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An Intervention to Improve Adolescent Headache Self-management (TH)

2018年2月27日 更新者:Stephen F Butler, PhD
The purpose of this study is to test the efficacy of a new app to help adolescents with chronic or reoccurring headaches self manage pain.

研究概览

详细说明

Headaches dramatically affect adolescents' overall functioning and quality of life. We have developed a highly engaging mobile-based program that will help adolescents to make connections between behaviors and symptoms, and to ultimately improve functioning and quality of life. The mobile-based program will provide a state of the art pain tracker, a variety of coping strategies, and information about self-management of symptoms. This app will offer a maximally engaging way to help adolescents track their pain, make connections between lifestyle and pain, and learn key self-management skills.

The study involves the participant being randomized into either the experimental group, where he/she will be using this mobile application to track their headache symptoms, or the control group, where he/she will receive headache treatment as usual; the control group will not be using an app for this study. The intervention will last for two months.

Participants will be assessed at baseline, at 2-months post baseline, at 3-months post baseline, and at 6-months post baseline. All participants will be asked to complete online questionnaires about their headaches. We plan to enroll 144 adolescent participants with headaches, as well as one caregiver (meaning a parent/guardian) for each adolescent.

研究类型

介入性

注册 (实际的)

1200

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习地点

    • Massachusetts
      • Newton、Massachusetts、美国、02464
        • Inflexxion

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

13年 至 17年 (孩子)

接受健康志愿者

有资格学习的性别

全部

描述

[The above age limits are specific to adolescent participants.]

Inclusion Criteria - Adolescents

  • Between ages 13 and 17 (inclusive)
  • Able to read and speak English
  • Has recurring headaches that are not related to another medical condition
  • iPhone user with access to an iPhone [4/4S or later] for use during the intervention period

Exclusion Criteria - Adolescents

  • Secondary headache or seizure disorder. Examples include: increased intracranial pressure, hydrocephalus, traumatic brain injury, benign or cancerous brain
  • Cognitive impairment or psychiatric condition that would interfere with ability to use the mobile application or complete the assessments

Inclusion Criteria - Caregivers

Parent or guardian of an adolescent who meets the above eligibility criteria for adolescent participants

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:治疗
  • 分配:随机化
  • 介入模型:并行分配
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Mobile self management app on smartphone
无干预:Treatment as usual
Treatment as usual (control group)

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
Change in pain coping at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
Measured by Pain Coping Questionnaire (PCQ) - Reid et al., 1998
2 months, 3 months, 6 months
Change in headache intensity at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
"In the past 7 days, how would you rate your headache pain on average..." from 0-no pain to 10-worst possible pain
2 months, 3 months, 6 months
Change in headache frequency at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
On how many days during the past 30 days have you had a headache? How many days in the past 30 were you completely headache free?"
2 months, 3 months, 6 months
Change in quality of life at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
Measured by PedMIDAS - Hershey et al., 2001
2 months, 3 months, 6 months

次要结果测量

结果测量
措施说明
大体时间
Change in pain self-efficacy at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
Measured by Pain Self-Efficacy Scale - Burch, Tsao, et al., 2006
2 months, 3 months, 6 months
Change in school absenteeism at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
Ask caregivers: "How many full school days did your child miss in the past 30 days due to headaches?"
2 months, 3 months, 6 months
Change in physical and psychosocial functioning at at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months
Measured by parent report version of the PedsQL 4.0 (Varni et al., 1999)
2 months, 3 months, 6 months
Change in health care utilization at 2 months, 3 months, and 6 months post-baseline
大体时间:2 months, 3 months, 6 months

Measured by asking caregiver to report information such as the following:

  • How many days in the past 30 days did his/her child see a healthcare provider for his/her headaches?
  • What types of treatment (including medications) has his/her child received for headaches in the past 30 days?
2 months, 3 months, 6 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2014年9月20日

初级完成 (实际的)

2017年11月28日

研究完成 (实际的)

2017年11月28日

研究注册日期

首次提交

2015年6月12日

首先提交符合 QC 标准的

2015年6月17日

首次发布 (估计)

2015年6月18日

研究记录更新

最后更新发布 (实际的)

2018年2月28日

上次提交的符合 QC 标准的更新

2018年2月27日

最后验证

2018年2月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2R44HD066920-03A1 (美国 NIH 拨款/合同)

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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