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. 2023 Jan 1;76(1):38-42.
doi: 10.1097/MPG.0000000000003623. Epub 2022 Sep 20.

Digital Therapeutic Self-Management Intervention in Adolescents With Inflammatory Bowel Disease

Kevin A Hommel  1   2 , Rachelle R Ramsey  1   2 , Wendy N Gray  3 , Lee A Denson  1   4
Affiliations

Digital Therapeutic Self-Management Intervention in Adolescents With Inflammatory Bowel Disease

Kevin A Hommel et al. J Pediatr Gastroenterol Nutr. .

Abstract

The objective of this study was to design, code, and test the feasibility, acceptability, and preliminary efficacy of a digital therapeutic self-management tool for pediatric inflammatory bowel disease (IBD). The Self-Management Assistance for Recommended Treatment (SMART) portal development involved an iterative co-design process with a series of focus group/interview sessions with key stakeholders. Subsequently, a pilot, single-arm, open-label trial was conducted with 22 patients; medication adherence was the primary outcome. Usage data for the SMART portal were good, with patients demonstrating better engagement than parents. Results from the trial demonstrated improvement in medication adherence ( M = 24%-31%; t = 7.94, P < 0.05) and self-management barriers as well as trends in health-related quality of life and symptoms. The SMART portal is a feasible digital therapeutic self-management tool for pediatric IBD that demonstrated preliminary efficacy in this pilot trial. Large, controlled trials are needed to definitively determine the clinical efficacy of this tool.

Trial registration: ClinicalTrials.gov NCT01966744.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

FIGURE 1.
FIGURE 1.
Sample module screenshot.
FIGURE 2.
FIGURE 2.
Participant flow chart.
See this image and copyright information in PMC

References

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    1. Hommel KA, Davis CM, Baldassano RN. Objective versus subjective assessment of oral medication adherence in pediatric inflammatory bowel disease. Inlamm Bowel Dis 2009;15:589–93. - PMC - PubMed
    1. Hommel KA, McGrady ME, Peugh J, et al. Longitudinal patterns of medication nonadherence and associated health care costs. Inlamm Bowel Dis 2017;23:1577–83. - PMC - PubMed

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