To evaluate an intervention to improve medication intake behaviour in adolescents with asthma.
ID
Source
Brief title
Condition
- Lower respiratory tract disorders (excl obstruction and infection)
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Adherence, assessed with both refill records and patient self-report.
Secondary outcome
In addition, asthma control and asthma-related quality of life will be measured
with the help of standardized questionnaires. Also a process evaluation will be
carried out to assess both patient and healthcare provider satisfaction and
invested time.
Background summary
Non-adherence to chronic medication is a complex problem: there is no *one size
fits all* approach. Interventions should therefore be tailored to patients*
specific needs and underlying reasons for non-adherence. In adolescents,
non-adherence is a major problem and leads to uncontrolled disease, severely
affecting quality of life. To date, little attention has been paid to
non-adherence at this age and evidence-based interventions to improve
medication intake behaviour are lacking for this patient group. It is important
to find ways to improve adherence that easily fit into adolescents* daily life.
As adolescents are highly engaged in technology and increasingly communicate
through mobile or social media, we hypothesize that solutions based on new
digital media are suitable for this group.
Study objective
To evaluate an intervention to improve medication intake behaviour in
adolescents with asthma.
Study design
The project consists of testing of a newly developed intervention for
adolescents with asthma: the ADAPT intervention. The ADAPT intervention will be
tested in the community pharmacy setting using a cluster randomized trial.
Intervention
The intervention consists of an interactive smartphone application for patients
with features such as questionnaires to enter symptom and adherence scores, a
peer-to-peer chat function, a reminder service and educational information
(e.g. short movies/animations) combined with a management system for care
providers. The patient authorizes the healthcare provider to receive
information (e.g. on disease severity scores). When requested the healthcare
provider can send tailored information (e.g. an instructional video) to the app
according to the individual needs of the patient.
Study burden and risks
There are no risks associated with participation to this study. All patients
are invited to fill in questionnaires at t = 0 and t = 6 and patients included
in the intervention group will also use the intervention (smartphone app) for a
period of 6 months, patients included in the control group will only fill in
the two questionnaires. Adolescents will be involved during all project phases
(already during the preparation phase for input) to ensure the developed ADAPT
intervention will be patient-centered and feasible to use in daily practice.
This project delivers an evidence-based tool to improve adolescent adherence
behaviour. Asthma is used as a model, but insights from this project will also
be valuable for future intervention design for adolescents suffering from other
chronic disorders.
Universiteitsweg 99
Utrecht 3584CG
NL
Universiteitsweg 99
Utrecht 3584CG
NL
Listed location countries
Age
Inclusion criteria
Use of inhaled corticosteroids (ICS) during the previous 12 months (filling of at least 2 prescriptions), age between 12-18 years, diagnosis of asthma and having a smartphone.
Exclusion criteria
Less than 2 ICS prescriptions, use of ICS for indications other than asthma, insufficient understanding of Dutch language, not having a smartphone, not being bale to take care of themselves (e.g. patients living in an institutions).
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL50997.041.14 |