The Impact of Text Messaging on Medication Adherence and Exercise Regimen Among Post-myocardial Infarction Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 主要终点
- Medication adherence
研究概览
简要总结
The purpose of this study is to assess the impact of text message reminders on adherence to medications and exercise in patients recently discharged from the hospital after a myocardial infarction (MI).
详细描述
The Impact of Text Messaging on Medication Adherence and Exercise Regimen among Post-Myocardial Infarction Patients includes two single-center randomized control trials to assess the impact of text message reminds on adherence to medications and exercise regimen in patients recently discharged from the hospital after MI.
Recruitment conducted at Cambridge Cardiac Rehabilitation in Ontario, Canada for both the medication adherence and exercise trial. Potential study subjects are evaluated for inclusion and exclusion criteria, give written informed consent, and are randomized, in a 1:1 ratio, to either intervention or usual care (control).
Patients randomized to the intervention arm in the medication adherence trial receive an automated text message once per day at the time they are prescribed to take their medication. The text message does not contain any personal or pharmacological information.
Patients randomized to the intervention arm in the exercise adherence trial receive four text messages per day at 7:30 am, 12:00 pm, 6:00 pm, and 9:00 pm, reminding them to exercise for 30 minutes per day as per their health care provider.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Post-MI hospital discharge within 2 weeks
- •Enrolled in cardiac rehabilitation
- •Prescribed anti-platelets, beta-blockers, ACE-inhibitors or ARBs, and/or statins on 1x/day regimen (for medication adherence trial)
- •Prescribed exercise regimen (for exercise trial)
- •Ability to read and write English
- •Possession of a cell phone with text messaging capability
排除标准
- •Age < 18
- •Incarcerated individuals
- •Unable to read and write English
- •Not in possession of a cell phone
- •Patients prescribed medication regimen > 1x/day
研究组 & 干预措施
Medication text message
Once daily text message reminder.
干预措施: Text message reminder for medication adherence (Behavioral)
Exercise text message
4x daily text message reminder.
干预措施: Text message reminder for exercise regimen (Behavioral)
Usual care, medication adherence
Usual care for medication adherence.
Usual care, exercise regimen
Usual care for exercise regimen.
结局指标
主要结局
Medication adherence
时间窗: 12 months
Average medication adherence over 12 months after randomization, assessed with self-reported logs
Exercise frequency
时间窗: 12 months
Average frequency of exercise over 12 months after randomization, assessed with self-reported logs
次要结局
- Exercise duration(12 months)
- Full medication adherence(12 months)
研究者
Niteesh K. Choudhry, MD, PhD
Associate Professor of Medicine at Harvard Medical School, Associate Physician in the Division of Pharmacoepidemiology and Pharmacoeconomics and the Hospitalist Program at Brigham and Women's Hospital
Brigham and Women's Hospital