Incentives for Adherence in Adolescent Asthma
- Conditions
- AsthmaAsthma in Children
- Interventions
- Behavioral: IncentivesBehavioral: Medication device monitoring and reminders
- Registration Number
- NCT03515499
- Lead Sponsor
- University of Colorado, Denver
- 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
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
- physician diagnosed asthma
- on at least one inhaled controller medication
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Treatment arm Incentives The treatment arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use. Additionally, they will be paid up to $1 per day for perfect medication adherence. Treatment arm Medication device monitoring and reminders The treatment arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use. Additionally, they will be paid up to $1 per day for perfect medication adherence. Control Medication device monitoring and reminders The control arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use.
- Primary Outcome Measures
Name Time Method 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 Outcome Measures
Name Time Method 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 - 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.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.
Trial Locations
- Locations (1)
Childrens Hospital Colorado
🇺🇸Aurora, Colorado, United States