Transition Readiness Mobile Health Intervention: Co-Design and Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Self-reported score with a range from 1-5, on the Transition Readiness Assessment Questionnaire (TRAQ).
研究概览
简要总结
The goal of this clinical trial is to assess whether social-media style short-form health education videos can increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance, compared with publicly available health education resources in adolescents with chronic illnesses. The main question it aims to answer is:
-Hypothesize social media intervention will increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance compared to publicly available health education website immediately post intervention and at 6 month follow up.
Participants will be randomly assigned to one of the interventions and access the intervention for 20 minutes and complete 30-60 minutes of surveys.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 12 Years 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients in subspecialty clinics
- •Between 12 and 17 years old
- •With access to an internet-connected device
- •Speaking English or Spanish
- •With sufficient cognitive capacity to understand the study procedures, as assessed via a teach back method.
排除标准
- 未提供
研究组 & 干预措施
Publicly Available Health Education Website
The social media intervention will be contrasted against a control condition consisting of sharing the GotTransition.org Youth and Young Adult Resources webpage: https://gottransition.org/youth-and-young-adults/. This website is a project from The National Alliance to Advance Adolescent Health. The webpage includes videos, infographics, quizzes, and frequently asked questions. Testing the social media intervention against this existing national resource will assess whether the novel intervention is relatively more acceptable or efficacious than an active comparison. If participants are more comfortable in Spanish, a prompt will be provided to them to use the website search function to locate resources in Spanish.
干预措施: GotTransition.org Website (Behavioral)
Health education videos
The social media intervention will consist of 7 short videos between 20-60 seconds each, filmed by a professional videographer. Videos 1) start with text asking a question or giving a title highlighting the educational topic, 2) display adolescent volunteer patient partners directly teaching self-management and transition skills, demonstrating the skills via tutorials, or presenting health education content in the style of social media trends, and 3) conclude with a written summary of take-away points. The videos will be shared to participants as a password-protected Vimeo.com playlist. If participants are more comfortable in Spanish, they will be given the option to view the videos dubbed in Spanish.
干预措施: Health Education Videos (Behavioral)
结局指标
主要结局
Self-reported score with a range from 1-5, on the Transition Readiness Assessment Questionnaire (TRAQ).
时间窗: Immediate post-treatment and 6-month follow-up.
The TRAQ assesses the readiness of youth and young adults to transition from pediatric to adult healthcare. It includes items related to managing medications, appointment keeping, tracking health issues, and communicating with healthcare providers.
Self-reported score ranging from 1 to 4, via the Generalized Self-Efficacy Scale (GSES).
时间窗: Immediate post-treatment and 6-month follow-up.
The GSES evaluates an individual's belief in their ability to cope with a variety of difficult demands in life. It consists of 10 items, each rated on a 4-point scale, assessing confidence in handling unexpected events and solving problems.
Self-reported score ranging from 1 to 5, via the Positive and Negative Affect Schedule for Children and Adolescents (PANAS-C).
时间窗: Immediate post-treatment and 6-month follow-up.
The PANAS-C measures positive and negative affect in children and adolescents. It includes items that assess the extent to which individuals experience various positive and negative emotions over the past few weeks.
Self-report questionnaire with a score ranging from 10 to 40, via the Health Literacy for Youth.
时间窗: Immediate post-treatment and 6-month follow-up.
The HLSAC measures subjective health literacy in youth, focusing on their ability to access, understand, and use health information to make informed decisions.
Number of appointments attended divided by the number of appointments scheduled, producing a score ranging from 0 to 100%, via medical chart abstraction.
时间窗: Comparing 6 months before intervention to 6 months after intervention.
This measure calculates the percentage of scheduled medical appointments that were attended by the patient, providing insight into adherence to treatment plans and engagement with healthcare services.
次要结局
未报告次要终点
研究者
Caitlin Sayegh
Medical Staff/USC Faculty
Children's Hospital Los Angeles