Effects of Framing on Medication Beliefs, Intentions to Take Medication, Adherence, and Asthma Control

Study Overview
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Brief Summary
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The goal of this study is to examine the effects of framed mobile messages on young adults' beliefs about their daily Inhaled Corticosteroids (ICS), intentions to take their ICS, adherence, and asthma control. College students (18-29 years) who owned a mobile phone and had a diagnosis of asthma with a prescription for an ICS will be recruited. Participants will be randomized to receive either gain- or loss-framed mobile messages three times per week for eight weeks. Outcomes including beliefs, intentions, adherence, and asthma control will be assessed.

Official Title
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Examining the Effect of Message Framing on Medication Beliefs, Intentions to Take Medications, Adherence to Medication, and Asthma Control Among College Students

Conditions
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Asthma

Intervention / Treatment
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* Behavioral: Negatively Framed text messages
* Behavioral: Positively Framed text messages


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A diagnosis of asthma A prescription for an inhaled corticosteroid Enrolled in college Between 18-29 years of age Owns a mobile phone Exclusion Criteria: Cannot read in english

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 29 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Positively framed text messages<br>Positively framed text messages | Behavioral: Positively Framed text messages<br>* Positively Framed text messages delivered to participants three times per week for 8 weeks.<br>|
| Experimental: Negatively frame text messages<br>Negatively framed text messages | Behavioral: Negatively Framed text messages<br>* Negatively Framed text messages delivered to participants three times per week for 8 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Asthma control | Asthma control as measured by the Asthma Control Test (minimum value=5, maximum value= 25) Questionnaire (scores of 20 and above indicate asthma control) | Data collection at baseline, week 4, and week 8 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Medication Beliefs | Medication Beliefs as measured by the Beliefs about Medicines Questionnaire-Specific (This scale has two sub-scales : necessity (20- points) and concerns (20 points). A difference of necessity and concern scores shows the level of perceived necessity for the medication. Higher scores indicate higher perceived necessity for the medication. | Data collection at baseline and week 8 | 
| Intentions to take medication as prescribed | Intentions to take inhaled corticosteroids as prescribed as measured by an intentions scale (minimum score = 3, maximum score = 15; higher scores indicate greater intentions; the scale was tested in the study) | Data collection at baseline and week 8 | 
| Changes in Medication adherence | Adherence to a daily dose of inhaled corticosteroid as measured by the Medication Adherence Report Scale for Asthma (MARS-A) (Minimum score = 10, maximum score = 50, higher scores indicate greater adherence) | Data collection at baseline, week 4, and week 8 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mHealth, message framing