Trial Outcomes & Findings for Cell Phone Support to Promote Medication Adherence Among Adolescents and Young Adults With Chronic Illness (NCT NCT04241627)

NCT ID: NCT04241627

Last Updated: 2024-01-08

Results Overview

percentage of doses taken out of 100%, reported by the adolescent or young adult, assessed using a visual analogue scale

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

34 participants

Primary outcome timeframe

12 weeks

Results posted on

2024-01-08

Participant Flow

Participant milestones

Participant milestones
Measure
Cell Phone Support
An adherence facilitator will deliver Cell Phone Support by daily phone calls Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Live Text Support
An adherence facilitator will deliver Live Text Support, Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Automated Text Reminders
The comparison condition will include automated text message reminders, using this template: "Take \[name of medication\] at \[set time\]. To confirm intake, press REPLY, type CARE 1, and press SEND." Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Overall Study
STARTED
11
12
11
Overall Study
COMPLETED
11
12
11
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Cell Phone Support to Promote Medication Adherence Among Adolescents and Young Adults With Chronic Illness

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cell Phone Support
n=11 Participants
An adherence facilitator will deliver Cell Phone Support by daily phone calls Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Live Text Support
n=12 Participants
An adherence facilitator will deliver Live Text Support, Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Automated Text Reminders
n=11 Participants
The comparison condition will include automated text message reminders, using this template: "Take \[name of medication\] at \[set time\]. To confirm intake, press REPLY, type CARE 1, and press SEND." Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Total
n=34 Participants
Total of all reporting groups
Age, Continuous
17.82 years
STANDARD_DEVIATION 1.47 • n=5 Participants
17.42 years
STANDARD_DEVIATION 1.62 • n=7 Participants
17.82 years
STANDARD_DEVIATION 1.08 • n=5 Participants
17.68 years
STANDARD_DEVIATION 1.39 • n=4 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
6 Participants
n=7 Participants
5 Participants
n=5 Participants
16 Participants
n=4 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
18 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=5 Participants
8 Participants
n=7 Participants
6 Participants
n=5 Participants
20 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
14 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
3 Participants
n=7 Participants
3 Participants
n=5 Participants
10 Participants
n=4 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
4 Participants
n=7 Participants
0 Participants
n=5 Participants
5 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
6 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
11 Participants
n=4 Participants
Region of Enrollment
United States
11 Participants
n=5 Participants
12 Participants
n=7 Participants
11 Participants
n=5 Participants
34 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 12 weeks

Population: Only participants with post-treatment self-report data were analyze for this primary outcome.

percentage of doses taken out of 100%, reported by the adolescent or young adult, assessed using a visual analogue scale

Outcome measures

Outcome measures
Measure
Cell Phone Support
n=11 Participants
An adherence facilitator will deliver Cell Phone Support by daily phone calls Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Live Text Support
n=10 Participants
An adherence facilitator will deliver Live Text Support, Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Automated Text Reminders
n=8 Participants
The comparison condition will include automated text message reminders, using this template: "Take \[name of medication\] at \[set time\]. To confirm intake, press REPLY, type CARE 1, and press SEND." Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Self-Reported Medication Adherence
86.55 percentage of 100
Standard Deviation 17.58
84.80 percentage of 100
Standard Deviation 31.07
68.75 percentage of 100
Standard Deviation 39.03

PRIMARY outcome

Timeframe: 18 weeks

Population: Only participants with who returned their Medication Event Monitoring System cap were analyzed for this outcome.

percentage of doses taken out of 100%, as measured by the whether participants opened the Medication Event Monitoring System cap the same number of times per day they were prescribed to take medication

Outcome measures

Outcome measures
Measure
Cell Phone Support
n=4 Participants
An adherence facilitator will deliver Cell Phone Support by daily phone calls Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Live Text Support
n=3 Participants
An adherence facilitator will deliver Live Text Support, Monday through Friday for 12 weeks, to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Automated Text Reminders
n=3 Participants
The comparison condition will include automated text message reminders, using this template: "Take \[name of medication\] at \[set time\]. To confirm intake, press REPLY, type CARE 1, and press SEND." Cell Phone Support: Cell Phone Support includes short phone calls (\<5 minutes) made each weekday by a human AF to provide social support, medication reminders, problem-solving coaching, incentives for answering calls, and referrals to other services. Cell Phone Support calls focus on assisting AYAs in identifying and accessing resources and support from their natural environments, such as finding ways they can receive needed help from their families, peers, medical teams, and communities. Live Text Support will deliver the same intervention, by text message.
Behavioral Measure of Adherence
40.75 percentage of 100
Standard Deviation 47.14
11.67 percentage of 100
Standard Deviation 12.01
14.33 percentage of 100
Standard Deviation 11.24

Adverse Events

Cell Phone Support

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Live Text Support

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Automated Text Reminders

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Caitlin Sayegh

University of Southern California Keck School of Medicine Department of Pediatrics

Phone: 13233617748

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place