A Self-led Self-management Intervention Supporting Teens with IBD (ASSIST-IBD): protocol for a feasibility study of a novel digital treatment adherence intervention.

Abstract

Introduction: Treatment non-adherence is common in young people with inflammatory bowel disease (IBD), yet support is lacking. A self-led self-management intervention supporting teens with IBD (ASSIST-IBD) is a new theory-based digital treatment adherence intervention, co-developed by young people living with IBD. ASSIST-IBD includes 10 short modules supporting adolescents to feel confident to follow their treatment plan, develop skills to overcome adherence obstacles, feel confident when talking to others about IBD and feel positive about the future. This research aims to determine the feasibility of implementing and measuring the effectiveness of ASSIST-IBD, using a single-arm mixed-methods feasibility trial. Methods and analysis: 24 young people (aged 13–17) with IBD identified as being ≤80% adherent, and their parents, will use ASSIST-IBD for 6–12 weeks. For the primary endpoint of progression to randomised controlled trial, qualitative and quantitative data will be collected on; number of eligible members of the target population; number of recruited participants; reasons for non-participation and ineligibility; retention and follow-up rates; reasons for early withdrawal; completeness and utility of outcome measures; as well as further data on intervention acceptability, user experiences and user engagement. Secondary outcomes of preliminary effectiveness will include pre-intervention and post-intervention measures of treatment adherence (MARS-5), quality-of-life (IMPACT-III) and well-being (WEMWBS), and self-reported behaviour change success. Quantitative data will be analysed using descriptive statistics; qualitative data will be analysed thematically. An active patient and public involvement and engagement group will advise on the research throughout, including the development of the protocol.

Publication DOI: https://doi.org/10.1136/bmjopen-2024-085576
Divisions: College of Health & Life Sciences > Aston Institute of Health & Neurodevelopment (AIHN)
College of Health & Life Sciences
College of Health & Life Sciences > School of Psychology
Aston University (General)
Funding Information: This research is funded by Crohn’s and Colitis UK (registered charity number 1117148). Funding awarded to Dr Gemma Heath (reference HT2023-1).
Additional Information: Copyright © Author(s) (or their employer(s)) 2024. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/.
Uncontrolled Keywords: Adolescent,Feasibility Studies,Inflammatory bowel disease,Medication Adherence,Paediatric gastroenterology,General Medicine
Publication ISSN: 2044-6055
Last Modified: 09 Dec 2024 18:45
Date Deposited: 01 Nov 2024 15:01
Full Text Link:
Related URLs: https://bmjopen ... t/14/10/e085576 (Publisher URL)
http://www.scop ... tnerID=8YFLogxK (Scopus URL)
PURE Output Type: Article
Published Date: 2024-10-16
Published Online Date: 2024-10-16
Accepted Date: 2024-09-30
Authors: Screti, Cassandra
Atkinson, Lou
Shaw, Rachel (ORCID Profile 0000-0002-0438-7666)
Muhammed, Rafeeq
Heath, Gemma (ORCID Profile 0000-0002-1569-5576)

Export / Share Citation


Statistics

Additional statistics for this record