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Recruiting

NCT Number: NCT06616857

Personalized Mobile Health Platform to Promote Physical Activity in Adolescents and Young Adults With Cystic Fibrosis

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

Recruiting

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Key information

Age range

13 year–25 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Nemours Childrens Health

Jacksonville, Florida, 32207, United States

Location status: Recruiting

Location contact

Charles McCaslin, MD

SUB_INVESTIGATOR

Christopher Cushing, PhD

SUB_INVESTIGATOR

David Fedele, PhD

CONTACT

[email protected]

904-544-1464

David Fedele, PhD

PRINCIPAL_INVESTIGATOR

Diego De La Cruz, M.S

CONTACT

[email protected]

904-820-7161

Kamyar Arasteh, PhD

SUB_INVESTIGATOR

About this study

The goal of this study is to conduct a 6-month delayed treatment pilot Trial with adolescents and young adults (AYA) ages 13-25 with Cystic Fibrosis (CF) or a CF related disorder) to establish feasibility and obtain data necessary to inform a Phase III efficacy trial. AYAs 18 years-old and caregivers of AYAs 13-17 years-old will complete the informed consent process. AYAs 13-17 years-old will be asked to assent to participate in the study. After completion of the baseline study measures and return of actigraphy monitors, staff will notify AYAs of their randomized assignment. AYAs receiving NUDGE will then begin receiving intervention content for 6 months. AYAs randomized to control will receive NUDGE at the conclusion of the Month 3 study visit. Study visits will occur at Months 0, 3, and 6 with staff masked to treatment assignment.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

Nudge

Behavioral

Individuals in this condition will receive intervention content to promote physical activity.

Education

Other

Individuals will receive educational materials about how to increase physical activity

Primary outcomes

  1. Recruitment

    Time frame: Baseline

    Recruitment: Our recruitment goal is 30 AYAs with CF.

  2. Retention

    Time frame: 3-month

    Retention: Our criterion for success is no more than 20% attrition.

  3. Engagement

    Time frame: 3-month

    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.

  4. Acceptability

    Time frame: 3-month

    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

  1. Actigraphy

    Time frame: Baseline, 3-month, and 6-month

    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.

  2. Lung Functioning

    Time frame: Baseline, 3-month, and 6-month

    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.

  3. CF Quality of Life

    Time frame: Baseline, 3-month, and 6-month

    AYA CF-related quality of life will be assessed via the Cystic Fibrosis Questionnaire-Revised.

Sponsors and collaborators

Lead sponsor

Nemours Children's Clinic

Other

Collaborators

  • Cystic Fibrosis Foundation

Registry information

Acronym: NUDGE

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Sep 27, 2024
Registry last updated
Jun 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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