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dc.contributor.authorCushing, Christopher C.
dc.contributor.authorFedele, David A.
dc.contributor.authorPatton, Susana R.
dc.contributor.authorMcQuaid, Elizabeth L.
dc.contributor.authorSmyth, Joshua M.
dc.contributor.authorPrabhakaran, Sreekala
dc.contributor.authorGierer, Selina
dc.contributor.authorKoskela-Staples, Natalie
dc.contributor.authorOrtega, Adrian
dc.contributor.authorFleming, Kandace K.
dc.contributor.authorNezu, Arthur M.
dc.date.accessioned2021-01-05T21:40:06Z
dc.date.available2021-01-05T21:40:06Z
dc.date.issued2019-08-20
dc.identifier.citationCushing CC, Fedele DA, Patton SR, et alResponsive Asthma Care for Teens (ReACT): development protocol for an adaptive mobile health intervention for adolescents with asthmaBMJ Open 2019;9:e030029. doi: 10.1136/bmjopen-2019-030029en_US
dc.identifier.urihttp://hdl.handle.net/1808/31041
dc.descriptionThis work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en_US
dc.description.abstractIntroduction Asthma is a leading cause of youth morbidity in the USA, affecting >8% of youth. Adherence to inhaled corticosteroids (ICS) can prevent asthma-related morbidity; however, the typical adolescent with asthma takes fewer than 50% of their prescribed doses. Adolescents are uniquely vulnerable to suboptimal asthma self-management due to still-developing executive functioning capabilities that may impede consistent self-regulation and weaken attempts to use problem solving to overcome barriers to ICS adherence.

Methods and analysis The aims of this project are to improve adherence to ICS as an important step towards better self-management among adolescents aged 13–17 years diagnosed with asthma by merging the efficacious behaviour change strategies found in behavioural health interventions with scalable, adaptive mobile health (mHealth) technologies to create the Responsive Asthma Care for Teens programme (ReACT). ReACT intervention content will be developed through an iterative user-centred design process that includes conducting (1) one-on-one interviews with 20 teens with asthma; (2) crowdsourced feedback from a nationally representative panel of 100 adolescents with asthma and (3) an advisory board of youth with asthma, a paediatric pulmonologist and a behavioural health expert. In tandem, we will work with an existing technology vendor to programme ReACT algorithms to allow for tailored intervention delivery. We will conduct usability testing of an alpha version of ReACT with a sample of 20 target users to assess acceptability and usability of our mHealth intervention. Participants will complete a 4-week run-in period to monitor their adherence with all ReACT features turned off. Subsequently, participants will complete a 4-week intervention period with all ReACT features activated. The study started in October 2018 and is scheduled to conclude in late 2019.

Ethics and dissemination Institutional review board approval was obtained at the University of Kansas and the University of Florida. We will submit study findings for presentation at national research conferences that are well attended by a mix of psychologists, allied health professionals and physicians. We will publish study findings in peer-reviewed journals read by members of the psychology, nursing and pulmonary communities.
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dc.publisherBMJ Publishing Groupen_US
dc.rights© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en_US
dc.titleResponsive Asthma Care for Teens (ReACT): Development protocol for an adaptive mobile health intervention for adolescents with asthmaen_US
dc.typeArticleen_US
kusw.kuauthorCushing, Christopher C.
kusw.kudepartmentApplied Behavioral Scienceen_US
dc.identifier.doi10.1136/bmjopen-2019-030029en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.rights.accessrightsopenAccessen_US


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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Except where otherwise noted, this item's license is described as: © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.