- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02610166
Jointly Managing JIA Online: An Internet-based Psycho-educational Game for Children With JIA and Their Parents
June 17, 2019 updated by: Jennifer Stinson, The Hospital for Sick Children
Jointly Managing JIA Online: An Internet-based Psycho-educational Game for Children With Juvenile Idiopathic Arthritis (JIA) and Their Parents
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.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
112
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada
- BC Children's Hospital
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Nova Scotia
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Halifax, Nova Scotia, Canada
- IWK Health Centre
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Ontario
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London, Ontario, Canada
- Children's Hospital
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Ottawa, Ontario, Canada
- Children's Hospital of Eastern Ontario
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Toronto, Ontario, Canada
- The Hospital for Sick Children
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Quebec
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Montreal, Quebec, Canada
- Montreal Children's Hospital
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Montreal, Quebec, Canada
- CHU Sainte-Justine
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
8 years to 11 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age ≥ 8 and ≤ 11 years of age
- Diagnosed with JIA (minimum 3 months) using International League of Associations for Rheumatology classification criteria96
- Active disease
- Child and primary parent/caregiver are able to speak and read English or French
- Participants are willing and able to complete online measures
Exclusion Criteria:
- Cognitive impairments (as assessed by reviewing medical chart and consultation with the patient's rheumatologist)
- 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).
- Children currently participating in other Cognitive Behavioural Therapy (CBT) interventions
- Usability testing participants
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Game
Access to the game.
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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.
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Active Comparator: Usual Care
Control group.
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Children in usual care group receive standard medical care.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Participant Accrual
Time Frame: 8 weeks
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This will be centrally tracked by the clinical research project coordinator (CRPC).
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8 weeks
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Intervention Fidelity
Time Frame: 8 weeks
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Any issues or difficulties encountered during implementation of the intervention, control strategy, or outcome measures will be tracked throughout the study by the CRPC.
For example, issues from a technical standpoint (for example, game not downloading properly, participant requiring assistance using the technology) or logistics standpoint.
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8 weeks
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Acceptability and Satisfaction with Intervention
Time Frame: 8 weeks
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Immediately post-trial children and parents in the intervention group will rate their acceptability of and satisfaction with the game and 10-15 English and 10-15 French children and one of their parents will take part in a brief qualitative interview.
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8 weeks
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Engagement with Intervention
Time Frame: 8 weeks
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Analytics will be used to track patterns of website program usage ("number of interactions" [clicks]).
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8 weeks
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Dropout Rates
Time Frame: 8 weeks
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This will be centrally tracked by the clinical research project coordinator (CRPC).
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8 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain
Time Frame: 8 weeks
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Measured using the Standardized Universal Pain Evaluations for Rheumatology providers for children and youth (SUPERKIDZ).
It consists of 4 domains: pain intensity and location (5 items), fatigue (1 item), pain interference/evaluative dimension (10 items), and affective/emotional dimension (4 items) for children ≥ 8 years (and parent proxy report for children 4-8 years).
This measure takes 3 - 5 minutes to complete.
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8 weeks
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Pain-related Activity Limitations
Time Frame: 8 weeks
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Measured using the Child Activity Limitations Interview (CALI-21).
This is a 21-item self-report scale divided into (i) active (e.g.
gym, sports) and (ii) routine (e.g., schoolwork, reading) activity subscales.
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8 weeks
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Health-related Quality of Life
Time Frame: 8 weeks
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Measured using the Arthritis Pediatric Quality of Life Inventory (PedsQL).
The PedsQL Arthritis Module is a 22-item self-report scale with five subscales: pain and hurt, daily activities, treatment, worry, and communication.
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8 weeks
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Self Efficacy
Time Frame: 8 weeks
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Measured using the Children's Arthritis Self-Efficacy Scale (CASE).
The CASE is a disease specific 11-item self-report measure that is divided into three sub-scales: activity, symptom, and emotion.
A 5-point Likert scale is used to rate responses to each item with 1 = "not at all sure" to 5 = "very sure" based on how confident the child is that they can manage disease effects.
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8 weeks
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JIA-specific Disease Knowledge
Time Frame: 8 weeks
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Measured using the 24-item Medical Issues, Exercise, Pain and Social Support Questionnaire (MEPS).
MEPS is made up of 4 sub scales (medical issues, exercise, pain, and social support).
Items are rated on a 10-cm VAS with higher scores indicating greater disease knowledge.
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8 weeks
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Adherence
Time Frame: 8 weeks
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Adherence to medical treatment will be assessed using the 34-item Child Adherence Report Questionnaire (CARQ) that assesses adherence to prescribed medications, exercises, and wearing of splints over the past 3 months.
The CARQ was developed specifically for children with JIA and consists of three sections: (1) responsibility for treatment, (2) child's ability to adhere to the three types of treatment, and (3) perceptions about helpfulness of therapies.
Items in the last two sections are rated on 11-point numeric pain rating scale with higher scores indicating better adherence and perceived helpfulness of therapies.
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8 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2016
Primary Completion (Actual)
March 1, 2019
Study Completion (Actual)
March 1, 2019
Study Registration Dates
First Submitted
November 17, 2015
First Submitted That Met QC Criteria
November 18, 2015
First Posted (Estimate)
November 20, 2015
Study Record Updates
Last Update Posted (Actual)
June 18, 2019
Last Update Submitted That Met QC Criteria
June 17, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1000048447
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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