Health Care Transition Readiness Short-Form Video Intervention

NCT06842576 | Recruiting

• 1 other identifier: CHLA-21-00158
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to assess whether social-media style short-form health education videos can increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance, compared with publicly available health education resources in adolescents with chronic illnesses. The main question it aims to answer is:

• Hypothesize social media intervention will increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance compared to publicly available health education website immediately post intervention and at 6 month follow up. Participants will be randomly assigned to one of the interventions and access the intervention for 20 minutes and complete 30-60 minutes of surveys.

Conditions

Health Care Transition Readiness; Health Literacy; Self Efficacy; Emotional Wellbeing; Appointment Attendance

Keywords

mobile health; health education; transition readiness; chronic illness; adolescence; health literacy; social media; video; self efficacy; emotional wellbeing

Outcome Measures

Primary Outcomes (5)

• Self-reported score with a range from 1-5, on the Transition Readiness Assessment Questionnaire (TRAQ).

  The TRAQ assesses the readiness of youth and young adults to transition from pediatric to adult healthcare. It includes items related to managing medications, appointment keeping, tracking health issues, and communicating with healthcare providers.

  Immediate post-treatment and 6-month follow-up.

• Self-reported score ranging from 1 to 4, via the Generalized Self-Efficacy Scale (GSES).

  The GSES evaluates an individual's belief in their ability to cope with a variety of difficult demands in life. It consists of 10 items, each rated on a 4-point scale, assessing confidence in handling unexpected events and solving problems.

  Immediate post-treatment and 6-month follow-up.

• Self-reported score ranging from 1 to 5, via the Positive and Negative Affect Schedule for Children and Adolescents (PANAS-C).

  The PANAS-C measures positive and negative affect in children and adolescents. It includes items that assess the extent to which individuals experience various positive and negative emotions over the past few weeks.

  Immediate post-treatment and 6-month follow-up.

• Self-report questionnaire with a score ranging from 10 to 40, via the Health Literacy for Youth.

  The HLSAC measures subjective health literacy in youth, focusing on their ability to access, understand, and use health information to make informed decisions.

  Immediate post-treatment and 6-month follow-up.

• Number of appointments attended divided by the number of appointments scheduled, producing a score ranging from 0 to 100%, via medical chart abstraction.

  This measure calculates the percentage of scheduled medical appointments that were attended by the patient, providing insight into adherence to treatment plans and engagement with healthcare services.

  Comparing 6 months before intervention to 6 months after intervention.

Study Arms (2)

Health education videos

EXPERIMENTAL

The social media intervention will consist of 7 short videos between 20-60 seconds each, filmed by a professional videographer. Videos 1) start with text asking a question or giving a title highlighting the educational topic, 2) display adolescent volunteer patient partners directly teaching self-management and transition skills, demonstrating the skills via tutorials, or presenting health education content in the style of social media trends, and 3) conclude with a written summary of take-away points. The videos will be shared to participants as a password-protected Vimeo.com playlist. If participants are more comfortable in Spanish, they will be given the option to view the videos dubbed in Spanish.

Behavioral: Health Education Videos

Publicly Available Health Education Website

ACTIVE COMPARATOR

The social media intervention will be contrasted against a control condition consisting of sharing the GotTransition.org Youth and Young Adult Resources webpage: https://gottransition.org/youth-and-young-adults/. This website is a project from The National Alliance to Advance Adolescent Health. The webpage includes videos, infographics, quizzes, and frequently asked questions. Testing the social media intervention against this existing national resource will assess whether the novel intervention is relatively more acceptable or efficacious than an active comparison. If participants are more comfortable in Spanish, a prompt will be provided to them to use the website search function to locate resources in Spanish.

Behavioral: GotTransition.org Website

Interventions

Health Education Videos BEHAVIORAL

Participants will be prompted to explore the 7 health education videos for up to 20 minutes.

Health education videos

GotTransition.org Website BEHAVIORAL

Participants will be prompted to explore the Gottransition.org website for up to 20 minutes

Publicly Available Health Education Website

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Patients in subspecialty clinics
• Between 12 and 17 years old
• With access to an internet-connected device
• Speaking English or Spanish
• With sufficient cognitive capacity to understand the study procedures, as assessed via a teach back method.

You may not qualify if:

• none

Sponsors & Collaborators

• Children's Hospital Los Angeles: lead

Study Sites (1)

Children Hospital Los Angeles

Los Angeles, California, 90027, United States

RECRUITING

Related Publications (3)

• Carrera Diaz K, Yau J, Iverson E, Cuevas R, Porter C, Morales L, Tut M, Santiago A, Ghavami S, Reich E, Sayegh CS. Human-centered design approach to building a transition readiness mHealth intervention for early adolescents. J Pediatr Psychol. 2025 Jan 1;50(1):106-114. doi: 10.1093/jpepsy/jsae066.

  PMID: 39172486 BACKGROUND

• Bal MI, Sattoe JN, Roelofs PD, Bal R, van Staa A, Miedema HS. Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review. Patient Educ Couns. 2016 Aug;99(8):1293-309. doi: 10.1016/j.pec.2016.02.012. Epub 2016 Mar 3.

  PMID: 26954345 BACKGROUND

• Modi AC, Pai AL, Hommel KA, Hood KK, Cortina S, Hilliard ME, Guilfoyle SM, Gray WN, Drotar D. Pediatric self-management: a framework for research, practice, and policy. Pediatrics. 2012 Feb;129(2):e473-85. doi: 10.1542/peds.2011-1635. Epub 2012 Jan 4.

  PMID: 22218838 BACKGROUND

MeSH Terms

Conditions

Health Education; Chronic Disease

Condition Hierarchy (Ancestors)

Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Caitlin S Sayegh, PhD

  Children's Hospital Los Angeles

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Caitlin S Sayegh, PhD

CONTACT

323-361-7748; cssayegh@chla.usc.edu

Courtney Porter, MPH

CONTACT

323-361-4811; coporter@chla.usc.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Staff/USC Faculty

Model Details: pilot parallel randomized controlled trial

Study Record Dates

• First Submitted: February 19, 2025
• First Posted: February 24, 2025
• Study Start: June 1, 2025
• Primary Completion: February 28, 2026
• Study Completion: February 28, 2026
• Last Updated: May 2, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)