SMART@Home Feasibility Trial
Self-Management Assistance for Recommended Treatment (SMART)@Home Care
The proposed research addresses the limitations or lack of a digital platform to provide remote care of medically complex patients. Previous attempts have had poor clinical validity and suffered lack of patient engagement. The study team will deconstruct the previously implemented SMART platforms to create a roadmap, platform, and template to guide clinicians to create new tools.
Results from Phase 1 of this project highlighted the need for connectivity between the SMART@Home app and Bluetooth-enable devices to provide objective disease activity data as well as integration with Epic electronic health record so that providers can use the data to inform treatment planning and decision making. A subsequent pilot user validation trial is also needed to confirm development goals were met. Conducting a pilot user validation trial of the SMART@Home asthma tracker, spirometer, and action plan is the purpose of the next phases of this study.
A beta test the SMART@Home Asthma Tracker and asthma action plan algorithm will take place with approximately 8 participants. Beta testing will have participants record simulated increases in symptoms to ensure appropriate levels of care is communicated via the app. Then, a group of 40 adolescent (ages 12-17) patients with asthma for a 6-month pilot Randomized Control Trial (RCT). Participants will be randomized into either the IMAAP SMART@Home (n=20) or control (n=20) groups following the completion of baseline measures to test the interactive asthma action plan functionality and impact.
Studieöversikt
Studietyp
Inskrivning (Beräknad)
Fas
- Inte tillämpbar
Kontakter och platser
Studiekontakt
- Namn: Kevin Hommel, PhD
- Telefonnummer: 513-803-0407
- E-post: kevin.hommel@cchmc.org
Studera Kontakt Backup
- Namn: Jessica King, BA
- Telefonnummer: 513-803-0920
- E-post: jessica.king1@cchmc.org
Studieorter
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Ohio
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Cincinnati, Ohio, Förenta staterna, 45229
- Rekrytering
- Cincinnati Children's Hospital Medical Center
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Kontakt:
- Kevin, PhD
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Patients diagnosed with a chronic medical condition requiring regular treatment, i.e., asthma
- Ages 12-18
- English fluency for patient and caregiver
Exclusion Criteria:
- Diagnosis of pervasive developmental disorder in patient or caregiver as determined by medical chart review
- Diagnosis of serious mental illness (e.g., schizophrenia) in patient or caregiver as determined by medical chart review
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: SMART@Home
Use of the SMART@Home app for medication and symptom tracking, spirometry feedback |
Daily medication and diary completion reminders are provided to participants. Additional educational content regarding self-management skills will be provided. |
|
Inget ingripande: Control
Usual Care |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Medication Adherence
Tidsram: 6 months
|
Monthly adherence will be calculated by comparing doses taken to doses recommended by IMAAP. Participants will also report rescue medication use each month when completing the ACT. |
6 months
|
|
Number of days app used
Tidsram: 6 months
|
Number of diaries completed by participant |
6 months
|
Samarbetspartners och utredare
Utredare
- Huvudutredare: Kevin Hommel, PhD, Children's Hospital Medical Center, Cincinnati
- Studiestol: Rachelle Ramsey, PhD, Children's Hospital Medical Center, Cincinnati
- Studiestol: Matt Wortman, PhD, Children's Hospital Medical Center, Cincinnati
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- SMART@Home
Läkemedels- och apparatinformation, studiedokument
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