Evaluation of Adherence to Topical Agents: Applying Communication Technology to Improve Sunscreen Use

NCT ID: NCT00535769

Last Updated: 2012-07-20

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

EARLY_PHASE1

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2007-11-30

Brief Summary

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The purpose of this study is to determine if using an electronic reminder improves adherence to sunscreen use. The specific study aims are as follows:

1. To determine whether the use of electronic reminder system increases adherence to topical agents.
2. To assess technological feasibility of measuring adherence to topical agents using electronic monitors specially designed for tubes.
3. To assess technological feasibility of providing electronic reminders using cellular phone text-messaging system.
4. To obtain subjects' feedback on the adherence monitoring and reminder system.

Detailed Description

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We propose to use communication technology to develop a novel means of monitoring and improving adherence to topical agents. We will conduct a randomized, single-blinded, controlled trial to assess the impact of automated reminder system on adherence rates to sunscreens. This study will involve designing an electronic monitoring device specifically for topical agents and creating a platform for an automated reminder system. The electronic monitoring devices will be adaptable to tubes of varying shapes and sizes, and they will send SMS messages to a central server in real-time each time the tube is opened. We will create a text-message reminder system to send reminders to users' cellular phones over a secured network. Our hypothesis is that the electronic monitoring and reminder system will increase patients' adherence to topical agents. We will measure the impact of the intervention on adherence rates and assess patients' views on the reminder system. This project will allow us to engineer a novel device to electronically monitor adherence to topical agents and to use communication technology to change patients' behavior.

Conditions

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Skin Cancer

Keywords

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topical medication adherence adherence compliance medication compliance sunscreen reminder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Electronic monitor + no text message

The control or placebo comparator group of subjects will receive the study sunscreen with the attached electronic monitor. They will be instructed to apply sunscreen once a day in the morning to the sun-exposed areas of the body. If the subjects are to have continuous sun exposure (for example, at a beach), they are to re-apply the sunscreen every 3 hours.

Group Type PLACEBO_COMPARATOR

Electronic + no text message

Intervention Type DEVICE

Electronic monitor is attached but no text-messages are sent through cellular phones

Electronic monitor + Text message

The text message experimental group of subjects will receive the study sunscreen with the attached electronic monitor. In addition, this group will receive daily text messages on their cellular phone to remind them to apply the sunscreen. The text message will also contain the daily weather information. This group will also be instructed to apply sunscreen once a day in the morning to the sun-exposed areas of the body. If subjects are to have continuous sun exposure (for example, at a beach), they are to re-apply the sunscreen every 3 hours.

Group Type EXPERIMENTAL

Electronic monitor + text messages

Intervention Type DEVICE

Electronic monitor is attached and text messages are sent through cellphone to remind sunscreen use

Interventions

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Electronic + no text message

Electronic monitor is attached but no text-messages are sent through cellular phones

Intervention Type DEVICE

Electronic monitor + text messages

Electronic monitor is attached and text messages are sent through cellphone to remind sunscreen use

Intervention Type DEVICE

Other Intervention Names

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Electronic monitor without text messages Electronic monitor with text message

Eligibility Criteria

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Inclusion Criteria

* 18 years of age or older at time of consent, may be men or women.
* Capable of giving informed consent
* Have a cellular phone capable of receiving text messages.
* Able to adhere to the study visit schedule and other protocol requirements.

Exclusion Criteria

* Non-English speaking individuals
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Alexandra Kimball

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexa B Kimball, MD MPH

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital and Massachusetts General Hospital

April W Armstrong, MD

Role: STUDY_DIRECTOR

Brigham and Women's Hospital and Massachusetts General Hospital

Locations

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Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Armstrong AW, Watson AJ, Makredes M, Frangos JE, Kimball AB, Kvedar JC. Text-message reminders to improve sunscreen use: a randomized, controlled trial using electronic monitoring. Arch Dermatol. 2009 Nov;145(11):1230-6. doi: 10.1001/archdermatol.2009.269.

Reference Type DERIVED
PMID: 19917951 (View on PubMed)

Other Identifiers

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2007-P-001456

Identifier Type: -

Identifier Source: org_study_id