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The goal of this clinical trial is to assess whether social-media style short-form health education videos can increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance, compared with publicly available health education resources in adolescents with chronic illnesses. The main question it aims to answer is:
-Hypothesize social media intervention will increase health care transition readiness, self-efficacy, emotional well-being, health literacy, and appointment attendance compared to publicly available health education website immediately post intervention and at 6 month follow up.
Participants will be randomly assigned to one of the interventions and access the intervention for 20 minutes and complete 30-60 minutes of surveys.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Health education videos | Experimental | The social media intervention will consist of 7 short videos between 20-60 seconds each, filmed by a professional videographer. Videos 1) start with text asking a question or giving a title highlighting the educational topic, 2) display adolescent volunteer patient partners directly teaching self-management and transition skills, demonstrating the skills via tutorials, or presenting health education content in the style of social media trends, and 3) conclude with a written summary of take-away points. The videos will be shared to participants as a password-protected Vimeo.com playlist. If participants are more comfortable in Spanish, they will be given the option to view the videos dubbed in Spanish. |
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| Publicly Available Health Education Website | Active Comparator | The social media intervention will be contrasted against a control condition consisting of sharing the GotTransition.org Youth and Young Adult Resources webpage: https://gottransition.org/youth-and-young-adults/. This website is a project from The National Alliance to Advance Adolescent Health. The webpage includes videos, infographics, quizzes, and frequently asked questions. Testing the social media intervention against this existing national resource will assess whether the novel intervention is relatively more acceptable or efficacious than an active comparison. If participants are more comfortable in Spanish, a prompt will be provided to them to use the website search function to locate resources in Spanish. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health Education Videos | Behavioral | Participants will be prompted to explore the 7 health education videos for up to 20 minutes. |
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| Measure | Description | Time Frame |
|---|---|---|
| Self-reported score with a range from 1-5, on the Transition Readiness Assessment Questionnaire (TRAQ). | The TRAQ assesses the readiness of youth and young adults to transition from pediatric to adult healthcare. It includes items related to managing medications, appointment keeping, tracking health issues, and communicating with healthcare providers. | Immediate post-treatment and 6-month follow-up. |
| Self-reported score ranging from 1 to 4, via the Generalized Self-Efficacy Scale (GSES). | The GSES evaluates an individual's belief in their ability to cope with a variety of difficult demands in life. It consists of 10 items, each rated on a 4-point scale, assessing confidence in handling unexpected events and solving problems. | Immediate post-treatment and 6-month follow-up. |
| Self-reported score ranging from 1 to 5, via the Positive and Negative Affect Schedule for Children and Adolescents (PANAS-C). | The PANAS-C measures positive and negative affect in children and adolescents. It includes items that assess the extent to which individuals experience various positive and negative emotions over the past few weeks. | Immediate post-treatment and 6-month follow-up. |
| Self-report questionnaire with a score ranging from 10 to 40, via the Health Literacy for Youth. | The HLSAC measures subjective health literacy in youth, focusing on their ability to access, understand, and use health information to make informed decisions. | Immediate post-treatment and 6-month follow-up. |
| Number of appointments attended divided by the number of appointments scheduled, producing a score ranging from 0 to 100%, via medical chart abstraction. | This measure calculates the percentage of scheduled medical appointments that were attended by the patient, providing insight into adherence to treatment plans and engagement with healthcare services. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Caitlin S Sayegh, PhD | Contact | 323-361-7748 | cssayegh@chla.usc.edu | |
| Courtney Porter, MPH | Contact | 323-361-4811 | coporter@chla.usc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Caitlin S Sayegh, PhD | Children's Hospital Los Angeles | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children Hospital Los Angeles | Recruiting | Los Angeles | California | 90027 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39172486 | Background | Carrera Diaz K, Yau J, Iverson E, Cuevas R, Porter C, Morales L, Tut M, Santiago A, Ghavami S, Reich E, Sayegh CS. Human-centered design approach to building a transition readiness mHealth intervention for early adolescents. J Pediatr Psychol. 2025 Jan 1;50(1):106-114. doi: 10.1093/jpepsy/jsae066. | |
| 26954345 | Background |
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To protect patient confidentiality, we will not share data.
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| ID | Term |
|---|---|
| D006266 | Health Education |
| D002908 | Chronic Disease |
| ID | Term |
|---|---|
| D000099060 | Adherence Interventions |
| D055118 | Medication Adherence |
| D010349 | Patient Compliance |
| D010342 | Patient Acceptance of Health Care |
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pilot parallel randomized controlled trial
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| GotTransition.org Website | Behavioral | Participants will be prompted to explore the Gottransition.org website for up to 20 minutes |
|
| Comparing 6 months before intervention to 6 months after intervention. |
| Bal MI, Sattoe JN, Roelofs PD, Bal R, van Staa A, Miedema HS. Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review. Patient Educ Couns. 2016 Aug;99(8):1293-309. doi: 10.1016/j.pec.2016.02.012. Epub 2016 Mar 3. |
| 22218838 | Background | Modi AC, Pai AL, Hommel KA, Hood KK, Cortina S, Hilliard ME, Guilfoyle SM, Gray WN, Drotar D. Pediatric self-management: a framework for research, practice, and policy. Pediatrics. 2012 Feb;129(2):e473-85. doi: 10.1542/peds.2011-1635. Epub 2012 Jan 4. |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |