The development of a social norms adherence intervention for adolescents with epilepsy.

Adolescent Caregivers Epilepsy / drug therapy Focus Groups Humans Medication Adherence Social Norms Text Messaging
Behavioral economics Compliance Focus group ORBIT model Teens Usability

Journal

Epilepsy & behavior : E&B
ISSN: 1525-5069
Titre abrégé: Epilepsy Behav
Pays: United States
ID NLM: 100892858

Informations de publication

Date de publication:
01 2021
Historique:
received: 26 08 2020
revised: 22 10 2020
accepted: 08 11 2020
pubmed: 15 12 2020
medline: 20 4 2021
entrez: 14 12 2020
Statut: ppublish

Résumé

Adherence is suboptimal in adolescents with epilepsy. Social norms comparison (i.e., feedback about someone else's behavior related to one's own behavior) strategies may be beneficial in improving medication adherence. Using a novel model of behavioral intervention development, the aim of the current study was to create a social norms intervention for adolescents with epilepsy via focus groups and usability studies. A focus group, individual interviews, short-term usability, and extended usage testing studies were conducted. Across all study phases, content and images of intervention components were displayed to participants as mock-ups in PowerPoint slide decks. After each phase, updated iterations were shown to participants to refine the intervention. Several questionnaires were completed by adolescents and caregivers to characterize the samples. Twelve adolescents participated in the focus group/individual interviews and usability studies. The final Behavioral Economic Adherence for Teens (BEAT) intervention consists of a text messaging system and a graphical user interface. General feedback indicated the need for simplicity and ease of use regarding obtaining the graphical messages (e.g., no extra login and passwords); engaging visual images; and weekly comparisons of a target patient's medication adherence to other adolescents' performance. The average system usability system (SUS) rating was 88.3 + 3.8. Our final intervention had high usability ratings and was perceived as engaging and easy to understand. An important next step is to test the BEAT intervention in a Phase 2 randomized trial.

Identifiants

DOI: 10.1016/j.yebeh.2020.107628 PMID: 33309237 PMC: PMC7855277
pubmed: 33309237
pii: S1525-5050(20)30808-8
doi: 10.1016/j.yebeh.2020.107628
pmc: PMC7855277
mid: NIHMS1647280
pii:
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

107628

Subventions

Organisme : NINR NIH HHS
ID : R21 NR017633
Pays : United States

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors report no conflicts of interest.

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Auteurs

Avani C Modi (AC)

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA; University of Cincinnati, College of Medicine, USA. Electronic address: avani.modi@cchmc.org.

Anup D Patel (AD)

Nationwide Children's Hospital, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA; The Ohio State, Department of Pediatrics, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.

Ana M Gutierrez-Colina (AM)

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA.

Sara E Wetter (SE)

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA.

Leah M Heckaman (LM)

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA.

Andrea Debs (A)

Nationwide Children's Hospital, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.

Constance A Mara (CA)

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA; University of Cincinnati, College of Medicine, USA.

Evelynne Wentzel (E)

Nationwide Children's Hospital, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.

Matthew Schmidt (M)

College of Education, University of Florida, 2423 Normal Hall, Gainesville, FL 32611, USA.

Jack Stevens (J)

Nationwide Children's Hospital, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA; The Ohio State, Department of Pediatrics, 700 Children's Drive, Near East Office Building, 3rd Floor, Columbus, OH 43205, USA.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › The development of a social norms adherence...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Aidants › The development of a social norms adherence...
questionsmedicales.fr › Maladies du système nerveux › Maladies du système nerveux central › Encéphalopathies › Épilepsie › The development of a social norms adherence...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Groupes de discussion › The development of a social norms adherence...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The development of a social norms adherence...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Attitude envers la santé › Adhésion et observance thérapeutiques › Acceptation des soins par les patients › Observance par le patient › Adhésion au traitement médicamenteux › The development of a social norms adherence...
questionsmedicales.fr › Sciences sociales › Sociologie › Facteurs sociologiques › Normes sociales › The development of a social norms adherence...
questionsmedicales.fr › Sciences de l'information › Langage › Arts du langage › Écriture › Correspondance comme sujet › Envoi de messages textuels › The development of a social norms adherence...