The iPeer2Peer Program for Adolescents With Juvenile Idiopathic Arthritis (iPeer2Peer)

October 24, 2022 updated by: Jennifer Stinson, The Hospital for Sick Children

The iPeer2Peer Program for Adolescents With Juvenile Idiopathic Arthritis: A Randomized Controlled Trial

The iPeer2Peer program matches teens with arthritis to an older mentor who has learned to manage their arthritis well and can support them emotionally and socially. This study will compare two groups of teens: those who are in the iPeer2Peer Program and those in the control group (no mentor).

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Detailed Description

Arthritis is a common childhood illness that makes everyday activities hard for young people. It is a long-lasting illness that can make you feel pain, tired and emotionally upset. This can make it hard for children and teens to see friends and do the activities that they like. The goal of this project is to find out if the newly developed peer mentoring program called iPeer2Peer helps teens with arthritis take better care of their illness and feel more connected to other people with arthritis. The iPeer2Peer program matches teens with arthritis to an older mentor who has learned to manage their arthritis well and can support them emotionally and socially. This study will compare two groups of teens: those who are in the iPeer2Peer Program and those in the control group (no mentor).

Study Type

Interventional

Enrollment (Anticipated)

262

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 Contact

Study Locations

  • Canada
    • Alberta
    • British Columbia
      • Vancouver, British Columbia, Canada
        • Recruiting
        • BC Children's Hospital
        • Contact:
          • Lori Tucker, MD
    • Nova Scotia
      • Halifax, Nova Scotia, Canada
        • Recruiting
        • The IWK Health Centre
        • Contact:
          • Adam Huber, MSc, MD
    • Ontario
      • London, Ontario, Canada, N6A 5W9
        • Not yet recruiting
        • Children's Hospital - London Health Sciences
        • Contact:
      • Ottawa, Ontario, Canada
        • Recruiting
        • Children's Hospital of Eastern Ontario (CHEO)
        • Contact:
          • Ciaran Duffy, MSc, FRCPC
        • Contact:
          • Karen Watanabe Duffy, MD, FRCPC
        • Sub-Investigator:
          • Paula Forgeron, MD
        • Sub-Investigator:
          • Karen Watanabe Duffy, MD, FRCPC
      • Toronto, Ontario, Canada
        • Recruiting
        • The Hospital for Sick Children
        • Contact:
          • Jennifer Stinson, CPNP, PhD
        • Sub-Investigator:
          • Sara Ahola Kohut, PhD, CPsych
        • Sub-Investigator:
          • Brian Feldman, MD, FRCPC
        • Sub-Investigator:
          • Lynn Spiegel, MD, FRCPC
        • Sub-Investigator:
          • Myla Moretti, PhD

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

12 years to 18 years (Child, Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • males and females 12-18 years old
  • rheumatologist-diagnosed JIA according to ILAR criteria
  • able to speak and read English
  • access to a computer, smartphone or tablet capable of using free Skype software (note: participants who do not have adequate Internet access will be provided with portable Internet sticks)
  • willing and able to complete online measures.

Exclusion Criteria:

  • significant cognitive impairments
  • major co-morbid illnesses (medical or psychiatric conditions) likely to influence HRQL assessment
  • participating in other peer support or self-management interventions.

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
Experimental: iPeer2Peer Mentorship
In addition to standard care, youth in the experimental group will receive the iPeer2Peer program, a peer mentorship program that will provide modeling and reinforcement of self-management by pre-screened and trained peer mentors (young adults with JIA aged 18-22 years who have learned to function successfully with their disease). Mentors will encourage participants to develop and engage in self-management skills and provide social support.
Behavioral: iPeer2Peer Mentorship
10 sessions of 20-30 minute Skype calls conducted over 5-12 weeks.
Active Comparator: Control Group
The control group will receive standard care but without the iPeer2Peer program.
Other: Active Comparator: Control Group
The control group will receive standard care but without the iPeer2Peer program.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
TRANSITION-Q (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
14-item measure of self-management skills that is both reliable (internally consistent, test-retest) and valid (face, construct and content validity)
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
PedsQL Arthritis Module (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Health-related quality of life
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
PROMIS Pain Interference (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Pain
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Screen for Child Anxiety Related Disorders (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Emotional distress
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Center for Epidemiologic Studies Depression Scale Revised (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Emotional distress
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Medical Issues, Exercise, Pain and Social Support Questionnaire (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Disease knowledge
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Children's Arthritis Self-Efficacy (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Self-efficacy
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
PROMIS Pediatric Peer Relationship Scale (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Perceived social support
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
AQoL-6D, interview (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Cost utility analysis
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Health service use and costs (measuring change)
Time Frame: Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Cost utility analysis
Baseline; Immediately following interview (approximately 12 weeks after baseline); 6-months post
Mentor Behavior Scale (measuring change)
Time Frame: Post-Intervention (approximately following 12 weeks of calls)
Mentor quality
Post-Intervention (approximately following 12 weeks of calls)
PROMIS Adult Profile (measuring change)
Time Frame: At beginning of study and at end of study (approximately 3 years later)
For mentors only: mentor physical and emotional symptoms
At beginning of study and at end of study (approximately 3 years later)
PROMIS Satisfaction with Social Roles and Activities (measuring change)
Time Frame: At beginning of study and at end of study (approximately 3 years later)
For mentors only: perceived social role satisfaction
At beginning of study and at end of study (approximately 3 years later)
Chronic Disease Self-Efficacy Scale (measuring change)
Time Frame: At beginning of study and at end of study (approximately 3 years later)
For mentors only: self-efficacy
At beginning of study and at end of study (approximately 3 years later)
Mentor interaction form
Time Frame: Following completion of each mentee's calls (approximately following 12 weeks of calls)
Record of interactions with mentees
Following completion of each mentee's calls (approximately following 12 weeks of calls)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

The Hospital for Sick Children

Collaborators

Children's Hospital of Eastern Ontario
IWK Health Centre
Provincial Health Services Authority

Investigators

  • Principal Investigator: Jennifer N Stinson, CPNP, PhD, The Hospital for Sick Children

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)

March 28, 2017

Primary Completion (Anticipated)

May 31, 2023

Study Completion (Anticipated)

September 30, 2023

Study Registration Dates

First Submitted

March 31, 2017

First Submitted That Met QC Criteria

April 11, 2017

First Posted (Actual)

April 17, 2017

Study Record Updates

Last Update Posted (Actual)

October 25, 2022

Last Update Submitted That Met QC Criteria

October 24, 2022

Last Verified

October 1, 2022

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 1000054878

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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