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The iPeer2Peer Program for Adolescents With Juvenile Idiopathic Arthritis

Not Applicable
Completed
Conditions
Juvenile Idiopathic Arthritis
Interventions
Behavioral: iPeer2Peer Mentorship
Registration Number
NCT03116763
Lead Sponsor
The Hospital for Sick Children
Brief Summary

The iPeer2Peer program matches teens with arthritis to an older mentor who has learned to manage their arthritis well and can support them emotionally and socially. This study will compare two groups of teens: those who are in the iPeer2Peer Program and those in the control group (no mentor).

Detailed Description

Arthritis is a common childhood illness that makes everyday activities hard for young people. It is a long-lasting illness that can make you feel pain, tired and emotionally upset. This can make it hard for children and teens to see friends and do the activities that they like. The goal of this project is to find out if the newly developed peer mentoring program called iPeer2Peer helps teens with arthritis take better care of their illness and feel more connected to other people with arthritis. The iPeer2Peer program matches teens with arthritis to an older mentor who has learned to manage their arthritis well and can support them emotionally and socially. This study will compare two groups of teens: those who are in the iPeer2Peer Program and those in the control group (no mentor).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
164
Inclusion Criteria
  • males and females 12-18 years old
  • rheumatologist-diagnosed JIA according to ILAR criteria
  • able to speak and read English
  • access to a computer, smartphone or tablet capable of using free Skype software (note: participants who do not have adequate Internet access will be provided with portable Internet sticks)
  • willing and able to complete online measures.
Exclusion Criteria
  • significant cognitive impairments
  • major co-morbid illnesses (medical or psychiatric conditions) likely to influence HRQL assessment
  • participating in other peer support or self-management interventions.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
iPeer2Peer MentorshipiPeer2Peer MentorshipIn addition to standard care, youth in the experimental group will receive the iPeer2Peer program, a peer mentorship program that will provide modeling and reinforcement of self-management by pre-screened and trained peer mentors (young adults with JIA aged 18-22 years who have learned to function successfully with their disease). Mentors will encourage participants to develop and engage in self-management skills and provide social support.
Primary Outcome Measures
NameTimeMethod
TRANSITION-Q (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

14-item measure of self-management skills that is both reliable (internally consistent, test-retest) and valid (face, construct and content validity)

Secondary Outcome Measures
NameTimeMethod
Screen for Child Anxiety Related Disorders (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Emotional distress

PedsQL Arthritis Module (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Health-related quality of life

PROMIS Pain Interference (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Pain

Center for Epidemiologic Studies Depression Scale Revised (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Emotional distress

Medical Issues, Exercise, Pain and Social Support Questionnaire (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Disease knowledge

Children's Arthritis Self-Efficacy (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Self-efficacy

AQoL-6D, interview (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Cost utility analysis

Health service use and costs (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Cost utility analysis

Chronic Disease Self-Efficacy Scale (measuring change)At beginning of study and at end of study (approximately 3 years later)

For mentors only: self-efficacy

PROMIS Pediatric Peer Relationship Scale (measuring change)Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Perceived social support

Mentor Behavior Scale (measuring change)Post-Intervention (approximately following 12 weeks of calls)

Mentor quality

PROMIS Adult Profile (measuring change)At beginning of study and at end of study (approximately 3 years later)

For mentors only: mentor physical and emotional symptoms

PROMIS Satisfaction with Social Roles and Activities (measuring change)At beginning of study and at end of study (approximately 3 years later)

For mentors only: perceived social role satisfaction

Mentor interaction formFollowing completion of each mentee's calls (approximately following 12 weeks of calls)

Record of interactions with mentees

Trial Locations

Locations (6)

The Hospital for Sick Children

🇨🇦

Toronto, Ontario, Canada

BC Children's Hospital

🇨🇦

Vancouver, British Columbia, Canada

Alberta Children's Hospital

🇨🇦

Calgary, Alberta, Canada

Children's Hospital - London Health Sciences

🇨🇦

London, Ontario, Canada

Children's Hospital of Eastern Ontario (CHEO)

🇨🇦

Ottawa, Ontario, Canada

The IWK Health Centre

🇨🇦

Halifax, Nova Scotia, Canada

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