A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial
BackgroundNeeds assessments in patients with juvenile idiopathic arthritis (JIA) have revealed a need for disease information, self-management skills, and peer support. We previously developed and tested the acceptability of an in-person and videoconference-based self-managem...
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JMIR Publications
2025-06-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2025/1/e69539 |
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| author | Jessica Booth Kathryn A Birnie Kelsey Chomistek Maria Santana Jennifer N Stinson Babatope O Adebiyi Julia Brooks Jaime Guzman Robin Hellweg Lily SH Lim Dax Rumsey Brian M Feldman Jamie Tagseth Jennifer Wilson Heinrike Schmeling |
| author_facet | Jessica Booth Kathryn A Birnie Kelsey Chomistek Maria Santana Jennifer N Stinson Babatope O Adebiyi Julia Brooks Jaime Guzman Robin Hellweg Lily SH Lim Dax Rumsey Brian M Feldman Jamie Tagseth Jennifer Wilson Heinrike Schmeling |
| author_sort | Jessica Booth |
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BackgroundNeeds assessments in patients with juvenile idiopathic arthritis (JIA) have revealed a need for disease information, self-management skills, and peer support. We previously developed and tested the acceptability of an in-person and videoconference-based self-management program (SMP) to address these needs.
ObjectiveThe aim of this pilot randomized controlled trial (RCT; the VISTA-JIA trial) is to evaluate the feasibility and preliminary effectiveness of a virtual group-based SMP for adolescents with JIA in comparison to a waitlist control group.
MethodsA total of 100 participants with confirmed JIA (aged 12-17 years) will be recruited from 5 Canadian pediatric rheumatology centers and randomized 1:1 to the intervention or waitlist control groups. Adolescents in the intervention group will receive the virtual SMP. Those randomized to the control group will receive standard of care alone and will later be eligible for the SMP. The SMP includes JIA disease education, self-management strategies, and peer support. Four 60- to 90-minute sessions will be conducted over 8 weeks with a group size of 4-6 participants. The primary feasibility outcome will be adherence to the SMP (defined as completion of all 4 sessions by at least 80% of participants). Other secondary feasibility outcomes will include recruitment and withdrawal rates, the proportion of completed questionnaires, engagement and satisfaction with the SMP measured through a semistructured virtual interview, and intervention fidelity (consistent content and technology delivery). Secondary preliminary effectiveness outcomes will be assessed by completing 5 validated questionnaires at pre- and postprogram time points: (1) the Medical Issues, Exercise, Pain, and Social Support Questionnaire to assess perceived ability to manage JIA (self-management); (2) the Children’s Arthritis Self-Efficacy Scale to assess self-efficacy; (3) the Pediatric Quality of Life Inventory 3.0 Rheumatology–Teen Module to assess health-related quality of life; (4) the PROMIS (Patient-Reported Outcomes Measurement Information System) Pediatric Pain Interference Scale to assess pain interference; and (5) Readiness for Adult Care in Rheumatology to assess transition readiness. Descriptive statistics and nonparametric tests will be used to analyze the data.
ResultsThe study setup is complete at all centers, including training of the facilitators, revising and finalizing education sessions, participant’s handout guide, and fidelity checklist. Recruitment began in January 2024 and is expected to conclude by December 2025. Feasibility outcomes, including adherence and engagement, as well as preliminary effectiveness, will be analyzed post intervention.
ConclusionsThis is the first evidence-based, virtual, interactive, group-structured JIA SMP in Canada. This SMP will address needs for disease information, self-management skills, and peer support in adolescents with JIA. The results of this pilot study will inform a full-scale RCT focused on the efficacy and cost-effectiveness of the program with the goal of integration in routine clinical practice across Canada.
Trial RegistrationClinicalTrials.gov NCT06184100; https://clinicaltrials.gov/study/NCT06184100
International Registered Report Identifier (IRRID)DERR1-10.2196/69539 |
| format | Article |
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| issn | 1929-0748 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | JMIR Publications |
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| series | JMIR Research Protocols |
| spelling | doaj-art-e18f2f3d1371485f835a40cfbfe80da02025-08-20T02:34:54ZengJMIR PublicationsJMIR Research Protocols1929-07482025-06-0114e6953910.2196/69539A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled TrialJessica Boothhttps://orcid.org/0009-0006-0699-6808Kathryn A Birniehttps://orcid.org/0000-0002-8223-8834Kelsey Chomistekhttps://orcid.org/0000-0002-2358-2846Maria Santanahttps://orcid.org/0000-0002-0202-5952Jennifer N Stinsonhttps://orcid.org/0000-0002-9969-8052Babatope O Adebiyihttps://orcid.org/0000-0001-8798-1961Julia Brookshttps://orcid.org/0009-0001-6357-930XJaime Guzmanhttps://orcid.org/0000-0001-8977-2581Robin Hellweghttps://orcid.org/0009-0006-6488-760XLily SH Limhttps://orcid.org/0000-0002-0675-0668Dax Rumseyhttps://orcid.org/0000-0002-9211-4640Brian M Feldmanhttps://orcid.org/0000-0002-7813-9665Jamie Tagsethhttps://orcid.org/0009-0009-6370-1115Jennifer Wilsonhttps://orcid.org/0009-0003-3910-7542Heinrike Schmelinghttps://orcid.org/0000-0001-8142-8946 BackgroundNeeds assessments in patients with juvenile idiopathic arthritis (JIA) have revealed a need for disease information, self-management skills, and peer support. We previously developed and tested the acceptability of an in-person and videoconference-based self-management program (SMP) to address these needs. ObjectiveThe aim of this pilot randomized controlled trial (RCT; the VISTA-JIA trial) is to evaluate the feasibility and preliminary effectiveness of a virtual group-based SMP for adolescents with JIA in comparison to a waitlist control group. MethodsA total of 100 participants with confirmed JIA (aged 12-17 years) will be recruited from 5 Canadian pediatric rheumatology centers and randomized 1:1 to the intervention or waitlist control groups. Adolescents in the intervention group will receive the virtual SMP. Those randomized to the control group will receive standard of care alone and will later be eligible for the SMP. The SMP includes JIA disease education, self-management strategies, and peer support. Four 60- to 90-minute sessions will be conducted over 8 weeks with a group size of 4-6 participants. The primary feasibility outcome will be adherence to the SMP (defined as completion of all 4 sessions by at least 80% of participants). Other secondary feasibility outcomes will include recruitment and withdrawal rates, the proportion of completed questionnaires, engagement and satisfaction with the SMP measured through a semistructured virtual interview, and intervention fidelity (consistent content and technology delivery). Secondary preliminary effectiveness outcomes will be assessed by completing 5 validated questionnaires at pre- and postprogram time points: (1) the Medical Issues, Exercise, Pain, and Social Support Questionnaire to assess perceived ability to manage JIA (self-management); (2) the Children’s Arthritis Self-Efficacy Scale to assess self-efficacy; (3) the Pediatric Quality of Life Inventory 3.0 Rheumatology–Teen Module to assess health-related quality of life; (4) the PROMIS (Patient-Reported Outcomes Measurement Information System) Pediatric Pain Interference Scale to assess pain interference; and (5) Readiness for Adult Care in Rheumatology to assess transition readiness. Descriptive statistics and nonparametric tests will be used to analyze the data. ResultsThe study setup is complete at all centers, including training of the facilitators, revising and finalizing education sessions, participant’s handout guide, and fidelity checklist. Recruitment began in January 2024 and is expected to conclude by December 2025. Feasibility outcomes, including adherence and engagement, as well as preliminary effectiveness, will be analyzed post intervention. ConclusionsThis is the first evidence-based, virtual, interactive, group-structured JIA SMP in Canada. This SMP will address needs for disease information, self-management skills, and peer support in adolescents with JIA. The results of this pilot study will inform a full-scale RCT focused on the efficacy and cost-effectiveness of the program with the goal of integration in routine clinical practice across Canada. Trial RegistrationClinicalTrials.gov NCT06184100; https://clinicaltrials.gov/study/NCT06184100 International Registered Report Identifier (IRRID)DERR1-10.2196/69539https://www.researchprotocols.org/2025/1/e69539 |
| spellingShingle | Jessica Booth Kathryn A Birnie Kelsey Chomistek Maria Santana Jennifer N Stinson Babatope O Adebiyi Julia Brooks Jaime Guzman Robin Hellweg Lily SH Lim Dax Rumsey Brian M Feldman Jamie Tagseth Jennifer Wilson Heinrike Schmeling A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial JMIR Research Protocols |
| title | A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial |
| title_full | A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial |
| title_fullStr | A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial |
| title_full_unstemmed | A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial |
| title_short | A Virtual Self-Management Intervention for Adolescents With Juvenile Idiopathic Arthritis: Protocol for the VISTA-JIA Randomized Controlled Trial |
| title_sort | virtual self management intervention for adolescents with juvenile idiopathic arthritis protocol for the vista jia randomized controlled trial |
| url | https://www.researchprotocols.org/2025/1/e69539 |
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