Incentives for Adherence in Adolescent Asthma

University of Colorado Denver (CU Denver)

Status: Completed

Conditions: Asthma; Asthma in Children

Treatments: Behavioral: Medication device monitoring and reminders; Behavioral: Incentives

Study type: Interventional

Funder types: Other

Identifiers

NCT03515499

18-0089

Details and patient eligibility

About

Financial incentives have been suggested as a possible means for increasing adherence to asthma medications. This study will evaluate an incentive strategy (daily small reward for adherence) in maintaining high levels of adherence as tracked by adherence sensors in adolescents with asthma.

Full description

Two groups will be enrolled. The control group will have mediation monitoring sensors placed on their controller inhalers. The treatment group will also have the monitoring sensors placed on their medications, however they will be paid up to $1 per day for perfect adherence for 3 months. Both groups will be monitored for 4 months. 10 subjects will be chosen from each group to complete semi-structured phone interviews

Enrollment: 52 patients

Sex: All

Ages: 12 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• physician diagnosed asthma
• on at least one inhaled controller medication

Exclusion criteria

• language other than English or Spanish (these are the only languages supported by the adherence monitoring application)
• other severe chronic lung disease including tracheostomy/ventilator dependence, interstitial lung disease or cystic fibrosis, or significant developmental delay.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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52 participants in 2 patient groups

Control

Active Comparator group

Description:

The control arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use.

Treatment:

Behavioral: Medication device monitoring and reminders

Treatment arm

Experimental group

Description:

The treatment arm will have medication monitoring sensors placed on their asthma medications. They will have reminders to take their medicines and access to a mobile app that will show them trends in their medication use. Additionally, they will be paid up to $1 per day for perfect medication adherence.

Treatment:

Behavioral: Incentives

Behavioral: Medication device monitoring and reminders