A randomized controlled trial of a texting intervention to increase adherence to preventative asthma medication in four Cincinnati Children's Hospital Medical Center primary care clinics.
Our first aim is to determine the feasibility, acceptability and use of a low intensity text messaging intervention to improve adherence to inhaled corticosteroid (ICS) therapy among high risk adolescents with persistent asthma. Our second aim is to determine effect sizes of the intervention to improve adherence (As measured by electronic monitoring and self-report); clinical asthma control; and asthma related quality of life among adolescents with persistent asthma. Our third and final aim is to determine the temporal relationship between text message receipt and ICS canister actuation in order to understand mechanisms by which text messaging may increase ICS adherence.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
29
Website that allows adolescents to create, schedule and send one-time or recurring text messages that will serve as a reminder to take asthma medication or follow up with another health-related matter.
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, United States
Objective Adherence to ICS
Electronic monitor logs
Time frame: Baseline
Change in objective adherence to ICS
Electronic Monitor Logs
Time frame: Change from baseline in objective adherence to ICS at 1 month
Change in objective adherence to ICS
Electronic Monitor Logs
Time frame: Continuous change over time from baseline in objective adherence to ICS at 2 months in intervention compared to control
Change in objective adherence to ICS
Electronic Monitor Logs
Time frame: Continuous change over time from baseline in objective adherence to ICS at 3 months in intervention compared to control
Change in objective adherence to ICS
Electronic Monitor Logs
Time frame: Continuous change over time from baseline in objective adherence to ICS at 4 months in intervention compared to control
Change in objective adherence to ICS
Electronic Monitor Logs
Time frame: Continuous change over time from baseline in objective adherence to ICS at 5 months in intervention compared to control
Feasibility, Acceptability and Usability of the Text Messaging Website
The Computer System Usability Questionnaire is a self-reported measure that captures quantitative data about the usability of the computer system. The Cincinnati Bell Usability questionnaire is a self-reported measure that captures quantitative and qualitative data about how easy the system is to use, whether they like using it, as well as likes and dislikes. Use of the computer system is determined through CMSText website login and message logs.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: At time of text messaging intervention
Feasibility, Acceptability and Usability of the Text Messaging Website
The Computer System Usability Questionnaire is a self-reported measure that captures quantitative data about the usability of the computer system. The Cincinnati Bell Usability questionnaire is a self-reported measure that captures quantitative and qualitative data about how easy the system is to use, whether they like using it, as well as likes and dislikes. Use of the computer system is determined through CMSText website login and message logs.
Time frame: up to 1 month after receiving text messages
Feasibility, Acceptability and Usability of the Text Messaging Website
The Computer System Usability Questionnaire is a self-reported measure that captures quantitative data about the usability of the computer system. The Cincinnati Bell Usability questionnaire is a self-reported measure that captures quantitative and qualitative data about how easy the system is to use, whether they like using it, as well as likes and dislikes. Use of the computer system is determined through CMSText website login and message logs.
Time frame: up to 2 months after receiving text messages
Feasibility, Acceptability and Usability of the Text Messaging Website
The Computer System Usability Questionnaire is a self-reported measure that captures quantitative data about the usability of the computer system. The Cincinnati Bell Usability questionnaire is a self-reported measure that captures quantitative and qualitative data about how easy the system is to use, whether they like using it, as well as likes and dislikes. Use of the computer system is determined through CMSText website login and message logs.
Time frame: up to 3 months after receiving text messages
Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Baseline
Change in Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Change from Baseline at 1 month
Change in Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Continuous change over time from baseline at 2 months in intervention compared to control
Change in Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Continuous change over time from baseline at 3 months in intervention compared to control
Change in Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Continuous change over time from baseline at 4 months in intervention compared to control
Change in Asthma Control
The Asthma Control Test (ACT) are questions that ask about frequency of day and night symptoms, frequency of fast acting inhaler use, environmental triggers, limitations of activities, perception of asthma control, and confidence in ability to manage asthma.
Time frame: Continuous change over time from baseline at 5 months in intervention compared to control
Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Baseline
Change in Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Change from Baseline at month 1
Change in Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Continuous change over time from baseline at 2 months in intervention compared to control
Change in Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Continuous change over time from baseline at 3 months in intervention compared to control
Change in Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Continuous change over time from baseline at 4 months in intervention compared to control
Change in Asthma Symptoms, Quality of Life, Treatment Barriers
The Pediatric Quality of Life (PEDSQL) Asthma Symptom Scale, the generic core scale and the treatment barriers scale are questions that assess how much asthma has been a problem for them in the last month.
Time frame: Continuous change over time from baseline at 5 months in intervention compared to control