Applying Directly Observed Therapy to Hydroxyurea to Realize Effectiveness
This study is for caregivers of young children with sickle cell disease and adolescents with sickle cell disease who are currently prescribed hydroxyurea and are receiving care at one of the study sites. The study will assess retention and engagement during a pilot randomized control trial comparing video directly observed therapy (VDOT) to attention control. We also hope to understand more about patient and family preferences longer-term adherence monitoring and intervention.

Participants will use an electronic adherence monitor (provided by the study team) to measure how often they are taking their hydroxyurea. Participants will also be asked to complete questionnaires throughout the study period to provide information about their expectations for, experience with, and satisfaction with the study materials.
- EligibilityCriteria: Inclusion:  Adult caregivers will be eligible if they:  Are English speaking. Have a child who is 1-10 years of age with SCD (any genotype) who has been prescribed hydroxyurea for at least 180 days prior to enrollment. Note: Caregivers who have multiple children meeting criteria will only be able to enroll once.  Adolescents (>11 years at enrollment) are eligible if they:  Are English speaking. Are 11-25 years of age. Have a diagnosis of SCD (any genotype) and have been prescribed hydroxyurea for at least 180 days prior to enrollment.  Exclusion:  Adolescents and caregivers of younger children who participated in the previous VDOT study will be excluded. Adolescents and caregivers of younger children receiving multiple SCD modifying treatments (e.g., chronic transfusions or L-glutamine) will be excluded.  Randomization: enrolled subjects will be eligible for randomization if they open their electronic adherence monitoring device at home at least once during the run-in period. - HealthyVolunteers: No - Gender: All - MinimumAge: 11 Years - StdAgeList: Child, Adult, Older Adult