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My MediHealth: A Paradigm for Children-centered Medication Management

NCT ID: NCT01730235

Last Updated: 2012-11-21

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

Total Enrollment

115 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-05-31

Brief Summary

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The last mile of the medication use system requires tools to help patients comply with medication administration rules and monitor for side effects. Personal health records (PHR) and emerging user-adopted communication tools promise to change the landscape of medication management. The overarching goal of the MyMediHealth project is to investigate ways in which PHRs and supported applications can improve the safety and quality of medication delivery. Preliminary work in this area by a team of parents, patients and school/clinic health providers created a vision for MyMediHealth, a next-generation medication management system. MyMediHealth was envisioned to allow home-based, school-based, and other caregivers to ensure safe and effective medication delivery. This vision featured just-in-time medication reminders to children with special health care needs, two-way communication to log when doses have been administered or when side effects have occurred, and mechanisms to warn caregivers about side effects and drug interactions. However, much of this work was done using prototypes, storyboards, and vision videos. Recognizing that this vision cannot be carried out without significant changes in processes and policies, the purpose of this proposed study is to evaluate the impact of medication management tools such as MyMediHealth on medication adherence for children with chronic illnesses. Specifically, the investigators hypothesize that compared with usual practice, children using mymedihealth will have improved medication adherence and will report improved (decreased) asthma symptoms.

Detailed Description

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Conditions

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Asthma

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Case Group

Group receiving access to MyMediHealth web site.

No interventions assigned to this group

Control Group

Children completing baseline and week two measures, but without any additional intervention.

MyMediHealth access

Intervention Type OTHER

Patients who will be given access to a web-based medication scheduling and SMS-based reminder system.

Interventions

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MyMediHealth access

Patients who will be given access to a web-based medication scheduling and SMS-based reminder system.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Access to the internet Caregiver agrees to let child use the Internet for the project Internet service working properly Legal guardian approves of study Child with her or his own cell phone

Exclusion Criteria

* non English or spanish speaking family
Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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Kevin Johnson

Professor and Chair, Biomedical Informatics

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Vandebilt Monroe Carell Children's Hospital

Nashville, Tennessee, United States

Site Status

Countries

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United States

References

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Johnson KB, Patterson BL, Ho YX, Chen Q, Nian H, Davison CL, Slagle J, Mulvaney SA. The feasibility of text reminders to improve medication adherence in adolescents with asthma. J Am Med Inform Assoc. 2016 May;23(3):449-55. doi: 10.1093/jamia/ocv158. Epub 2015 Dec 11.

Reference Type DERIVED
PMID: 26661717 (View on PubMed)

Other Identifiers

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R18HS018168

Identifier Type: AHRQ

Identifier Source: org_study_id

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