Evaluating the acceptability and usability of a digital self-management intervention (smartphone application) to support the non-surgical treatment of Perthes' Disease

ISRCTN ISRCTN14517832
DOI https://doi.org/10.1186/ISRCTN14517832
IRAS number 330507
Secondary identifying numbers IRAS 330507, CPMS 59738
Submission date
20/10/2023
Registration date
19/12/2023
Last edited
22/12/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English Summary

Background and study aims
Perthes’ disease is a condition that results in the collapse of a child’s hip bone, affecting their ability to run, and play sports and some children even find walking difficult. There is lots of uncertainty around the treatment of Perthes’ disease and a lack of consistent advice between Perthes’ disease specialists. This can cause considerable anxiety to the parents of children with Perthes’ disease. With the support of children with Perthes’ disease, their families and clinicians, a digital intervention (an app) has been developed. This is the final study within an overarching project to test an app, designed to support self-management.

Who can participate?
Children aged between 5 and 16 years old who were diagnosed with Perthes’ Disease between one and five years ago

What does the study involve?
The study will recruit ten children from three sites (30 total) to use the app for six weeks. Information will be collected before and after using the app, focussing on app usage, quality of life and impact of the condition on the child/family. The study will also test how acceptable the app is to children with Perthes’ disease and their families. There will also be a sub-study where some participants will be asked more specific questions about their interaction with the app to gain insight into the reasons why different elements of the app were/were not as acceptable as others. 12-15 of the participants who used the app will be invited to take part in focus groups to discuss their experience of using the app in more detail.

The results of this study will be shared so that it is accessible to all. Articles will be published in medical journals and information will be shared with groups who support children with Perthes’ disease, as well as through social media. The results will be fed back in a ‘fun’ child-friendly way, using videos and electronic leaflets to make sure the answers are available to everyone.

What are the possible benefits and risks of participating?
There are no significant benefits or risks to taking part in this study. The benefit of taking part is that the participants will have an opportunity to try a novel intervention in the management of a debilitating condition and provide insight that could improve the care of children with the condition in the future. The main risk is the burden of time for the participants taking part, to account for this, funding has been acquired in line with NIHR guidance to compensate participants for their time.

Where is the study run from?
University of Leeds (UK)

When is the study starting and how long is it expected to run for?
June 2023 to May 2024

Who is funding the study?
National Institute for Health and Care Research (NIHR) (UK)

Who is the main contact?
Mr Adam Galloway, adamgalloway@nhs.net (UK)

Study website

Contact information

Mr Adam Galloway
Public, Scientific, Principal Investigator

University of Leeds
Leeds
LS1 3EX
United Kingdom

ORCiD logoORCID ID 0000-0002-6093-7669
Phone +44 (0)113 3926610
Email adamgalloway@nhs.net

Study information

Study designMixed methods with observational and qualitative components
Primary study designInterventional
Secondary study designNested-qualitative
Study setting(s)Home, Hospital
Study typeOther
Participant information sheet 44459_PIS[App_Child]_v1.2.pdf
Scientific titleEvaluating the acceptability and usability of a digital self-management intervention (smartphone application) to support the non-surgical treatment of Perthes' Disease
Study acronymTesting the NON-STOP app
Study hypothesis1. To test the acceptability of implementing the NON-STOP intervention with children with Perthes’ Disease and their families
2. Understand the user experience of children with Perthes’ Disease when using the NON-STOP intervention
Ethics approval(s)

Approved 30/11/2023, West Midlands Research Ethics Committee (Meeting held by video-conference via Zoom, -, -, United Kingdom; +44 (0)207 104 8357; edgbaston.rec@hra.nhs.uk), ref: 23/WM/0251

ConditionPerthes' Disease
InterventionTesting of a new self-management intervention to support management
Intervention typeOther
Primary outcome measureLog-ins, type of data accessed, and time used measured using App use metrics at the end of the study
Secondary outcome measures1. Physical health function measured using the Patient-Reported Outcomes Measurement Information System: Mobility tool (PROMIS Mobility including QoL assessment) before and after app use
2. Child activity levels measured using the Child Physical Activity Questionnaire (CPAQ) pre and post-app testing period
3. App acceptability measured using the Health Information Technology Usability Evaluation Scale (Health-ITUES) after the app testing period
Overall study start date01/06/2023
Overall study end date31/05/2024

Eligibility

Participant type(s)Service user
Age groupChild
Lower age limit5 Years
Upper age limit16 Years
SexBoth
Target number of participants30
Participant inclusion criteria1. Diagnosed with Perthes’ Disease between one and five years ago
2. Aged between 5 and 16 years old
3. Access to a smart device
Participant exclusion criteria1. Unable to communicate verbally in English
2. The child has undergone surgery for Perthes’ Disease in the last 6 weeks
Recruitment start date02/01/2024
Recruitment end date31/03/2024

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

NIHR Leeds Clinical Research Facility
Leeds Teaching Hospitals NHS Trust
Leeds
LS1 3EX
United Kingdom

Sponsor information

University of Leeds
University/education

Woodhouse Lane
Leeds
LS2 9JT
England
United Kingdom

Phone +44 (0)113 3437587
Email governance-ethics@leeds.ac.uk
Website http://www.leeds.ac.uk/
ROR logo "ROR" https://ror.org/024mrxd33

Funders

Funder type

Government

National Institute for Health and Care Research
Government organisation / National government
Alternative name(s)
National Institute for Health Research, NIHR Research, NIHRresearch, NIHR - National Institute for Health Research, NIHR (The National Institute for Health and Care Research), NIHR
Location
United Kingdom

Results and Publications

Intention to publish date31/12/2024
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository, Available on request
Publication and dissemination planPlanned publication in a high-impact and peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a publically available repository from the lead researcher's institute (University of Leeds)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version 1.2 14/11/2023 No Yes
Participant information sheet version 1.2 14/11/2023 No Yes
Participant information sheet nested qualitative study
version 1.2
14/11/2023 No Yes
Participant information sheet nested qualitative study
version 1.2
14/11/2023 No Yes
Protocol file version 1.0 14/11/2023 No No

Additional files

44459_PIS[App_Child]_v1.2.pdf
44459_PIS[App_family]_v1.2.pdf
44459_PIS[Qual_child]_v1.2.pdf
nested qualitative study
44459_PIS[Qual_family]_v1.2.pdf
nested qualitative study
44459_Protocol_v1.0.pdf

Editorial Notes

22/12/2023: Ethics approval added.
23/10/2023: Trial's existence confirmed by National Institute for Health and Care Research (NIHR) (UK).