Cerebral Palsy Clinical Trial
Official title:
Medication Management Among Individuals With Neurodevelopmental Disabilities
This is a pilot study to develop a reinforcement learning (RL)-adaptive visual and interactive support application (hereafter RL-adaptive support) to help young adults with spina bifida or cerebral palsy become more independent with medication management. Individuals with disabilities who are empowered to manage several aspects of their lives can ultimately be better integrated into and contribute more to society.
In this study, an application will be iteratively developed and tested using RL-adaptive
support for young adults with disabilities, with the goal to promote the transition to
independent self-medication administration among young adults with cerebral palsy and spina
bifida.
Stochastic mathematical models of how individuals with varying levels of executive function
and psychomotor skills will respond to the interventions (i.e. the different types and
formats of messages) of the RL-adaptive support will be developed.
Up to 6 dyads of individuals with disabilities and their caregivers were intended to be
recruited to collaborate in defining the features and content of the RL-adaptive support. The
investigators recruited 3 dyads.
The steps in developing the RL-adaptive support include having the dyads use for
approximately 6 weeks each:
1. young adult uses an electronic medication pillbox that sends its pillbox openings within
one hour of opening to the research team,
2. young adult uses the electronic medication pillbox + both use a commercially available
medication reminder app + caregiver uses a pillbox opening notification app, and
3. young adult uses the electronic medication pillbox + the RL-adaptive support including
push notifications in the form of text messages + caregiver uses the pillbox opening
notification app
The goal was to reduce the number of caregiver prompts necessary for the medication pillbox
to be opened. Using these data, the number and type of prompts necessary for the caregiver to
open the electronic pillbox can be determined. In case the young adult does not open the
electronic pillbox within two hours, the caregiver will be notified so that pills are not
missed. In each step, the useful features of the system will be determined via qualitative
and quantitative feedback with specific suggestions about how to improve this supportive
system.
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