MD2Me - Texting to Promote Chronic Disease Management

TAHLC - Texting to Promote Adolescent Health Liaisons and Chronic Disease Management


Lead Sponsor: Huang, Jeannie, M.D.

Collaborator: University of California, San Diego

Source Huang, Jeannie, M.D.
Brief Summary

UCSD researchers are conducting a study aimed to develop and evaluate a chronic disease self management web and text message based program on health-related self-efficacy and frequency of adolescent-conducted healthcare interactions. We hypothesize that users of the program will demonstrate greater gains between baseline and 8 month measures of health related self-efficacy and adolescent-conducted healthcare interactions as compared to the usual care comparison group.

Detailed Description

The MD2Me study (or also known as TAHLC), sponsored by the National Institutes of Health is a 2-year randomized controlled trial to develop and test a text message and Internet based intervention among adolescents and young adults with cystic fibrosis, type 1 diabetes, or inflammatory bowel disease. Adolescents and young adults have been a difficult population to engage in healthcare. It is estimated that 1 in 5 adolescents do not get the healthcare they need. Interventions must address how the healthcare system can engage adolescents with chronic disease and provide opportunities to discuss health-related matters and improve disease outcomes.

This study will help fill multiple gaps in the literature by exploring the utility of a push AND pull SMS texting-based application for chronic disease management among youth. Based on social cognitive theory, the intervention will use accessible technology to promote disease management among adolescents with chronic disease as they transition to adult care. The popularity and usage of SMS already demonstrated by adolescents suggests notable promise for the SMS-based TAHLC program to promote chronic disease self-management and healthcare engagement with substantial positive impacts on health among youth with chronic disease.

Overall Status Completed
Start Date October 2009
Completion Date March 2012
Primary Completion Date March 2012
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Health related self-efficacy 8 months
Secondary Outcome
Measure Time Frame
Health knowledge 8 months
Health literacy 8 months
Quality of Life 8 Months
Enrollment 81

Intervention Type: Behavioral

Intervention Name: MD2ME

Description: The goals of the MD2Me intervention include increasing disease self-efficacy, disease knowledge, and the ability to control one's disease independently. The intervention includes an 8-week web program with weekly behavioral skills, topics on how to navigate the healthcare system, lifestyle tips, a Discussion Board, and text messages.

Arm Group Label: SMS and Internet



Inclusion Criteria:

- ages 14 - 22 years

- have cystic fibrosis, type 1 diabetes, or inflammatory bowel disease for at least 6 months

- have access to the internet

- speak English

- has a parent that speaks English or Spanish (if primary participant is under 18)

- willingness to attend assessment visits

Exclusion Criteria:

- pregnant or have children

- have a history of substance abuse or other psychiatric disorder that would impair compliance with study protocol

Gender: All

Minimum Age: 14 Years

Maximum Age: 22 Years

Healthy Volunteers: No

Overall Official
Last Name Role Affiliation
Jeannie Huang, MD, MPH Principal Investigator University of California, San Diego
Facility: University of California, San Diego
Location Countries

United States

Verification Date

January 2016

Responsible Party

Type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 2
Arm Group

Label: SMS and Internet

Type: Experimental

Description: The SMS and Internet group will receive information, tips, strategies, and questions related to the self management of chronic disease (cystic fibrosis, inflammatory bowel disease, or type 1 diabetes) on a web-based program and via SMS messages.

Label: Control

Type: No Intervention

Description: The Control group will receive monthly tip sheets on various health topics for adolescents and young adults.

Study Design Info

Allocation: Randomized

Intervention Model: Parallel Assignment

Primary Purpose: Supportive Care

Masking: None (Open Label)