AIM2ACT: A Mobile Health Tool to Help Adolescents Self-Manage Asthma

Asthma Clinical Trial

— AIM2ACT  

Official title:

AIM2ACT: A Mobile Health Tool to Help Adolescents Self-Manage Asthma

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04448002
• Other study ID #: IRB202000748
• Secondary ID: R01HL153119
• Status: Recruiting
• Phase: N/A
• Start date: April 23, 2021
• Est. completion date: May 31, 2025

Study information

• Verified date: September 2023
• Source: University of Florida
• Contact: David A Fedele, Ph.D.
• Phone: 352-294-5765
• Email: dfedele[@]phhp.ufl.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim is to test the efficacy of AIM2ACT and long-term maintenance of treatment effects in a fully-powered randomized controlled trial with 160 early adolescents with poorly controlled persistent asthma, ages 12-15 years, and a caregiver

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 320
• Est. completion date: May 31, 2025
• Est. primary completion date: January 1, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 12 Years to 70 Years

Eligibility

Inclusion criteria are:

1. Adolescent is 12-15 years old

2. Caregiver is between 18-70 years-old

3. Adolescent lives in the residence of caregiver

4. Adolescent and caregiver can speak and read English

5. (a) Adolescent has been diagnosed as having asthma, OR (b) Doctor has stated the adolescent has asthma, OR (c) Adolescent has had breathing problems in the past 12 months

6. Adolescent has had an active inhaled corticosteroid prescription for = 4 weeks

7. (a) During the past 14 days (that is, during the past fourteen 24-hour periods that include daytime and nighttime), the adolescent has experienced one or more of the following: (i) Asthma symptoms such as wheezing, shortness of breath, or tightness in the chest, or cough on more than 4 separate days; (ii) Woken up because of asthma symptoms such as wheezing, shortness of breath, or tightness in the chest, or cough on 1 or more separate nights; (iii) Had to slow down or stop play or usual activities or missed school because of asthma, wheezing, or tightness in the chest, or cough on more than 4 separate days; (iv) Used any asthma rescue medicine (sometimes called a quick relief medicine) on more than 4 separate days

• OR

(b) In the past year, adolescent has had one or more of the following: (i) 2 or more exacerbations requiring oral systemic corticosteroids; (ii) 2 or more emergency department visits; (iii) 1 hospitalization; (iv) 2 or more urgent medical care visits due to asthma

• OR

(c) Adolescent scores 19 or lower on the Asthma Control Test

Exclusion criteria are -

Families will be excluded if:

1. The family is currently involved in an asthma management intervention above and beyond usual care, OR

2. Adolescent is unable to complete study procedures independently.

Related Conditions & MeSH terms

• Asthma

Intervention

Behavioral:
• AIM2ACT
AIM2ACT is a mobile health tool that is designed to facilitate collaborative asthma management between early adolescents and their caregivers. AIM2ACT contains the following components: 1) ecological momentary assessment to identify personalized strengths and weaknesses in asthma self-management behaviors; 2) collaborative identification and tracking of goals that help early adolescents to become increasingly independent in managing their asthma; and 3) a suite of engaging skills training videos to help dyads understand how to use AIM2ACT and work together to set asthma self-management goals, develop and achieve the goals articulated in a behavioral contract, and engage in problem-solving communication.
• mHealth Attention Control Condition
Dyads in the mHealth attention control condition will not receive personalized asthma management feedback, will not be guided through collaborative identification and tracking of asthma self-management goals, and will not have access to skills training videos. Instead, dyads will receive static educational information on their smartphones about behavioral management techniques they can use to target improving asthma self-management.

Locations

Country	Name	City	State
United States	UF Health Pediatrics	Gainesville	Florida

Sponsors (2)

Lead Sponsor	Collaborator
University of Florida	National Heart, Lung, and Blood Institute (NHLBI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Asthma Control using asthma control questionnaire	Measured via the Asthma Control Test questionnaire which has 5 items that assesses frequency of daytime and nocturnal asthma symptoms, activity limitations, and perceptions of disease control.Adolescents will complete all 5 items independently of caregivers. Scores range from 5 (poor control of asthma) to 25 (complete control of asthma), with higher scores reflecting greater asthma control. An ACT score >19 indicates well-controlled asthma."	Change in baseline, post-intervention,3 months, and 6 months, and 12 month follow-up