Perceived Barriers to Patient Adherence After Pediatric Solid Organ Transplantation

This study is currently recruiting participants.
Verified November 2012 by National Institute of Allergy and Infectious Diseases (NIAID)
Sponsor:
Information provided by (Responsible Party):
National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier:
NCT01370746
First received: June 8, 2011
Last updated: November 14, 2012
Last verified: November 2012
  Purpose

Adhering to treatment regimens after solid organ transplantation is critical for the prevention of complications, including acute and chronic organ rejection. It is important to recognize the perceived barriers to following treatment regimens and identify ways to address these barriers early in the course of treatment. In this study, doctors will observe how and when pediatric patients who have received a solid organ transplant take their prescribed medication, and determining if there are reasons that keep these patients from taking all of their medicine.


Condition
Organ Transplantation

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Perceived Barriers to Patient Adherence After Pediatric Solid Organ Transplantation (CTOTC-05)

Further study details as provided by National Institute of Allergy and Infectious Diseases (NIAID):

Primary Outcome Measures:
  • Perceived barriers to adherence in adolescents and parent/legal guardian of pediatric patients [ Time Frame: 1 month post transplant ] [ Designated as safety issue: No ]
    Barriers assessed using Brief Medication Questionnaire (BMQ); Adolescent Medication Barrier Scales questionnaire (AMBS); and Parent Medication Barriers Scale questionnaire (PMBS)

  • Change in perceived barriers to adherence from baseline to follow-up [ Time Frame: 12 months post transplant ] [ Designated as safety issue: No ]
    Barriers assessed using Brief Medication Questionnaire (BMQ); Adolescent Medication Barrier Scales questionnaire (AMBS); and Parent Medication Barriers Scale questionnaire (PMBS)


Estimated Enrollment: 400
Study Start Date: April 2012
Estimated Study Completion Date: April 2013
Estimated Primary Completion Date: April 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts
Cross-Sectional Study Group
Cross-sectional comparison of perceived barriers to adherence to post-transplant immunosuppressant regimens in parents/legal guardians of children 0-11 years versus adolescents 12-21 years
Longitudinal Study Group
Subset of Cross-Sectional Study Group to evaluate whether perceived barriers to adherence increase with time during the first year following transplantation

  Eligibility

Ages Eligible for Study:   up to 21 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Adolescents and pediatric patients after solid organ transplantation (heart, liver, or lung)

Criteria

Inclusion Criteria:

  • Subject and/or guardian must be able to understand and provide informed consent/assent in English or Spanish
  • Male or female primary solid organ transplant patients 0-21 years of age
  • Recipients at least 1 month post-transplant hospital discharge

Exclusion Criteria:

  • Inability or unwillingness of a participant or parent/guardian to give informed consent or comply with study protocol
  • Condition or characteristic which in the opinion of the investigator makes the participant unlikely to complete the questionnaires
  • Re-transplant recipient
  • Multi-organ transplant recipient
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01370746

Locations
United States, Alabama
University of Alabama Recruiting
Birmingham, Alabama, United States, 35233
Contact: Stephanie Clevenger     205-558-2792     sclevenger@peds.uab.edu    
Principal Investigator: Dan Feig, MD            
United States, California
Mattel Children's Hospital University of California Los Angeles Recruiting
Los Angeles, California, United States, 90095-1752
Contact: Maggie Holloway     310-206-8415     mholloway@mednet.ucla.edu    
Principal Investigator: Eileen Tsai, MD            
University of California San Francisco Children's Hospital Recruiting
San Francisco, California, United States, 94143
Contact: Stephanie Lemp     415-476-9657     LempS@peds.ucsf.edu    
Principal Investigator: Marsha Lee, MD            
Lucile Packard Children's Hospital at Stanford Recruiting
Stanford, California, United States, 94305
Contact: Elisabeth Merkel     650-736-0644     merkel@stanford.edu    
Principal Investigator: Carol Conrad, MD            
United States, Florida
University of Florida Health Sciences Center Terminated
Gainesville, Florida, United States, 32610
United States, Georgia
Emory Children's Center Recruiting
Atlanta, Georgia, United States, 30322
Contact: Monica Haughton     404-785-0421     Monica.haughton@choa.org    
Principal Investigator: Nitika Gupta, MD            
United States, Massachusetts
Children's Hospital of Boston Recruiting
Boston, Massachusetts, United States, 02115
Contact: Leslie Spaneas, RN, MPH     617-355-8314     leslie.spaneas@childrens.harvard.edu    
Principal Investigator: William Harmon, MD            
United States, Missouri
Washington University School of Medicine Recruiting
St. Louis, Missouri, United States, 63110
Contact: Colleen Eisenbarger     314-747-0791     Eisenbarger_c@wustl.edu    
Principal Investigator: Stuart Sweet, MD, PhD            
United States, New York
Children's Hospital of New York Recruiting
New York, New York, United States, 10032
Contact: Rose Rodriguez     212-305-6575     rc687@columbia.edu    
Principal Investigator: Linda Addonizio, MD            
United States, Ohio
The Cleveland Clinic Recruiting
Cleveland, Ohio, United States, 44195
Contact: Donna Lach, RN     216-444-5034     lachd@ccf.org    
Principal Investigator: Johanna Goldfarb, MD            
Nationwide Children's Hospital Recruiting
Columbus, Ohio, United States, 43205
Contact: Ashley Nance     614-722-6359     ashley.nance@nationwidechildrens.org    
Principal Investigator: Don Hayes, MD            
United States, Pennsylvania
Children's Hospital of Philadelphia Recruiting
Philadelphia, Pennsylvania, United States, 19104
Contact: Rosa Kim     267-426-7161     kimr1@email.chop.edu    
Principal Investigator: Samuel Goldfarb, MD            
University of Pittsburgh School of Medicine Recruiting
Pittsburgh, Pennsylvania, United States, 15224
Contact: Jane Luce     412-692-6762     jane.luce@chp.edu    
Principal Investigator: Steven Webber, MDChB, MRCP            
United States, Texas
Baylor College of Medicine/Texas Children's Hospital Not yet recruiting
Houston, Texas, United States, 77030
Contact: Nicoline Schaap     832-822-4252     nxschaap@texaschildrens.org    
Principal Investigator: Mark Schecter, MD            
United States, Washington
Children's Hospital and Regional Medical Center Recruiting
Seattle, Washington, United States, 98105-0371
Contact: Robert Johnson     206-884-7863     robert.johnson@seattlechildrens.org    
Contact: Jennifer McDonald     (206) 987-5477     Jennifer.mcdonald@seattlechildrens.org    
Principal Investigator: Ruth McDonald, MD            
Principal Investigator: Jodi Smith, MD            
Sponsors and Collaborators
Investigators
Principal Investigator: Stuart Sweet, MD, PhD Washington University in St. Louis
Study Chair: Lara Danziger-Isakov, MD, MPH Children's Hospital Medical Center, Cincinnati
  More Information

No publications provided

Responsible Party: National Institute of Allergy and Infectious Diseases (NIAID)
ClinicalTrials.gov Identifier: NCT01370746     History of Changes
Other Study ID Numbers: DAIT CTOTC-05
Study First Received: June 8, 2011
Last Updated: November 14, 2012
Health Authority: United States: Federal Government

ClinicalTrials.gov processed this record on May 23, 2013