Incentives for Adherence in Adolescent Asthma

NCT ID: NCT03515499

Last Updated: 2020-06-11

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

52 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-06

Study Completion Date

2020-02-05

Brief Summary

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Financial incentives have been suggested as a possible means for increasing adherence to asthma medications. This study will evaluate an incentive strategy (daily small reward for adherence) in maintaining high levels of adherence as tracked by adherence sensors in adolescents with asthma.

Detailed Description

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Two groups will be enrolled. The control group will have mediation monitoring sensors placed on their controller inhalers. The treatment group will also have the monitoring sensors placed on their medications, however they will be paid up to $1 per day for perfect adherence for 3 months. Both groups will be monitored for 4 months. 10 subjects will be chosen from each group to complete semi-structured phone interviews

Conditions

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Asthma Asthma in Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Control

The control arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use.

Group Type ACTIVE_COMPARATOR

Medication device monitoring and reminders

Intervention Type BEHAVIORAL

Bluetooth enabled sensor device for medication reminders, as well as mobile app to track medication use.

Treatment arm

The treatment arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use. Additionally, they will be paid up to $1 per day for perfect medication adherence.

Group Type EXPERIMENTAL

Incentives

Intervention Type BEHAVIORAL

Subjects in the treatment arm will be paid up to $1 per day over 3 months for perfect medication adherence. Adherence rates will then be compared between the 2 groups.

Medication device monitoring and reminders

Intervention Type BEHAVIORAL

Bluetooth enabled sensor device for medication reminders, as well as mobile app to track medication use.

Interventions

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Incentives

Subjects in the treatment arm will be paid up to $1 per day over 3 months for perfect medication adherence. Adherence rates will then be compared between the 2 groups.

Intervention Type BEHAVIORAL

Medication device monitoring and reminders

Bluetooth enabled sensor device for medication reminders, as well as mobile app to track medication use.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* physician diagnosed asthma
* on at least one inhaled controller medication

Exclusion Criteria

* language other than English or Spanish (these are the only languages supported by the adherence monitoring application)
* other severe chronic lung disease including tracheostomy/ventilator dependence, interstitial lung disease or cystic fibrosis, or significant developmental delay.
Minimum Eligible Age

12 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Heather Hoch, MD

Role: PRINCIPAL_INVESTIGATOR

Assistant Professor

Locations

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Childrens Hospital Colorado

Aurora, Colorado, United States

Site Status

Countries

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United States

References

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Keyser HH, Brinton JT, Bothwell S, Camacho M, Kempe A, Szefler SJ. Encouraging adherence in adolescents with asthma using financial incentives: An RCT. Pediatr Pulmonol. 2023 Oct;58(10):2823-2831. doi: 10.1002/ppul.26594. Epub 2023 Jul 14.

Reference Type DERIVED
PMID: 37449768 (View on PubMed)

Other Identifiers

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18-0089

Identifier Type: -

Identifier Source: org_study_id

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