Apply the (MyTransition) App In Transition (ApplyIT)

An App-based Transition Toolkit Targeting Youth With Chronic Health Conditions: A Randomized Trial as a Foundation to Improve Healthcare Transition and Outcomes

Moving from child care to adult care is a hard time for patients and their families. Parents of children with chronic conditions say they need more support around the time of changing care. Care providers say they do not have the tools to provide smooth transitions or help their patients manage their own health. This study is to see if a smart-phone-based app (named MyTransition) can improve healthcare transition experiences and health outcomes for youth, compared to usual care.

Study Overview

• Status: Completed
• Conditions: Chronic Health Condition
• Intervention / Treatment: Other: MyTransition app

Detailed Description

Transition to adult care is an unavoidable and challenging period for patients and their families, and comes with adverse outcomes in experience of care, population health, and costs. Parents of children with chronic conditions report a greater need for support around the time of healthcare transition. Providers report neither having the tools nor appropriate resources to foster smooth transitions for patients and their families. We hypothesize that an app-based transition toolkit (named MyTransition) designed to support youth moving from child to adult care can improve their experiences and lead to better health. The main objective of this study is to collect information to design a large multi-centre randomized control trial to assess implementation of the MyTransition app including recruitment, completion of follow-up, and scale-ability of the intervention. The secondary objective is to assess the feasibility and potential effect of the MyTransition app-based transition toolkit for improving health of youth (quality of life), healthcare transition experience, and achievement of health and life goals.

• Study Type: Interventional
• Enrollment (Actual): 39
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • Ontario
    • Hamilton, Ontario, Canada, L8N 3Z5
      • McMaster Children's Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Attending participating clinic at McMaster Children's Hospital
• Diagnosed with chronic health condition
• Must be able to utilize the intervention tool
• Must be able to read and understand English

Exclusion Criteria:

• Dependence on caregivers in areas of daily functioning, self-care and/or communication
• Inability to lead or provide own care
• Enrolled in a potentially confounding trial

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; Usual care
Experimental: Intervention; MyTransition app	Other: MyTransition app; MyTransition app is designed to support youth moving from pediatric to adult healthcare.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Completion of Data Collection	Completion rate of 90% for all outcomes.	6-Month Follow-Up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Short Form Six-Dimension (SF-6D)	Instrument for describing and valuing individual's health. Will be used to evaluate quality of life.	Baseline, 3-month follow-up, 6-month follow-up

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Client Satisfaction Questionnaire (CSQ-8)	Designed to measure satisfaction with health and human services received by individuals and families. Will be used to assess healthcare transition experience.	Baseline, 3-month follow-up, 6-month follow-up
Change in Transition-Q	Measures transition readiness/self-management ability. Will be used to evaluate readiness for transition.	Baseline, 3-month follow-up, 6-month follow-up
Change in Transition Readiness Assessment Questionnaire (TRAQ)	Patient-centered questionnaire that providers and families use to assess youths' ability to make appointments, to understand their medications, and to develop other skills needed for transition to adult care. Will be used to evaluate readiness for transition.	Baseline, 3-month follow-up, 6-month follow-up
Change in Canadian Occupational Performance Measure (COPM)	Designed to measure satisfaction with health and human services received by individuals and families. Will be used to determine achievement of health and life goals.	Baseline, 3-month follow-up, 6-month follow-up

Collaborators and Investigators

• Sponsor: McMaster University
• Collaborators: Hamilton Academic Health Sciences Organization
• Investigators: Principal Investigator: Jan Willem Gorter, PhD, McMaster University

Study record dates

Study Major Dates

• Study Start (Actual): January 25, 2018
• Primary Completion (Actual): December 20, 2018
• Study Completion (Actual): December 20, 2018

Study Registration Dates

• First Submitted: June 13, 2017
• First Submitted That Met QC Criteria: June 14, 2017
• First Posted (Actual): June 15, 2017

Study Record Updates

• Last Update Posted (Actual): September 26, 2019
• Last Update Submitted That Met QC Criteria: September 25, 2019
• Last Verified: September 1, 2019

More Information

Terms related to this study

• Keywords: RCT; Transition; Child health; Improved patient outcomes; Empower youth
• Additional Relevant MeSH Terms: Pathologic Processes; Disease
• Other Study ID Numbers: ApplyIT Study

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No