Building Adherence to Live With And Navigate my Cystic Fibrosis (CF) Experience

NCT ID: NCT01013896

Last Updated: 2015-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

128 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2014-05-31

Brief Summary

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The investigators research group and others have found that patient-reported adherence to all aspects of the regimen is suboptimal and objective measures suggest even poorer adherence. There is little data, however that identifies and examines the reason for nonadherence in an adult Cystic Fibrosis (CF) population or identifies effective strategies for improving adherence.

The investigators propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group). Specifically, The investigators hypothesize that MI will result in improved regimen adherence and reduced CF morbidity compared to the CFE control group.

Detailed Description

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Conditions

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Cystic Fibrosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Participants

Study Groups

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Cystic Fibrosis Education

This intervention is designed to increase knowledge and enhance the skills needed to optimize CF-management. The strategies used to achieve improved adherence include providing didactic education and skills training, and proscriptively using behavioral modification strategies, such as positive reinforcement for desired behaviors, and problem-solving training to overcome barriers.

Group Type ACTIVE_COMPARATOR

Cystic Fibrosis Education

Intervention Type OTHER

Among a group of older adolescents and adults with CF, we propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group).

The Cystic Fibrosis Education serves as the attention control group.

Motivational Interviewing

The Counselor's overarching goal for the intervention is to motivate and assist the participant to improve his/her adherence to the CF pulmonary medications. The intervention will begin by providing the patient personal feedback on their adherence (using pharmacy refill data) and health outcomes (e.g., trajectory of lung function values, frequency of exacerbations) as well as clinic-level figures showing the association between adherence and health outcomes.

Group Type EXPERIMENTAL

Motivational Interviewing

Intervention Type BEHAVIORAL

Among a group of older adolescents and adults with CF, we propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group).

Interventions

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Motivational Interviewing

Among a group of older adolescents and adults with CF, we propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group).

Intervention Type BEHAVIORAL

Cystic Fibrosis Education

Among a group of older adolescents and adults with CF, we propose to evaluate the relative efficacy of a Motivational Interviewing-focused intervention (MI) in improving adherence and reducing CF-related morbidity compared to a CF education intervention (CFE; attention control group).

The Cystic Fibrosis Education serves as the attention control group.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Have a doctor confirmed diagnosis of CF
* Age 16 years old or older
* Prescribed an inhaled mucolytic, inhaled antibiotic therapy, chronic macrolide therapy and/or hypertonic saline therapy for the previous 12 months.
* Scheduled for a regular visit at either the pediatric or the adult CF clinic at Johns Hopkins Hospital.

Exclusion Criteria

* Burkholderia cepacia complex isolated from the respiratory tract within the past 2 years.
* Had a lung transplant
* Participated in NA\_00008649 A pilot study of Motivational Interviewing for adults with CF.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Heart, Lung, and Blood Institute (NHLBI)

NIH

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role lead

Responsible Party

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Kristin A. Riekert, PhD

Co-Director, The Johns Hopkins Adherence Research Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kristin A Riekert, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The Johns Hopkins Adherence Research Center

Locations

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Johns Hopkins

Baltimore, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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R01HL087997-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NA_00025417

Identifier Type: -

Identifier Source: org_study_id

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