Evaluating a Low-Literacy Discharge Medication Education Tool

Not Applicable

Completed

• Conditions: Congestive Heart Failure; Coronary Artery Disease
• Interventions: Other: Medication Education Tool

• Registration Number: NCT00408733
• Lead Sponsor: University of California, Los Angeles

Brief Summary

Recent studies have demonstrated that patients sub-optimally understand hospital discharge medication instructions Health literacy has been shown to be an important factor in patient understanding of medical information , and following medication instructions.

The primary aim of this project is to test the efficacy of a low-literacy discharge medication education tool on medication adherence, and patient knowledge and understanding of inpatient discharge medications, in a low-income population with low health literacy levels. This evaluation is a prospective trial with patients randomly assigned to either receiving this tool or receiving the current standard of care. Given the complexity of the discharge medication regimen for the conditions of congestive heart failure (CHF) and coronary artery disease (CAD), and the proven effectiveness of these medications in the post discharge period, this trial will focus on the subpopulation of patients hospitalized with these two conditions.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2006-12-06
• Study First Submitted QC: 2006-12-06
• Study First Posted: 2006-12-07
• Study Start: 2007-01
• Primary Completion: 2007-07
• Study Completion: 2007-08
• Status Verified: 2007-12
• Last Update Submitted: 2008-01-24
• Last Update Posted: 2008-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 287

Inclusion Criteria

Patient inclusion criteria will be:

• 18 years of age or greater
• Admission to the internal medical or cardiology services at LAC/USC Medical Center
• Discharge directly from the medical service to home
• During admission, being evaluated or treated for congestive heart failure or coronary artery disease.

Patient Exclusion criteria :

• Moderate or severe cognitive dysfunction
• Severe psychiatric disability such that the patient has, or there is an application for, a conservator, or any psychiatric illness with current psychotic features
• Not having speaking proficiency in either English or Spanish language.
• If the patient was previously enrolled in the study on a prior hospitalization, he or she will also be excluded.

Nurse Inclusion Criteria:

• Performing the patient education at hospital discharge for a patient enrolled in the study

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
2	Medication Education Tool	Intervention

Primary Outcome Measures

Name	Time	Method
Self-Reported Medication Adherence	2 & 4 weeks post discharge

Secondary Outcome Measures

Name	Time	Method
Medication Knowledge, Patient Satisfaction & Self-Efficacy, Readmissions and Emergency Department Visits	2weeks -8weeks post discharge

Trial Locations

Locations (1)

Los Angeles County/ USC Medical Center; 🇺🇸 Los Angeles, California, United States