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

Not Applicable

Completed

• Conditions: Hypertension; High Blood Pressure
• Interventions: Behavioral: Audiotaped Counseling Session

• 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

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Exclusion Criteria

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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Communication Simulation	Audiotaped Counseling Session	Nurses will use simulation over 12 weeks while fidelity is monitored using the NIH Behavior Change Consortium Treatment Fidelity Guidelines.

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