Seventeen patients participated, although three did not complete the study. The average age was 14.9 ± 2.5 (range 12-20). ACT scores were significantly better in the intervention group than in the control group at the end of September (21.3 ± 2.1 vs 16.0 ± 5.0 p < 0.05). Exacerbations were significantly more frequent in the control group than the intervention group (5 vs 0, p = 0.009). Text response rates were more frequent and quick in those receiving the intervention versus controls (78% response rate with a 12 minute average vs 58% with a 266 minute average). Participants and primary caregivers believed the intervention improved communication with their medical team.