Asthma, Asthma in Children
Conditions
Keywords
Adherence, Incentives
Brief summary
Financial incentives have been suggested as a possible means for increasing adherence to asthma medications. This study will evaluate an incentive strategy (daily small reward for adherence) in maintaining high levels of adherence as tracked by adherence sensors in adolescents with asthma.
Detailed description
Two groups will be enrolled. The control group will have mediation monitoring sensors placed on their controller inhalers. The treatment group will also have the monitoring sensors placed on their medications, however they will be paid up to $1 per day for perfect adherence for 3 months. Both groups will be monitored for 4 months. 10 subjects will be chosen from each group to complete semi-structured phone interviews
Interventions
BEHAVIORALIncentives
Subjects in the treatment arm will be paid up to $1 per day over 3 months for perfect medication adherence. Adherence rates will then be compared between the 2 groups.
BEHAVIORALMedication device monitoring and reminders
Bluetooth enabled sensor device for medication reminders, as well as mobile app to track medication use.
Sponsors
University of Colorado, Denver
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* physician diagnosed asthma * on at least one inhaled controller medication
Exclusion criteria
* language other than English or Spanish (these are the only languages supported by the adherence monitoring application) * other severe chronic lung disease including tracheostomy/ventilator dependence, interstitial lung disease or cystic fibrosis, or significant developmental delay.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in adherence rates | Daily for 12 weeks | This Outcome will measure the difference in adherence at the end of the study period between the 2 groups as measured by the adherence devices (calculated as percent adherence per week over the 12 week study period). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Qualitative outcomes - Barriers | After 3 months of monitoring | Qualitative methodology will be used to evaluate patient attitudes towards the incentive program, as well as barriers of adherence, using semi-structured interviews. The investigators will obtain information on attitudes regarding barriers to medication adherence |
| Changes in Qualitative outcomes - Facilitators | After 3 months of monitoring | Qualitative methodology will be used to evaluate patient attitudes towards the incentive program, as well as facilitators of adherence, using semi-structured interviews. The investigators will obtain information on attitudes regarding facilitators to adequate medication adherence. |
| Changes in Qualitative outcomes - Incentives | After 3 months of monitoring | Qualitatively assessed feelings regarding incentives Qualitative methodology will be used to evaluate patient feelings towards the incentive program.The investigators will obtain information on incentives to adequate medication adherence. |
Countries
United States
Outcome results
None listed