My MediHealth: A Paradigm for Children-centered Medication Management

Completed

• Conditions: Asthma
• Interventions: Other: MyMediHealth access

• Registration Number: NCT01730235
• Lead Sponsor: Vanderbilt University

Brief Summary

The last mile of the medication use system requires tools to help patients comply with medication administration rules and monitor for side effects. Personal health records (PHR) and emerging user-adopted communication tools promise to change the landscape of medication management. The overarching goal of the MyMediHealth project is to investigate ways in which PHRs and supported applications can improve the safety and quality of medication delivery. Preliminary work in this area by a team of parents, patients and school/clinic health providers created a vision for MyMediHealth, a next-generation medication management system. MyMediHealth was envisioned to allow home-based, school-based, and other caregivers to ensure safe and effective medication delivery. This vision featured just-in-time medication reminders to children with special health care needs, two-way communication to log when doses have been administered or when side effects have occurred, and mechanisms to warn caregivers about side effects and drug interactions. However, much of this work was done using prototypes, storyboards, and vision videos. Recognizing that this vision cannot be carried out without significant changes in processes and policies, the purpose of this proposed study is to evaluate the impact of medication management tools such as MyMediHealth on medication adherence for children with chronic illnesses. Specifically, the investigators hypothesize that compared with usual practice, children using mymedihealth will have improved medication adherence and will report improved (decreased) asthma symptoms.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-05
• Primary Completion: 2012-10
• Status Verified: 2012-11
• Study First Submitted: 2012-11-08
• Study First Submitted QC: 2012-11-14
• Last Update Submitted: 2012-11-14
• Study First Posted: 2012-11-21
• Last Update Posted: 2012-11-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 115

Inclusion Criteria

• Access to the internet Caregiver agrees to let child use the Internet for the project Internet service working properly Legal guardian approves of study Child with her or his own cell phone

Exclusion Criteria

• non English or spanish speaking family

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Control Group	MyMediHealth access	Children completing baseline and week two measures, but without any additional intervention.

Primary Outcome Measures

Name	Time	Method
Change in baseline asthma self efficacy after 3 weeks	participants will be followed for an average of 4 weeks, with this measure collect at the beginning of the period and after 3 weeks of reminders.	Will assess self-efficacy using the survey by Bursch and colleagues (1997)

Secondary Outcome Measures

Name	Time	Method
Change in medication adherence after 3 weeks	Participants will be followed for 4 weeks, with measurements at baseline and the end of 3 weeks	At the end of the 2-week data collection period (following the 1-week test period), all participants (Control and Intervention) and their parents will be asked to complete a brief online survey, including the Asthma Control Test (ACT) and the weekly adherence survey(SDSCA). All responses collected from participants and their parents in the Time 2 Survey will be compared to those collected from the Baseline Survey, where applicable. Medication adherence will be measured by responses to ACT and SDSCA survey items for all participants.

Trial Locations

Locations (1)

Vandebilt Monroe Carell Children's Hospital; 🇺🇸 Nashville, Tennessee, United States