Training in the 21st Century: Using Virtual Role-Plays to Improve Nurse Communication for Medication Adherence

Not Applicable

Completed

• Conditions: Hypertension; High Blood Pressure

• Registration Number: NCT03599050
• Lead Sponsor: NYU Langone Health

Brief Summary

This study will utilize a three-phase approach that is informed by a theory-driven implementation framework to: 1) conduct a needs analysis in order to identify individual-, health care team-, and practice-level barriers and facilitators to conducting adherence counseling in safety-net primary care practices; 2) develop a virtual communication simulation designed to improve the quality of adherence counseling by allowing nurses repeated opportunities to practice discussing medication adherence with virtual patients; and 3) conduct a pilot study to evaluate the feasibility, acceptability and preliminary efficacy of the simulation on changes in: a) nurses' collaborative communication skills, b) medication adherence, and c) reduction in BP in a sample of 20 patients with uncontrolled hypertension (HTN) who are non-adherent to their medications.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2018-07-17
• Study First Submitted QC: 2018-07-18
• Study First Posted: 2018-07-26
• Study Start: 2018-12-01
• Primary Completion: 2020-05-04
• Study Completion: 2020-05-31
• Status Verified: 2022-01
• Last Update Submitted: 2022-01-28
• Last Update Posted: 2022-02-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• PCPs and nurses will be enrolled if they fulfill the following criteria:

  1. male or female healthcare provider (MD/DO, NP, and Registered Nurse) practicing at the clinic
  2. age 18 years or older.

No exclusions will be made based on provider race/ethnic origin. We will oversample males to examine differential communication skills based on gender.

• Patient eligibility criteria include:

  1. receiving care at the participating clinic
  2. having uncontrolled HTN (BP>140/90 mmHg) at two visits in the past year
  3. being prescribed at least one antihypertensive medication and are non-adherent
  4. are ≥age 18 years
  5. fluent in English

Exclusion Criteria

• Unable to give consent
• Have a diagnosis of cognitive dysfunction or significant psychiatric comorbidity,
• Participating in another HTN-related study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Feasibility measured by documenting total available and eligible nurses and patients approached to enroll 1 participant through final study visit	6 Months
Acceptability measured by % of nurses who complete the simulation	6 Months

Trial Locations

Locations (1)

NYU School of Medicine; 🇺🇸 New York, New York, United States