A Socio-ecological Approach for Improving Self-management in Adolescents With SCD

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age13-21
SponsorChildren's Hospital Medical Center, Cincinnati

About this trial

The goal of this clinical trial is to evaluate the impact of SCThrive (a behavioral self-management intervention) on patient activation, self-management behaviors, daily functioning, and emergency room visits in 260 adolescents and young adults with sickle cell disease (SCD) ages 13-21 receiving care at 1 of 4 pediatric SCD clinics.

The main question\[s\]it aims to answer are:

* Does SCThrive improve patient activation? * Does SCThrive improve self-management behaviors, daily functioning, and decrease emergency room visits? * Are any improvements maintained 3 months after treatment?

Participants will complete self-management related surveys before, after, and 3 months following their participation in an 8- week, virtual group intervention with an accompanying mobile app (SCThrive).

Researchers will compare outcomes for participants who receive SCThrive and participants who receive uniform standard care (SCHealthED which = standard of care plus SCD educational text messages) to see if there are differences in patient activation, self-management behaviors, daily functioning, and emergency room visits.

Eligibility criteria

Qualifiers

Patient of a participating SCD Clinic

Confirmed diagnosis of SCD

13-21 years of age

Disqualifiers

Another chronic disease (which would complicate measurement of patient activation)

Non-English-speaking

Cognitive or psychiatric disorder that the physician or study therapists believe would impair study participation.

Trial design

Treatments tested in this trial

  • SCThrive
  • SCHealthED

Treatment groups

310 Participants
are divided into 2 treatment groups

Locations

4
Nemours Children's Health19803, WilmingtonDelaware, United States
Children's Healthcare of Atlanta30303, AtlantaGeorgia, United States
Cincinnati Children's Hospital Medical Center45229, CincinnatiOhio, United States
Children's Hospital of Philadelphia19104, PhiladelphiaPennsylvania, United States

Sponsors and collaborators

Children's Hospital Medical Center, Cincinnati

Lead sponsor

Nemours Children's Health System

Collaborator

Emory University

Collaborator

Children's Hospital of Philadelphia

Collaborator