Jointly Managing JIA Online: An Internet-based Psycho-educational Game for Children With JIA and Their Parents

NCT ID: NCT02610166

Last Updated: 2019-06-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 112 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-01-31
• Study Completion Date: 2019-03-31

Brief Summary

Arthritis in children is a long-term illness and it can make a child's life very difficult. In children 8-11 years old, the child and their family work together to deal with the problems that arthritis can cause. Learning to cope with and manage the problems that come with arthritis can stop it from getting worse. It is important to create programs that teach children and families how to cope with and manage arthritis. This study will develop and test an online game that helps children learn how to better manage their arthritis. The goal of these studies is to test: (1) how easy to use and acceptable the online game is; and (2) if children who play the game feel less pain, have fewer limitations, and a better quality of life compared to children who do not play the game.

Conditions

Juvenile Idiopathic Arthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Game

Access to the game.

Group Type: EXPERIMENTAL

Game

Intervention Type: BEHAVIORAL

In addition to standard medical care, children in the experimental group will receive the Match-3 game. The game will be designed for short individual gameplay sessions (as little as a few seconds), once to three times a day, over the course of 8 weeks, involving no more than 15 minutes per day in anticipated screen time. There is no way to "lose" the game. Through a structured series of daily interactions, the player will learn strategies and develop decision-making abilities that will assist with management of their own JIA. The Match 3 concept (similar to the game, Bejeweled) will require the player to successfully match the treatment strategy to the JIA symptom.

Usual Care

Control group.

Group Type: ACTIVE_COMPARATOR

Usual Care

Intervention Type: OTHER

Children in usual care group receive standard medical care.

Interventions

Game

In addition to standard medical care, children in the experimental group will receive the Match-3 game. The game will be designed for short individual gameplay sessions (as little as a few seconds), once to three times a day, over the course of 8 weeks, involving no more than 15 minutes per day in anticipated screen time. There is no way to "lose" the game. Through a structured series of daily interactions, the player will learn strategies and develop decision-making abilities that will assist with management of their own JIA. The Match 3 concept (similar to the game, Bejeweled) will require the player to successfully match the treatment strategy to the JIA symptom.

Intervention Type: BEHAVIORAL

Usual Care

Children in usual care group receive standard medical care.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age ≥ 8 and ≤ 11 years of age

2. Diagnosed with JIA (minimum 3 months) using International League of Associations for Rheumatology classification criteria96

3. Active disease

4. Child and primary parent/caregiver are able to speak and read English or French

5. Participants are willing and able to complete online measures

Exclusion Criteria

1. Cognitive impairments (as assessed by reviewing medical chart and consultation with the patient's rheumatologist)

2. Major co-morbid illnesses (e.g., medical [inflammatory bowel disease, cancer, diabetes] or psychiatric [depression, anxiety]) which may impact their ability to understand and use the game or complete outcome assessments (as determined by their rheumatologist).

3. Children currently participating in other Cognitive Behavioural Therapy (CBT) interventions

4. Usability testing participants

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 11 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Provincial Health Services Authority

OTHER

Sponsor Role: collaborator

Alberta Children's Hospital

OTHER

Sponsor Role: collaborator

Montreal Children's Hospital of the MUHC

OTHER

Sponsor Role: collaborator

IWK Health Centre

OTHER

Sponsor Role: collaborator

Children's Hospital of Eastern Ontario

OTHER

Sponsor Role: collaborator

St. Justine's Hospital

OTHER

Sponsor Role: collaborator

University of Toronto

OTHER

Sponsor Role: collaborator

McGill University

OTHER

Sponsor Role: collaborator

University of Florida

OTHER

Sponsor Role: collaborator

Children's Hospital of Western Ontario

OTHER

Sponsor Role: collaborator

University of Kansas Medical Center

OTHER

Sponsor Role: collaborator

Memorial University of Newfoundland

OTHER

Sponsor Role: collaborator

The Hospital for Sick Children

OTHER

Sponsor Role: lead

Responsible Party

Jennifer Stinson

Clinician Scientist/Clinical Nurse Specialist/NP

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

BC Children's Hospital

Vancouver, British Columbia, Canada

IWK Health Centre

Halifax, Nova Scotia, Canada

Children's Hospital

London, Ontario, Canada

Children's Hospital of Eastern Ontario

Ottawa, Ontario, Canada

The Hospital for Sick Children

Toronto, Ontario, Canada

CHU Sainte-Justine

Montreal, Quebec, Canada

Montreal Children's Hospital

Montreal, Quebec, Canada

Countries

Canada

Other Identifiers

1000048447

Identifier Type: -

Identifier Source: org_study_id