NCT03958331

Brief Summary

Non-adherence to antiepileptic drug therapy is a significant problem for adolescents with epilepsy and has a critical impact on health and patient-reported outcomes. Evidence-based adherence interventions are lacking in this population and are critically needed. This proposal seeks to develop and evaluate a mHealth social norms adherence intervention for adolescents with epilepsy.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
104

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 20, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 22, 2019

Completed
3 months until next milestone

Study Start

First participant enrolled

September 1, 2019

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2021

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 16, 2021

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

September 23, 2022

Completed
Last Updated

September 23, 2022

Status Verified

September 1, 2022

Enrollment Period

1.6 years

First QC Date

May 20, 2019

Results QC Date

July 12, 2022

Last Update Submit

September 2, 2022

Conditions

Keywords

adolescents, behavioral economics, mHealth

Outcome Measures

Primary Outcomes (1)

  • Electronically Monitored Adherence

    A total mean adherence rates will be calculated based on daily adherence rates captured through the SimpleMed Pillboxes or AdhereTech bottles. Scores range from 0-100%, with higher scores representing better adherence.

    Month 7

Secondary Outcomes (4)

  • Seizure Severity-Clinician Report

    Month 9

  • Seizure Severity-Parent Report

    Month 9

  • PedsQL Epilepsy Module - Parent Report

    Month 9

  • PedsQL Epilepsy Module-Adolescent Report

    9-month

Other Outcomes (1)

  • Satisfaction-Teen Report Total Score

    Month 7

Study Arms (2)

Control Group

ACTIVE COMPARATOR

Automated reminders and individualized adherence feedback reports

Behavioral: Automated Digital RemindersBehavioral: Individualized Adherence Feedback Report

Treatment Group

EXPERIMENTAL

Automated reminders and individualized adherence feedback reports with social norms comparisons

Behavioral: Automated Digital RemindersBehavioral: Individual Adherence Feedback Report with Social Norms

Interventions

Reminders from electronic monitors via texts or alarms/lights

Control GroupTreatment Group

Feedback report on individual adherence behaviors

Control Group

Feedback report on individual adherence behaviors compared to other adolescents with epilepsy

Treatment Group

Eligibility Criteria

Age13 Years - 17 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Ages 13-17
  • Confirmed diagnosis of epilepsy
  • Antiepileptic drug monotherapy
  • Ability to read and speak English

You may not qualify if:

  • No significant developmental delay (e.g., autism, moderate/severe developmental or intellectual disability) or comorbid medical diagnoses (e.g., diabetes)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Nationwide Children's Hospital

Columbus, Ohio, 43205, United States

Location

Related Publications (1)

  • Modi AC, Patel AD, Stevens J, Smith G, Huszti H, Guilfoyle SM, Mara CA, Schmidt M, Wagner JL. The psychosocial impact of COVID-19 within the first six months of the pandemic on youth with epilepsy and their caregivers. Epilepsy Behav. 2021 Apr;117:107855. doi: 10.1016/j.yebeh.2021.107855. Epub 2021 Feb 12.

MeSH Terms

Conditions

EpilepsyMedication Adherence

Condition Hierarchy (Ancestors)

Brain DiseasesCentral Nervous System DiseasesNervous System DiseasesPatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Limitations and Caveats

Due to COVID-19, we recruited less participants than originally anticipated for the trial (n=104 versus n=138).

Results Point of Contact

Title
Dr. Avani Modi
Organization
Cincinnati Children's Hospital Medical Center

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This is 2-arm randomized controlled clinical trial to improve adherence in adolescents with epilepsy
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 20, 2019

First Posted

May 22, 2019

Study Start

September 1, 2019

Primary Completion

March 31, 2021

Study Completion

August 16, 2021

Last Updated

September 23, 2022

Results First Posted

September 23, 2022

Record last verified: 2022-09

Data Sharing

IPD Sharing
Will share

This project will have psychosocial, adherence, demographic, and medical data for children with epilepsy. Deidentified data can be used for many secondary analyses. Prior to sharing, all data will be de-identified in a HIPAA-compliant fashion. Data sets will be carefully reviewed to make sure that information such as age and gender cannot be used to gather additional information that could potentially identify individual subjects. For example, only year of birth, rather than the full birth date, will be made available. All categorical demographic variables will be collapsed into categories large enough so that combinations of demographic categories for age, gender, geographic location, etc., will have 10 or more individuals in each cell. All modalities of data will be shared, including raw and aggregate data. Descriptors for all variables shared will be included to prevent misuse or confusion. Any analytical methods utilized to assess the data will be defined in shared formats.

Shared Documents
STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
Time Frame
12 months following completion of the study
Access Criteria
PI will provide the information

Locations