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Randomized pilot trial of cell phone support to improve medication adherence among adolescents and young adults with chronic health conditions.
Sayegh, Caitlin S; MacDonell, Karen K; Iverson, Ellen; Beard, Breaon; Chang, Nancy; Vu, My H; Belzer, Marvin.
Afiliación
  • Sayegh CS; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd., MS#2, Los Angeles, CA 90027, USA.
  • MacDonell KK; Division of General Pediatrics, Children's Hospital Los Angeles, Los Angeles, USA.
  • Iverson E; Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, USA.
  • Beard B; Department of Behavioral Sciences and Social Medicine, Florida State University College of Medicine, Tallahassee, USA.
  • Chang N; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, 4650 Sunset Blvd., MS#2, Los Angeles, CA 90027, USA.
  • Vu MH; Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, USA.
  • Belzer M; Division of Hematology, Children's Hospital Los Angeles, Los Angeles, USA.
BMC Digit Health ; 2(1)2024.
Article en En | MEDLINE | ID: mdl-39211575
ABSTRACT

Introduction:

Adolescents and young adults (AYA) living with chronic medical conditions often struggle to develop medication adherence skills. This pilot trial evaluated the impact of a mobile health coaching intervention, Cell Phone Support (CPS), on medication adherence.

Methods:

Interventions in this randomized trial were CPS delivered by phone calls (CPS-C), CPS delivered by text messages (CPS-T), or automated text message reminders (ATR). Participants were AYA with different chronic medical conditions (i.e., sickle cell disease, solid organ transplant, type 2 diabetes), aged 15-20 years (N = 34). We examined the feasibility, acceptability, and preliminary efficacy of each intervention.

Results:

We examined the feasibility, acceptability, and preliminary efficacy of both CPS interventions. CPS was feasible and acceptable. There was evidence that participants found CPS to be more useful than ATR. In this pilot trial, participants receiving CPS reported relatively stronger increases in adherence, compared to those assigned to ATR. CPS-C slightly outperformed CPS-T.

Conclusions:

Providing coaching to AYA struggling with illness self-management via their cell phones may promote their acquisition of medication adherence skills. Although larger studies are needed to confirm the results of this pilot study, phone calls and text messages are both promising modalities for delivering human cell phone support. Trial registration This trial was registered prospectively at ClinicalTrials.gov (NCT04241627) on 1/27/2020.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Digit Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: BMC Digit Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido