Use of Social Media to Improve Medication Adherence in Adolescents and Young Adults With Systemic Lupus

Systemic Lupus Clinical Trial

Official title:

Improvement of Medication Adherence in Adolescents With SLE Using Web-based Education With and Without a Social Media Intervention

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03218033
• Other study ID #: 038689EP
• Status: Completed
• Phase: N/A
• First received: July 5, 2017
• Last updated: July 12, 2017
• Start date: May 1, 2014
• Est. completion date: January 31, 2015

Study information

• Verified date: July 2017
• Source: Milton S. Hershey Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this study was to examine the effect of an online educational program with and without a social media experience.The primary goal of this study was to determine whether medication adherence would be improved by having adolescents and young adults with systemic lupus erythematosus participate in an online educational website, with or without a social media experience. The secondary goal was to determine whether secondary outcomes such as quality of life, stress, and self-efficacy improved in this model, and whether these changes were associated with improvements in medication management.

Description:

Self-management skills, including medication management, are vital to the health of adolescents and young adults with systemic lupus erythematosus (SLE). Non-adherence with medications in patients with systemic lupus has been noted to be as poor as 40%. Success in disease control can be significantly impacted by such non-adherence. Poor medication compliance is associated with higher SLE disease activity scores and higher SLE disease activity in turn has been demonstrated to be significantly associated with a decline in quality of life. Much attention has been paid to how to improve self-management skills in adults, but less is known about how to target adolescents, an age group with a complex set of emotional and developmental needs.

The goal of this study was to examine the effect of an online educational program with and without a social media experience.The primary goal of this study was to determine whether medication adherence would be improved by having adolescents and young adults with SLE participate in an online educational website, with or without a social media experience. The secondary goal was to determine whether secondary outcomes such as quality of life, stress, and self-efficacy improved in this model, and whether these changes were associated with improvements in medication management.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 37
• Est. completion date: January 31, 2015
• Est. primary completion date: January 31, 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 13 Years to 23 Years

Eligibility

Inclusion Criteria:

• age between 13 and 23 at the time of recruitment

• having the diagnosis of SLE made or confirmed by a pediatric or adult rheumatologist at Penn State Children's Hospital/Hershey Medical Center

• having regular internet access.

Exclusion Criteria:

• age <13 or >23 years

• comorbid medical or psychiatric illness that would affect the outcome measures.

Related Conditions & MeSH terms

• Lupus Erythematosus, Systemic
• Systemic Lupus

Intervention

Behavioral:
• Social Media

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
Milton S. Hershey Medical Center	Children's Miracle Network, Lupus Foundation of America

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Medication Adherence	A medication possession ratio was calculated based on fill date information from the subjects' pharmacies	6 months
Secondary	Stress utilizing the Perceived Severity of Stress Questionnaire	Stress was measured by the Perceived Severity of Stress Questionnaire (PSQ)	14 weeks
Secondary	Self-efficacy utilizing the Children's Arthritis Self-Efficacy scale	Self-efficacy was measured using the Children's Arthritis Self-Efficacy scale (CASE) which was modified slightly for systemic lupus	14 weeks
Secondary	Quality of Life utilizing the Simple Measure of the Impact of Lupus Erythematosus in Youngsters (SMILEY) index	Quality of life was assessed using the validated Simple Measure of the Impact of Lupus Erythematosus in Youngsters (SMILEY) index	14 weeks
Secondary	Sense of agency	Sense of agency (SOA) was measured via three Likert scale questions aimed to tap three core concepts of agency: competence ("Blogging… makes me feel I have control over my own voice"), assertiveness ("…enables me to assert myself"), and confidence ("…makes me feel I have a distinct voice")	14 weeks
Secondary	Sense of community	Sense of community (SOC) was measured using a 22-item scale (8, 9, 20). SOC consists of feelings of belonging to the community, having influence on, and being influenced by, the community, being supported by the community while also supporting them; and feelings of shared emotional connection.	14 weeks
Secondary	Empowerment	Empowerment was assessed using a validated quantitative Likert scale tool that measured 1) "empowering processes" (Appendix A), and 2) "empowering outcomes"	14 weeks

External Links

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