The Psychosocial Outcomes in Caregivers of Children With Food Allergy (FASST)
Food Allergy Symptom Self-management With Technology (FASST) for Caregivers: An mHealth Intervention to Address Psychosocial Outcomes in Caregivers of Children With Newly Diagnosed Food Allergy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Caregiver of child less than or equal to 18 years of age who are newly diagnosed (less than or equal to 90 days from diagnosis) with food allergy(ies).
Exclusion Criteria:
- Caregiver with cognitive impairment/deficit and/or observed lack of understanding during the informed consent process
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Active Comparator: Group 1
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Group 1 will download an enhanced mobile app that will include education and support resources related to food allergy and its management.
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Experimental: Group 2
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Group 2 will download an enhanced mobile app that will include education and support resources related to food allergy and its management, a symptom monitoring and tracking system that allows mobile app users to log symptoms they may experience as caregivers of children newly diagnosed with food allergy, e.g.
fatigue and anxiety, and symptom based interventions (recommendations) that may improve a caregiver's ability to self-manage experienced symptoms.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Fatigue as Assessed by Patient-Reported Outcomes Measurement Information System Fatigue Short Form: PROMIS Short Form 6a
Time Frame: 30 days
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The PROMISED Interference (Short Form 6a) instrument measures the self-reported consequences of fatigue across aspects of life including social, cognitive, emotional, physical and recreational activities; this instrument refers to the past seven days.
This validated scale has five response options, with scores ranging from one to five.
Scores are converted to t-scores, and higher t-scores indicate greater pain interference.
Higher scores represent greater degrees of fatigue.
Scores <55 within normal limits, 55-60 mild, 61-70 moderate, >70 severe fatigue.
Fatigue T-scores measured by PROMIS Fatigue Short Form 6a.
This 6-item instrument assesses a patient's a patient's level of fatigue over a 7-day recall period.
Respondents report fatigue on a 5-point scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=Very much.
In the general population, T-scores have a mean of 50, standard deviation of 10, and range from 33.4 to 76.8.
Lower T-scores represent better outcomes.
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30 days
|
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Fatigue as Assessed by Patient-Reported Outcomes Measurement Information System Fatigue Short Form. PROMIS Short Form 6a
Time Frame: 4 months
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The Patient-Reported Outcomes Measurement Information System Fatigue item banks assess a range of self-reported symptoms, from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion that likely decreases one's ability to execute daily activities and function normally in family or social roles.
Scores <55 within normal limits, 55-60 mild, 61-70 moderate, >70 severe fatigue.
Fatigue T-scores measured by PROMIS Fatigue Short Form 6a.
This 6-item instrument assesses a patient's a patient's level of fatigue over a 7-day recall period.
Respondents report fatigue on a 5-point scale: 1=Not at all, 2=A little bit, 3=Somewhat, 4=Quite a bit, 5=Very much.
In the general population, T-scores have a mean of 50, standard deviation of 10, and range from 33.4 to 76.8.
Lower T-scores represent better outcomes.
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4 months
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Sleep Disturbance as Assessed by Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form. PROMIS Sleep Disturbance Short Form 6a
Time Frame: 30 days
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Change in mean sleep disturbance score measured with PROMIS Sleep Disturbance short form 6a, 6 individual items allow for different responses which are scored separately to provide specific information about self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep.
The lowest possible raw score is 6; the highest possible raw score is 30.
Raw summed scores are converted to T-score values that are standardized such that 50 represents the average (mean) for the US general population, and a standard deviation of 10 points.
A higher T-score represents more of the concept being measured, meaning the higher above 50 the worse or the greater the individual's sleep is disturbed compared to individuals with chronic conditions.
Scores <55 within normal limits, 55-60 mild, 61-70 moderate, >70 severe sleep disturbance.
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30 days
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Sleep Disturbance as Assessed by Patient-Reported Outcomes Measurement Information System Sleep Disturbance Short Form. PROMIS Sleep Disturbance Short Form 76a
Time Frame: 4 months
|
The Patient-Reported Outcomes Measurement Information System Sleep Disturbance instruments assess self-reported perceptions of sleep quality, sleep depth, and restoration associated with sleep.
This includes perceived difficulties and concerns with getting to sleep or staying asleep, as well as perceptions of the adequacy of and satisfaction with sleep.
A low score indicates low sleep disturbance; high score indicates high sleep disturbance.
Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
Raw scores on the survey are converted to T scores, which are standardized scores based on the average in the population; a score of 50 would indicate meeting the T score for the average quality of sleep in the reference general population, with a standard deviation of 10.
Higher T scores reflect greater sleep disturbance, and thus worse outcomes.
The means reported are the mean T scores at the indicated timepoint.
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4 months
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Depression as Assessed by Patient-Reported Outcomes Measurement Information System Depression Short Form. PROMIS Depression Short Form 6a
Time Frame: 30 days
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The Patient-Reported Outcomes Measurement Information System Depression item banks assess self-reported negative mood (sadness, guilt), views of self (self-criticism, worthlessness), and social cognition (loneliness, interpersonal alienation), as well as decreased positive affect and engagement (loss of interest, meaning, and purpose).
Higher scores indicate negative mood; lower scores indicate more positive mode.
Six items are rated on a 5 point scale that assess caregiver depression; 1=Never to 5=Always.
To find the total raw score, sum the values of the response to each question.
Higher scores indicate greater severity in depression.
Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
T-score range 38 to 81; 50 indicates the population mean with a standard deviation of 10; minimally important difference greater than or equal to 3 points; higher scores indicate worse outcome.
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30 days
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Depression as Assessed by Patient-Reported Outcomes Measurement Information System Depression Short Form. PROMIS Depression Short Form 6a
Time Frame: 4 months
|
The Patient-Reported Outcomes Measurement Information System Depression item banks assess self-reported negative mood (sadness, guilt), views of self (self-criticism, worthlessness), and social cognition (loneliness, interpersonal alienation), as well as decreased positive affect and engagement (loss of interest, meaning, and purpose).
Higher scores indicate negative mood; lower scores indicate more positive mode.
Six items are rated on a 5 point scale that assess caregiver depression; 1=Never to 5=Always.
To find the total raw score, sum the values of the response to each question.
Higher scores indicate greater severity in depression.
Scores less than 55 are "within normal limits," 55-60 are "mild," 60-70 are "moderate," and greater than 70 are "severe."
T-score range 38 to 81; 50 indicates the population mean with a standard deviation of 10; minimally important difference greater than or equal to 3 points; higher scores indicate worse outcome.
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4 months
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Anxiety as Assessed by Patient-Reported Outcomes Measurement Information System Anxiety Short Form. PROMIS Anxiety Short Form 6a
Time Frame: 30 days
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The Patient-Reported Outcomes Measurement Information System Anxiety item banks assess self-reported fear (fearfulness, panic), anxious misery (worry, dread), hyperarousal (tension, nervousness, restlessness), and somatic symptoms related to arousal (racing heart, dizziness).
The anxiety measure is universal rather than disease-specific.
Higher scores indicate higher levels of anxiety; lower scores indicate lower levels of anxiety.
Six items are rated on a 5 point scale that assess caregiver anxiety; 1=Never to 5=Always.
To find the total raw score, sum the values of the response to each question.
Higher scores indicate a greater severity in anxiety.
Scores less than 55 are "within normal limits", 55-60 are "mild", 60-70 are "moderate", and greater than 70 are "severe".
The raw score is converted to a T-score ranging from 31.7 to 76.1.
50 indicates the population mean with a standard deviation of 10.
Higher T-scores indicate greater anxiety disturbance.
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30 days
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Anxiety as Assessed by Patient-Reported Outcomes Measurement Information System Anxiety Short Form. PROMIS Anxiety Short Form 6a
Time Frame: 4 months
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The Patient-Reported Outcomes Measurement Information System Anxiety item assess self-reported fear (fearfulness, panic), anxious misery (worry, dread), hyperarousal (tension, nervousness, restlessness), and somatic symptoms related to arousal (racing heart, dizziness) .
The anxiety measure is universal rather than disease-specific.
Higher scores indicate higher levels of anxiety; lower scores indicate lower levels of anxiety.
Six items are rated on a 5 point scale that assess caregiver anxiety; 1=Never to 5=Always.
To find the total raw score, sum the values of the response to each question.
Higher scores indicate a greater severity in anxiety.
Scores less than 55 are "within normal limits", 55-60 are "mild", 60-70 are "moderate", and greater than 70 are "severe".
The raw score is converted to a T-score ranging from 31.7 to 76.1, 50 indicates the population mean with a standard deviation of 10 Higher T-scores indicate greater anxiety disturbance.
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4 months
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Caregiver Self-efficacy Related to Managing Food Allergy in Child as Assessed by the Food Allergy Self-Efficacy Scale for Parents:(FASE-P): Treat my Child if They Had an Allergic Reaction
Time Frame: 30 days
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Food Allergy Self Efficacy Scale for Parents (FASE-P) The FASE-P measures parental confidence in their ability to manage their child's FA.
Subdomains include managing social activities, precaution and prevention, allergic treatment, food allergen identification, and seeking information about FA.
Each item is rated from 0-100 and a mean score is calculated.
Higher scores indicate greater FA-related self-efficacy.
The FASE-P offers excellent reliability over time in a general FA population.
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30 days
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Caregiver Self-efficacy Related to Managing Food Allergy in Child as Assessed by the Food Allergy Self-Efficacy Scale for Parents (FASE-P):Treat my Child if They Had an Allergic Reaction
Time Frame: 4 months
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Food Allergy Self Efficacy Scale for Parents (FASE-P) The FASE-P measures parental confidence in their ability to manage their child's FA.
Subdomains include managing social activities, precaution and prevention, allergic treatment, food allergen identification, and seeking information about FA.
Each item is rated from 0-100 and a mean score is calculated.
Higher scores indicate greater FA-related self-efficacy.
The FASE-P offers excellent reliability over time in a general FA population.
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4 months
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Change in Caregiver Quality of Life-parental Burden as Assessed by the Food Allergy Quality of Life-Parental Burden (FAQoL-PB): How Limited Would Your Ability to Participate in Social Activities That Involve Food be Because of Your Child's Food Allergy?
Time Frame: Baseline and 30 days
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The FAQL-PB is a 17-item questionnaire designed to capture caregiver HRQoL in children ages 0-12 years with FA.
Items are rated on a 7-point Likert scale (0=not limited/troubled to 6=extremely limited/troubled); a mean score is calculated with higher scores indicating poorer HRQoL.
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Baseline and 30 days
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Change in Caregiver Quality of Life-parental Burden as Assessed by the Food Allergy Quality of Life-Parental Burden (FAQoL-PB):How Limited Would Your Ability to Participate in Social Activities That Involve Food be Because of Your Child's Food Allergy?
Time Frame: Baseline and 4 months
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The FAQL-PB is a 17-item questionnaire designed to capture caregiver HRQoL in children ages 0-12 years with FA.
Items are rated on a 7-point Likert scale (0=not limited/troubled to 6=extremely limited/troubled); a mean score is calculated with higher scores indicating poorer HRQoL.
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Baseline and 4 months
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 00100789
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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