Trial reportBMC public health2014
Mobile phones support adherence and retention of indigenous participants in a randomised controlled trial: strategies and lessons learnt.
Trial report in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Representation of marginalised populations in digital surveillance for notifiable conditions in Australia: a systematic review.Perspectives in public health · 2024Pooled it
- Digital tools for recruitment and retention of participants in paediatric clinical research: a scoping review.Trials · 2026Article
- Guiding practice principles for clinicians who work with Indigenous people.Frontiers in pediatrics · 2025Article
- Scoping review of telehealth use by Indigenous populations from Australia, Canada, New Zealand, and the United States.Journal of telemedicine and telecare · 2024Article
- At the cultural interface: A systematic review of study characteristics and cultural integrity from twenty years of randomised controlled trials with Indigenous participants.Dialogues in health · 2023Review
- Aboriginal and Torres Strait Islander Women's Access to and Interest in mHealth: National Web-based Cross-sectional Survey.Journal of medical Internet research · 2023Article
- Multi-lingual "Asthma APP" improves health knowledge of asthma among Australian First Nations carers of children with asthma.Frontiers in pediatrics · 2022Article
- Evaluation of a Healthy Relationship Smartphone App With Indigenous Young People: Protocol for a Co-designed Stepped Wedge Randomized Trial.JMIR research protocols · 2021Article
- Re-engaging an inactive cohort of young adults: evaluating recruitment for the Kidskin Young Adult Myopia Study.BMC medical research methodology · 2020Article
- Development and Use of Health-Related Technologies in Indigenous Communities: Critical Review.Journal of medical Internet research · 2017Review
- Development and evaluation of the See Me Smoke-Free multi-behavioral mHealth app for women smokers.Translational behavioral medicine · 2017Article
- Acceptability of Mental Health Apps for Aboriginal and Torres Strait Islander Australians: A Qualitative Study.Journal of medical Internet research · 2016Article
- Three-weekly doses of azithromycin for indigenous infants hospitalized with bronchiolitis: a multicentre, randomized, placebo-controlled trial.Frontiers in pediatrics · 2015Article
- Toward making inroads in reducing the disparity of lung health in Australian indigenous and new zealand māori children.Frontiers in pediatrics · 2015Review
- An assessment of fishing communities around Lake Victoria, Uganda, as potential populations for future HIV vaccine efficacy studies: an observational cohort study.BMC public health · 2014Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnsuring adherence to treatment and retention is important in clinical trials, particularly in remote areas and minority groups. We describe a novel approach to improve adherence, retention and clinical review rates of Indigenous children.
methodsThis descriptive study was nested within a placebo-controlled, randomised trial (RCT) on weekly azithromycin (or placebo) for 3-weeks. Indigenous children aged ≤24-months hospitalised with acute bronchiolitis were recruited from two tertiary hospitals in northern Australia (Darwin and Townsville). Using mobile phones embedded within a culturally-sensitive approach and framework, we report our strategies used and results obtained. Our main outcome measure was rates of adherence to medications, retention in the RCT and self-presentation (with child) to clinic for a clinical review on day-21.
resultsOf 301 eligible children, 76 (21%) families declined participation and 39 (13%) did not have access to a mobile phone. 186 Indigenous children were randomised and received dose one under supervision in hospital. Subsequently, 182 (99%) children received dose two (day-7), 169 (93%) dose three (day-14) and 180 (97%) attended their clinical review (day-21). A median of 2 calls (IQR 1-3) were needed to verify adherence. Importantly, over 97% of children remained in the RCT until their clinical endpoint at day-21.
conclusionsIn our setting, the use of mobile phones within an Indigenous-appropriate framework has been an effective strategy to support a clinical trial involving Australian Indigenous children in urban and remote Australia. Further research is required to explore other applications of this approach, including the impact on clinical outcomes.
trial registrationACTRN12608000150347 (RCT component).
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