Medication Adherence
Conditions
Keywords
Adolescents, Mobile health, chronic illness
Brief summary
The goal of this pilot clinical trial is to refine and test a mobile health intervention for promoting medication adherence in a population of adolescents and young adults with chronic health conditions. The main question\[s\] it aims to answer are: * How should the intervention be designed to best fit patients' needs and preferences? * Is an adaptive intervention (personalizing the intensity of support based on patients' needs) efficacious for promoting medication adherence Researchers will compare the adaptive intervention to automated text message reminders see if the adaptive intervention shows stronger positive effects on medication adherence.
Detailed description
An initial cohort of adolescents with chronic health conditions will be asked to try the intervention and give feedback to refine the structure and content. Then, a larger cohort will progress through a sequential multiple assignment randomized trial to 1) be randomized to either automated text reminders (active control condition) or computer-delivered Cell Phone Support and then 2) those in the computer-delivered Cell Phone Support condition who do not show a sufficient response will be re-assigned to continued computer-delivered Cell Phone Support only or to Adaptive Cell Phone Support ( computer-delivered Cell Phone Support + responsive human coaching).
Interventions
BEHAVIORALAdaptive Cell Phone Support
Mobile health adherence promotion based on the supportive accountability model
Sponsors
Children's Hospital Los Angeles
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to 20 Years
Healthy volunteers
No
Inclusion criteria
* Children's Hospital Los Angeles patient * between 15-20 years old * taking at least one oral medication per day for a chronic health condition * English speaking * demonstrating sufficient cognitive capacity to engage in the assent/consent process and study procedures * has a cell phone There is no
Exclusion criteria
.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean scores on the Mobile Health App Usability Questionnaire | Baseline to 3 weeks | Higher scores indicate greater ease with which users can use technology to achieve a particular goal; the minimum value of this questionnaire is 1 and the maximum value is 7. |
| Total scores on the theoretical framework of acceptability questionnaire | Baseline to 3 weeks | Higher scores indicate a greater extent to which people delivering or receiving a healthcare intervention consider it to be appropriate, based on anticipated or experienced cognitive and emotional responses to the intervention; the minimum value of this questionnaire is 7 and the maximum value is 35. |
| Total scores on the Visual Analogue Scale | Baseline to 3 weeks | Percentage of doses taken our of 100%; higher numbers indicate greater medication adherence. This scale presents participants with a line, marked 0 on the left and 100 on the right, and participants can drag a marker to the place on the line that best visually indicated their adherence. |
Countries
United States
Outcome results
None listed