate greater gains between baseline and 8 month measures of health related self-efficacy and adolescent-conducted healthcare interactions as compared to the usual care comparison group.
Detailed description
The MD2Me study (or also known as TAHLC), sponsored by the National Institutes of Health is a 2-year randomized controlled trial to develop and test a text message and Internet based intervention among adolescents and young adults with cystic fibrosis, type 1 diabetes, or inflammatory bowel disease. Adolescents and young adults have been a difficult population to engage in healthcare. It is estimated that 1 in 5 adolescents do not get the healthcare they need. Interventions must address how the healthcare system can engage adolescents with chronic disease and provide opportunities to discuss health-related matters and improve disease outcomes. This study will help fill multiple gaps in the literature by exploring the utility of a push AND pull SMS texting-based application for chronic disease management among youth. Based on social cognitive theory, the intervention will use accessible technology to promote disease management among adolescents with chronic disease as they transition to adult care. The popularity and usage of SMS already demonstrated by adolescents suggests notable promise for the SMS-based TAHLC program to promote chronic disease self-management and healthcare engagement with substantial positive impacts on health among youth with chronic disease.
Interventions
BEHAVIORALMD2ME
The goals of the MD2Me intervention include increasing disease self-efficacy, disease knowledge, and the ability to control one's disease independently. The intervention includes an 8-week web program with weekly behavioral skills, topics on how to navigate the healthcare system, lifestyle tips, a Discussion Board, and text messages.
Sponsors
University of California, San Diego
Huang, Jeannie, M.D.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 22 Years
Healthy volunteers
No
Inclusion criteria
* ages 14 - 22 years * have cystic fibrosis, type 1 diabetes, or inflammatory bowel disease for at least 6 months * have access to the internet * speak English * has a parent that speaks English or Spanish (if primary participant is under 18) * willingness to attend assessment visits
Exclusion criteria
* pregnant or have children * have a history of substance abuse or other psychiatric disorder that would impair compliance with study protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Health related self-efficacy | 8 months | The primary aim of the study will be to develop and test the effect of a texting intervention TAHLC on health-related self-efficacy and frequency of adolescent-conducted healthcare interactions over the study period of 8 months. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health knowledge | 8 months | Disease health knowledge |
| Health literacy | 8 months | Health literacy |
| Quality of Life | 8 Months | Quality of life including depression, self-esteem, and social support will be assessed. |
Countries
United States
Outcome results
None listed