The Use of Text Messages to Improve Adherence to Health Maintenance Behaviors in Adolescents With Atopic Dermatitis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 4
- 主要终点
- Change in self reported medication adherence
研究概览
简要总结
Atopic dermatitis is a common problem faced by patients of all ages and backgrounds. Treatment regimens and specific therapies may be time consuming and multiple studies have documented a parallel decrease in compliance as time after an office visit increases. The adolescent population is an extremely challenging sub-group of patients in terms of complying with a treatment regimen. Not only are they striving for independence and thus lacking supervision of a regimen by a parent, but their complex thinking skills are immature, leading to forgetful behavior. By introducing a reminder system for these vulnerable patients that is easily incorporated into their daily lives, the investigators propose that patients will have better compliance at applying their medication and thus improving their atopic dermatitis. Text-messaging via cell phones has become very popular among teenagers and adults and provides a non-obtrusive method of sending a treatment reminder.
详细描述
We propose to conduct a randomized, controlled 6-week trial to evaluate the impact of a text message-based reminder program on adherence to health maintenance behaviors among adolescents diagnosed with Atopic Dermatitis. After obtaining informed consent, subjects will be randomized into either an intervention or control group. Subjects in the intervention group will receive a daily text message with a tailored message regarding atopic dermatitis, while control group subjects will receive a weekly text message with information on local weather, sport or news without any reference to atopic dermatitis. Of note, the decision to send a weekly text message to the control group reflects the expectation that a message will be sent, although the frequency and content of the message will not be revealed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 10 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 10-17 inclusive
- •Capable of giving informed consent/assent. Of note, all subjects will sign an assent form and parents will sign a parent consent form.
- •Diagnosed with Atopic Dermatitis by a physician (self report)
- •IGA score fo 2 or greater
- •Currently using at least one prescribed topical therapy for atopic dermatitis
- •Have a mobile phone capable of receiving text messages
- •Able to retrieve text messages from mobile phone
- •Able to adhere to study visit schedule and other protocol requirements.
排除标准
- •Younger than 10 years of age or 18 years and older at the time of enrollment
- •No diagnosis of atopic dermatitis by a physician
- •IGA score of 0 or 1
- •Currently on no prescribed topical treatment for atopic dermatitis
- •UV therapy or climatotherapy is a part of treatment for atopic dermatitis
- •Does not have a mobile phone capable of receiving text messages
- •Unable to retrieve text message
- •Non-English speaking individuals (text messages are in English)
结局指标
主要结局
Change in self reported medication adherence
时间窗: 6 weeks
We will assess the difference in number of missed doses of topical medication in the control group (weekly unrelated text message) and the intervention group (daily eczema-related text message group). All subjects will record missed doses via calendars (diaries). Those in the intervention group will be able to text on a weekly basis the number of days they forgot their medication that week.
Change in quality of life
时间窗: 6 weeks
次要结局
- Change in AD knowledge score(6 weeks)
- Change in health maintenance behaviors(6 weeks)
研究者
Amy Paller
Professor and Chair of Department of Dermatology, Professor of Pediatrics
Northwestern University