Improving Therapeutic Adherence With a Co-constructed Program Involving Both Patients and Health Care Professionals

March 9, 2022 updated by: Hospices Civils de Lyon

Improving Therapeutic Adherence of Adult Patients With Cystic Fibrosis: Impact of a Co-constructed Program by Patients and Health Caregivers.

Background Cystic fibrosis is a life-threatening genetic disorder responsible for pulmonary failure and multi-systemic complications involving specific and large medical care burden. To date, no program has shown its effectiveness in improving therapeutic adherence. A new approach to develop a co-constructed program involving patients and professionals may contribute to improve therapeutic adherence.

Objectives The aim of the MUCOBS-Trial project is to create a program to increase therapeutic adherence and to evaluate its efficacy in adult patients with cystic fibrosis in 3 CF centers in France.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Anticipated)

450

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 Contact Backup

Study Locations

  • France
      • Clermont-Ferrand, France, 63100
        • Recruiting
        • CRCM mixte, Hôpital Estaing
        • Contact:
          • Sylvie MONTCOUQUIOL, MD
        • Principal Investigator:
          • Sylvie MONTCOUQUIOL, MD
      • La Tronche, France, 38700
        • Recruiting
        • CRCM Adulte CHU Grenoble Alpes
        • Contact:
          • Rebecca HAMIDFAR, MD
        • Principal Investigator:
          • Rebecca Hamidfar, MD
      • Pierre-Bénite, France, 69310

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

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients with Cystic Fibrosis
  • Aged 18 or more
  • Speaking / understanding French
  • Followed in one of the participating centers (CRCM of the Auvergne-Rhône-Alpes region)
  • Resident in Auvergne-Rhône-Alpes
  • Affiliated to the general health insurance scheme

Exclusion Criteria:

  • Transplanted Patients
  • Patients who participated in the working group for the co-construction of the intervention

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: Health Services Research
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: interventional arm
Other: " Information-Motivation-Behavioral skills " intervention.
  • "information" -> Reminders of medication: mobile application
  • "Motivation" -> Coaching by patients: intervention or coaching by an expert patient, animation of a social network of patients
  • "Behavioral skills" -> Accompaniment by professionals: therapeutic education, assessment of membership during medical visits, prioritization of treatments

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Medication Adherence (coverage rate)
Time Frame: 18 months.

Continuous multiple-interval measures of medication availability (CMA), including:

  • Medications for obstructive airway syndromes
  • Aerosolized bronchial fluidifier
  • Inhaled antibiotics
  • Vitamins
  • Hepatic and biliary therapeutics
  • Pancreatic enzyme replacement therapy
  • Medicinal products for acid disorders
  • Diabetes medications these measurements (coverage rate for each therapeutic class) will be aggregated to evaluate the medication adherence.
18 months.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Adherence to medications for obstructive airway syndromes
Time Frame: 18 months.
Continuous multiple-interval measures of medication availability (CMA) for Medications for obstructive airway syndromes
18 months.
Adherence to physiotherapy
Time Frame: 18 months
Ratio between the number of acts refunded by the Health Insurance and the theoretical number of acts necessary for compliance with the prescription.
18 months
Adherence score evaluated by self-administered questionnaire
Time Frame: 6 and 18 months
Measured from a self-administered questionnaire, adapted from the Cystic Fibrosis Compliance questionnaire
6 and 18 months
Cystic Fibrosis Knowledge Scale
Time Frame: 6 and 18 months
Measured from a self-knowledge questionnaire adapted from the Cystic Fibrosis Knowledge Scale
6 and 18 months
Quality of life measured by Cystic fibrosis Questionnaire (CFQ-R)
Time Frame: 6 and 18 months
Measured by Cystic fibrosis Questionnaire (CFQ-R) specific to cystic fibrosis and validated in French
6 and 18 months
Clinical evolution : Forced expiratory volume in 1 s as a percentage of predicted (%FEV1)
Time Frame: 18 months
Forced expiratory volume in 1 s as a percentage of predicted (%FEV1) and body mass index (BMI) will be collected during the patient's usual follow-up, on the observational and interventional phases
18 months
Clinical evolution : body mass index (BMI)
Time Frame: 18 months
Body mass index (BMI) will be collected during the patient's usual follow-up, on the observational and interventional phases
18 months

Collaborators and Investigators

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

Sponsor

Hospices Civils de Lyon

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 18, 2021

Primary Completion (Anticipated)

April 18, 2023

Study Completion (Anticipated)

October 18, 2025

Study Registration Dates

First Submitted

July 17, 2017

First Submitted That Met QC Criteria

July 20, 2017

First Posted (Actual)

July 24, 2017

Study Record Updates

Last Update Posted (Actual)

March 25, 2022

Last Update Submitted That Met QC Criteria

March 9, 2022

Last Verified

March 1, 2022

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 69HCL17_0279

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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