Table 2.
Schedule of evaluations for provider participants.
| Measure and definition | Baseline | Week 36 (study exit) | Week 48 (poststudy) | |||||||||
| Sociodemographic |
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Age, sex, race, ethnicity, type of professional (physician, nurse practitioner, physician assistant), years in practice | xa | —b | — | ||||||||
| Informed consent | — | — | — | |||||||||
| Improve provider hydroxyurea awareness, prescribing, and monitoring behaviors (Aim 2) | ||||||||||||
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Self-efficacy and hydroxyurea knowledge |
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Perceived confidence in prescribing hydroxyurea to patients with SCDc, including correct daily dosing | x | x | — | |||||||
| Engagement of providers related to the use of the HU Toolbox app (Aim 2a) | ||||||||||||
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Implementation and mHealth satisfaction | |||||||||||
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Perceived usability and acceptability of mHealth intervention (MARSd scale) [64] | — | x | — | |||||||
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Hydroxyurea prescribing practices (clinic-level measures) | |||||||||||
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Total number of patients with SCD | x | x | x | |||||||
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Number of patients eligible to receive hydroxyurea therapy at provider participant’s sitee | x | x | x | |||||||
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Number of hydroxyurea-eligible patients who are prescribed hydroxyurea (all sickle genotypes)e | x | x | x | |||||||
| Evaluation of facilitators and barriers to implementation of the mHealth app (Aim 3) | ||||||||||||
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Barriers and facilitators to implementation |
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Qualitative interviewsf | — | x | — | |||||||
ax denotes done at this time point.
bDenotes not done at this time point.
cSCD: sickle cell disease.
dMARS: mobile app rating scale.
eHydroxyurea eligibility will follow the 2014 National Health Lung and Blood Institute guidelines as follows: hydroxyurea should be offered to all children with homozygous sickle hemoglobin mutation (HbSS) and compount heterozygous sickle hemoglobin and null beta thalassemia (HbSβ0-thalassemia) age ≥9 months and prescribed to all symptomatic adults with HbSS/HbSβ0-thalassemia, that is, >3 episodes of severe vaso-occlusion in the preceding 9 months [13].
fConducted at the end of the study at each site.