Usage, Usability & Effect on Adherence and Clinical Outcomes of Text Message Reminders for Adolescents With Asthma

Adolescents are typically less adept at managing chronic illnesses and adhering to treatment
plans than are parents of younger children. Adolescents are also typically "early adopters"
to technological solutions and text messages are integral in today's teen culture. Text
messages are gaining acceptance in health care both as appointment reminders and direct
inquiries. The purpose of this randomized crossover study is to examine the effect of
participant designed medication reminders on asthma control, asthma related quality of life,
and medication adherence. In addition, this study will provide data regarding the usage,
usability, and acceptability of an online system designed for creating text message
reminders.

Inclusion Criteria:

- Between the ages of 12 and 22

- Diagnosis of Persistent Asthma

- Receiving care at Cincinnati Children's Hospital Medical Center or affiliate

- Prescription of a controller medication

- Must have a cell phone that receives text messages

- Asthma is not well-controlled based on ACT score

- English Speaking

Exclusion Criteria:

- No diagnosis of persistent asthma

- Receiving asthma care other than at a Cincinnati Children's Hospital Medical Center
or affiliate

- Asthma is well-controlled based on ACT score

- Does not have a cell phone that receives text messages or plans to change phones
within the next 6 months

- Is not taking a daily asthma controller medication

- Is currently receiving asthma appointment or medication reminder text messages from
another source