Nurse- and Web Based Intervention to Improve Medication Adherence in High Risk Cardiovascular Patients.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cardiovascular Diseases
- Sponsor
- Radboud University Medical Center
- Enrollment
- 420
- Locations
- 1
- Primary Endpoint
- Change in degree of Adherence
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The purpose of this study is to investigate whether a nurse-based intervention, consisting of structural informative consulting and motivational counseling, on top of usual care with or without personalized web-based visualization of cardiovascular risk levels, improves the medication adherence in high risk cardiovascular patients.
Detailed Description
Poor adherence to medication is one of the limitations in the treatment of cardiovascular disease. As a consequence the risk of premature death, hospital admissions and related costs is increasing. Therefore, detection of apparent poor adherence and interventions to improve adherence, are of great importance to enhance cardiovascular risk management over time. This study is a prospective randomized trial, which compares 1) usual care with 2) the effect of a personalized visualization of cardiovascular risk levels (website) to support self management and 3) the additional effect of a communication intervention by a nurse on adherence on top of 2). Adherence is determined and continuously monitored with a dedicated calculation of refill data obtained from patient's pharmacy.
Investigators
Bas Bredie
MD
Radboud University Medical Center
Eligibility Criteria
Inclusion Criteria
- •All subsequent patients, included in the hospital-screening program with manifestations of atherosclerotic disease (acute coronary syndrome, peripheral arterial disease or stroke/TIA) or elevated cardiovascular risk due to hypertension, diabetes or hyperlipidemia.
Exclusion Criteria
- •Age below 18 years, actual pregnancy, problems with Dutch language or logistic problems, which may hinder intervention on adherence behavior. Severe co-morbidity, including mental handicap, according to their physician.
Outcomes
Primary Outcomes
Change in degree of Adherence
Time Frame: Change from baseline in degree of Adherence at 12 month
The degree of Adherence to medication for each group at 12 month from baseline, as calculated by prescription refill data
Secondary Outcomes
- Clinical outcome(Change from baseline in Waist Circumference at 12 months)