Tailored Medication Adherence Incentives Using mHealth for Children With High-Risk Asthma (TAICAM): Protocol for a Randomized Controlled Trial
| Autor: | Rui Xiao, Chris Feudtner, Victoria A. Miller, G. Chandler Floyd, Tyra Bryant-Stephens, Jack You, Carina M Flaherty, Chén C. Kenyon, Brittney Henderson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
behavior change pediatrics financial incentives Population Computer applications to medicine. Medical informatics R858-859.7 Health intervention law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Health care Protocol Medicine text messaging clinical protocols 030212 general & internal medicine education metered dose inhalers mHealth education.field_of_study child business.industry minority Behavior change General Medicine Emergency department asthma Incentive 030228 respiratory system Family medicine adolescent medication adherence randomized controlled trial business |
| Zdroj: | JMIR Research Protocols JMIR Research Protocols, Vol 9, Iss 8, p e16711 (2020) |
| ISSN: | 1929-0748 |
| Popis: | Background Poor adherence to inhaled corticosteroid medications for children with high-risk asthma is both well documented and poorly understood. It has a disproportionate prevalence and impact on children of minority demographics in urban settings. Financial incentives have been shown to be a compelling method to engage those in a high-risk asthma population, but whether adherence can be maintained by offering financial incentives and how these incentives can be used to sustain high adherence are unknown. Objective The aim of this study is to determine the marginal effects of a financial incentive–based intervention on inhaled corticosteroid adherence, health care system use, and costs. Methods Participants include children aged 5 to 12 years who have had either at least two hospitalizations or one hospitalization and one emergency department visit for asthma in the year prior to their enrollment (and their caregivers). Participants are given an electronic inhaler sensor in order to track their medication use over a period of 7 months. After a 1-month period of observation, participants are randomized to 1 of 3 arms for a 3-month period. Participants in arm 1 receive daily text message reminders, feedback, and gain–framed, nominal financial incentives; participants in arm 2 receive daily text message reminders and feedback only, and participants in arm 3 receive no reminders, feedback, or incentives. All participants are subsequently observed for an additional 3-month period with no reminders, feedback, or incentives to assess whether any sustained effects are apparent. Results Study enrollment began in September 2019 with a target sample size of N=125 children. As of June 2020, 61 children have been enrolled. Data collection is estimated to be completed in June 2022, and analyses will be completed by June 2023. Conclusions This study will provide data that will help to determine whether a financial incentive–based mobile health intervention for promoting inhaled corticosteroid use can be effective in patients with high-risk asthma over longer periods. Trial Registration Clinicaltrial.gov NCT03907410; https://clinicaltrials.gov/ct2/show/NCT03907410 International Registered Report Identifier (IRRID) DERR1-10.2196/16711 |
| Databáze: | OpenAIRE |
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