About this trial
The goal of this clinical trial is to help adolescents and young adults between the ages of 13-25 with Cystic Fibrosis (CF), medically stable, able to speak and read English, and are not experiencing a CF - related exacerbation, who are already active to remain, or gradually encourage them to increase their levels of physical activity
Participants will be asked to utilize a smartphone program, called NUDGE that we have developed. NUDGE is a chatbot with evidence-based features known to help teens make progress toward health goal:
* Set and review goals * Self-monitor progress * Provide feedback on goal attainment * Revise future goals
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
13-25 years old
Has a verified CF diagnosis or CF-related disorder
Medically stable (i.e., FEV1>30%, not experiencing a CF-related exacerbation)
Speaks and reads English
Disqualifiers
Have a comorbidity limiting PA participation (e.g., neurological condition)
Have a significant cognitive impairment that interferes with study completion
Have any oxygen, CPAP or BiPAP requirement
Trial design
Crossover
Treatments tested in this trial
NUDGE
BehavioralIndividuals in this condition will receive intervention content to promote physical activity.
Education
Other interventionIndividuals will receive educational materials about how to increase physical activity
Treatment groups
Trial outcomes
Primary outcomes
Recruitment
Recruitment: Our recruitment goal is 30 AYAs with CF.
Retention
Retention: Our criterion for success is no more than 20% attrition.
Engagement
Engagement: We will be considered engagement a success if AYAs in NUDGE respond to an average of 4/7 (57%) messages each week during the first 3 months that a participant uses NUDGE.
Acceptability
Acceptability: We will consider NUDGE acceptable if users report a satisfaction rating of ≥3 (mostly satisfied) on our modified Client Satisfaction Questionnaire and rate it as usable as ≥70% of other computerized systems on the System Usability Scale. We will also be attentive to themes in relation to the barriers and facilitators of using NUDGE and its success in promoting PA in interviews.
Secondary outcomes
Actigraphy
We will objectively measure AYA's moderate-to-vigorous PA for 7-days via ActiGraph wGT3X-BT accelerometers. All data will be processed using Actilife software. We will remove periods of non-wear and sleep; days with \>10-hours of valid data during waking hours will be retained. Data will be binned into 15 second epochs and processed using the Chandler algorithm.
Lung Functioning
Lung function will be assessed for 7-days via the AM1+ portable spirometer. AYAs will undergo a standardize training and complete three maximal effort blows every morning and evening. The main outcomes will be forced expiratory volume in one second (FEV1) percent predicted.
CF Quality of Life
AYA CF-related quality of life will be assessed via the Cystic Fibrosis Questionnaire-Revised.
Sponsors and contacts
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Nemours Children's Clinic
Lead sponsor
Cystic Fibrosis Foundation
Collaborator