Apply the (MyTransition) App In Transition

Chronic Health Condition Clinical Trial

— ApplyIT  

Official title:

An App-based Transition Toolkit Targeting Youth With Chronic Health Conditions: A Randomized Trial as a Foundation to Improve Healthcare Transition and Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03188224
• Other study ID #: ApplyIT Study
• Status: Completed
• Phase: N/A
• Start date: January 25, 2018
• Est. completion date: December 20, 2018

Study information

• Verified date: September 2019
• Source: McMaster University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Moving from child care to adult care is a hard time for patients and their families. Parents of children with chronic conditions say they need more support around the time of changing care. Care providers say they do not have the tools to provide smooth transitions or help their patients manage their own health. This study is to see if a smart-phone-based app (named MyTransition) can improve healthcare transition experiences and health outcomes for youth, compared to usual care.

Description:

Transition to adult care is an unavoidable and challenging period for patients and their families, and comes with adverse outcomes in experience of care, population health, and costs. Parents of children with chronic conditions report a greater need for support around the time of healthcare transition. Providers report neither having the tools nor appropriate resources to foster smooth transitions for patients and their families. We hypothesize that an app-based transition toolkit (named MyTransition) designed to support youth moving from child to adult care can improve their experiences and lead to better health. The main objective of this study is to collect information to design a large multi-centre randomized control trial to assess implementation of the MyTransition app including recruitment, completion of follow-up, and scale-ability of the intervention. The secondary objective is to assess the feasibility and potential effect of the MyTransition app-based transition toolkit for improving health of youth (quality of life), healthcare transition experience, and achievement of health and life goals.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 39
• Est. completion date: December 20, 2018
• Est. primary completion date: December 20, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 14 Years to 18 Years

Eligibility

Inclusion Criteria:

• Attending participating clinic at McMaster Children's Hospital

• Diagnosed with chronic health condition

• Must be able to utilize the intervention tool

• Must be able to read and understand English

Exclusion Criteria:

• Dependence on caregivers in areas of daily functioning, self-care and/or communication

• Inability to lead or provide own care

• Enrolled in a potentially confounding trial

Related Conditions & MeSH terms

• Chronic Health Condition
• Disease

Intervention

Other:
• MyTransition app
MyTransition app is designed to support youth moving from pediatric to adult healthcare.

Locations

Country	Name	City	State
Canada	McMaster Children's Hospital	Hamilton	Ontario

Sponsors (2)

Lead Sponsor	Collaborator
McMaster University	Hamilton Academic Health Sciences Organization

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in Client Satisfaction Questionnaire (CSQ-8)	Designed to measure satisfaction with health and human services received by individuals and families. Will be used to assess healthcare transition experience.	Baseline, 3-month follow-up, 6-month follow-up
Other	Change in Transition-Q	Measures transition readiness/self-management ability. Will be used to evaluate readiness for transition.	Baseline, 3-month follow-up, 6-month follow-up
Other	Change in Transition Readiness Assessment Questionnaire (TRAQ)	Patient-centered questionnaire that providers and families use to assess youths' ability to make appointments, to understand their medications, and to develop other skills needed for transition to adult care. Will be used to evaluate readiness for transition.	Baseline, 3-month follow-up, 6-month follow-up
Other	Change in Canadian Occupational Performance Measure (COPM)	Designed to measure satisfaction with health and human services received by individuals and families. Will be used to determine achievement of health and life goals.	Baseline, 3-month follow-up, 6-month follow-up
Primary	Completion of Data Collection	Completion rate of 90% for all outcomes.	6-Month Follow-Up
Secondary	Change in Short Form Six-Dimension (SF-6D)	Instrument for describing and valuing individual's health. Will be used to evaluate quality of life.	Baseline, 3-month follow-up, 6-month follow-up