SMYLS Multi-site Trial
Self-Management for Youth Living With Sickle Cell Disease: SMYLS Multi-site Trial
2 other identifiers
interventional
272
1 country
1
Brief Summary
The purpose of this study is to find out whether a web-based intervention using a mobile app is helpful for teens and young adults with sickle cell disease (SCD) in learning how to care for and manage their symptoms.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2024
Longer than P75 for not_applicable
1 active site
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
August 29, 2023
CompletedFirst Posted
Study publicly available on registry
September 13, 2023
CompletedStudy Start
First participant enrolled
April 4, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 31, 2028
December 8, 2025
December 1, 2025
3.3 years
August 29, 2023
December 1, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Self-management behaviors
Adolescent and young adult self-report using the Transition Readiness Assessment Questionnaire 5th version (TRAQ-5; 20 items). The instrument consists of 5 scales. Individual item scores range from 1 - 5. Scale scores are determined by calculating the average of the item scores within each scale. Higher scores indicate greater transition readiness and self-management behaviors.
baseline and 1, 3, 6, 9, 12 months
Secondary Outcomes (8)
Engagement in intervention/control (categorical)
baseline and 1, 3, 6, 9, 12 months
Engagement in intervention/control (continuous)
Ongoing
Health-related quality of life
baseline and 1, 3, 6, 9, and 12 months
Number of attended SCD clinic visits
baseline and 1, 3, 6, 9, and 12 months
Number of ED visits
baseline and 1, 3, 6, 9, and 12 months
- +3 more secondary outcomes
Other Outcomes (11)
Patient activation
baseline and 1, 3, 6, 9, and 12 months
Neurocognitive/executive functioning
baseline, 9 months
Social resources and conditions
baseline, 9 months
- +8 more other outcomes
Study Arms (2)
Intervention
EXPERIMENTALStudy participants randomized to receive the intervention.
Control
ACTIVE COMPARATORStudy participants randomized to receive enhanced usual care (control).
Interventions
The control arm will receive enhanced usual care, which will consist of usual educational materials distributed at the clinic plus a version of the intervention (Voice Crisis Alert V2) that only includes the electronic educational materials.
The mHealth self-management intervention consists of the following components: 1) condition-specific electronic educational materials; 2) pain/symptom monitoring and tracking; 3) health history information documentation; 4) medication tracking; 5) secure messaging with a provider; 6) functioning monitoring and tracking; and 7) transmission of health information (graphs with recorded pain and functioning histories) to a provider.
Eligibility Criteria
You may qualify if:
- documentation in the electronic health record of any type of SCD
- owns mobile device compatible with the intervention
- access to the internet
You may not qualify if:
- Plans to relocate outside of study site area in the next 12 months
- Plans to transition to adult care in 12 months or less
- Parent/caregiver or provider report of neurocognitive impairment that precludes ability to use intervention and participate in study
- non-English speaking
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
Related Publications (1)
Phillips S, Martin K, Schlenz AM, Kanter J, Mueller M, Lebensburger J, Galandanci N, Fuh BR, Rivenbark C, Alvarez OA, Hanson RF, Madisetti M, Prentice M, Kelechi TJ. Self-Management for Youth Living with Sickle Cell Disease (SMYLS): A study protocol for a multisite randomized controlled trial testing a behavioral, mHealth app. Contemp Clin Trials. 2025 Nov;158:108103. doi: 10.1016/j.cct.2025.108103. Epub 2025 Oct 4.
PMID: 41052714DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor-Faculty
Study Record Dates
First Submitted
August 29, 2023
First Posted
September 13, 2023
Study Start
April 4, 2024
Primary Completion (Estimated)
July 31, 2027
Study Completion (Estimated)
January 31, 2028
Last Updated
December 8, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share