A Pilot Feasibility Trial of a Tailored Intervention to Improve Adherence in Adolescents and Young Adults With Cancer
1 other identifier
interventional
70
1 country
3
Brief Summary
A pilot feasibility randomized clinical trial comparing a tailored intervention to uniform standard of care will be conducted. A total of 40 AYAs with cancer will be randomized to one of the two programs. Data will be collected to explore the hypotheses that the intervention meets pre-established enrollment, retention, fidelity, and data completion feasibility criteria and that AYAs will rate the intervention as easy to use and acceptable.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable cancer
Started Feb 2023
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 11, 2023
CompletedFirst Posted
Study publicly available on registry
January 31, 2023
CompletedStudy Start
First participant enrolled
February 23, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
March 31, 2025
CompletedResults Posted
Study results publicly available
December 2, 2025
CompletedDecember 2, 2025
October 1, 2025
1.8 years
January 11, 2023
October 21, 2025
November 17, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Enrollment Rate
Percent of approached eligible participants enrolling in the study
End of study enrollment period, approximately 12 months after enrollment initiation
Secondary Outcomes (11)
Retention Rate
From enrollment to study completion (approximately 4 weeks for patients deemed ineligible after run-in and approximately 16 weeks for patients deemed eligible after run-in)
Intervention Fidelity: Contact
From randomization to the Tailored Program (at approximately week 4) to the completion of the Tailored Program (at approximately week 12) (total duration = approximately 8 weeks)
Intervention Fidelity: Length
From randomization to the Tailored Program (at approximately week 4) to the completion of the Tailored Program (at approximately week 12) (total duration = approximately 8 weeks)
Intervention Fidelity: Duration
From randomization to the Tailored Program (at approximately week 4) to the completion of the Tailored Program (at approximately week 12) (total duration = approximately 8 weeks)
Intervention Fidelity: Content
From randomization to the Tailored Program (at approximately week 4) to the completion of the Tailored Program (at approximately week 12) (total duration = approximately 8 weeks)
- +6 more secondary outcomes
Study Arms (2)
Tailored Program
EXPERIMENTAL8-week tailored program including 4 coach visits and 4 bi-weekly text check-ins
Feedback Program
OTHER8-week feedback program including 8 weekly texts
Interventions
Participants in the tailored program will participate in 4 sessions with a coach, 1 every other week. During these sessions, the AYA will work with their coach to identify a barrier to adherence to target and create an action plan using evidence-based behavior change techniques to address this barrier. In between sessions (on alternating weeks), the coach will check-in with a text including a reminder about the action plan and a calendar of the AYA's eCAP adherence data.
Participants in the Feedback Program will receive weekly text messages including: a calendar depicting their weekly adherence (per eCAP data) and guidance for requesting additional support as desired.
Eligibility Criteria
You may qualify if:
- Patient between 15 and 24 years of age
- Patient diagnosis of cancer
- Patient prescribed oral chemotherapy or prophylactic medication
You may not qualify if:
- Patient is not fluent in English
- Patient evidences significant cognitive deficits per medical team
- Patient's medical status or treatment precludes participation per medical team, patient, or caregiver
- Patient demonstrates greater than or equal to 95% adherence during run-in period
- Patient declines to use electronic monitoring device
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Children's Hospital Medical Center, Cincinnatilead
- St. Jude Children's Research Hospitalcollaborator
- Seattle Children's Hospitalcollaborator
- University of Cincinnaticollaborator
Study Sites (3)
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
St Jude Children's Research Hospital
Memphis, Tennessee, 38105, United States
Seattle Children's Hospital
Seattle, Washington, 98105, United States
Related Publications (2)
McGrady ME, Ketterl TG, Webster RT, Burns MMK, Bills SE, Burke M, Szulczewski L, Brock MY, Schwartz LE, Herriott JK, Hommel KA, Pai ALH, Mara CA, Norris RE. Feasibility Trial of a Tailored Adherence-Promotion Intervention for Adolescents and Young Adults With Cancer. Pediatr Blood Cancer. 2026 Jan;73(1):e32127. doi: 10.1002/pbc.32127. Epub 2025 Oct 27.
PMID: 41146444DERIVEDMcGrady ME, Ketterl TG, Webster RT, Schwartz LE, Brock MY, Szulczewski L, Burke M, Hommel KA, Pai ALH, Mara CA, Steele AC, Regan GG, Norris RE. Feasibility pilot trial of a tailored medication adherence-promotion intervention for adolescents and young adults with cancer: Study design and protocol. Contemp Clin Trials. 2024 Apr;139:107483. doi: 10.1016/j.cct.2024.107483. Epub 2024 Feb 29.
PMID: 38431133DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Meghan McGrady
- Organization
- Cincinnati Children's Hospital Medical Center
Study Officials
- PRINCIPAL INVESTIGATOR
Meghan E McGrady, PhD
Children's Hospital Medical Center, Cincinnati
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 11, 2023
First Posted
January 31, 2023
Study Start
February 23, 2023
Primary Completion
November 30, 2024
Study Completion
March 31, 2025
Last Updated
December 2, 2025
Results First Posted
December 2, 2025
Record last verified: 2025-10
Data Sharing
- IPD Sharing
- Will not share