Incentives for Adherence in Adolescent Asthma

Not Applicable

Completed

• Conditions: Asthma; Asthma in Children

• 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

Study Timeline

• Study First Submitted: 2018-02-05
• Study First Submitted QC: 2018-05-02
• Study First Posted: 2018-05-03
• Study Start: 2018-07-06
• Primary Completion: 2020-02-05
• Study Completion: 2020-02-05
• Status Verified: 2020-06
• Last Update Submitted: 2020-06-09
• Last Update Posted: 2020-06-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

• physician diagnosed asthma
• on at least one inhaled controller medication

Exclusion Criteria

• 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

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