Feasibility of the Integrative Medication Self-Management Intervention to Promote Medication Adherence
- Conditions
- Medication AdherenceChronic Disease
- Interventions
- Behavioral: Integrative Medication Self Management (IMedS) InterventionBehavioral: Standard Care Educational Intervention
- Registration Number
- NCT02706548
- Lead Sponsor
- University of Wisconsin, Milwaukee
- Brief Summary
Many persons with chronic health conditions fail to take their medications as prescribed, resulting in declines in health and function. Unfortunately, current interventions for medication nonadherence are not very effective. This objective of this study is to test a new intervention, the Integrative Medication Self-management (IMedS) intervention to improve medication adherence in adults with chronic health conditions.
- Detailed Description
Many persons with chronic health conditions fail to take their medications as prescribed, resulting in declines in health and function. Objective: The purpose of this study was to perform a phase I feasibility study to understand if an integrated occupational therapy intervention could help people with chronic health conditions improve their adherence to medications. Method: Using a small-N design, we report single-subject analyses of the medication adherence, behavior counts, and perceptions of medication adherence of participants before and after either an occupational therapy intervention or standard of care intervention. We used a multiple baseline approach with inter-subject replication, and blinding.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 34
- Diagnosed with a chronic health condition
- Live in the community
- A medication regimen of 5 or more medications a day recommended by a health care professional
- Independently manage medications
- Difficulty taking medications as prescribed
- Live in the Milwaukee area
- Significant cognitive impairment
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Occupational Therapy Intervention Group Integrative Medication Self Management (IMedS) Intervention Thirty-minute intervention in which the participant and interventionist discuss past medication taking performance, medication-related goals, and strategies to meet goals. Intervention is enhanced with motivational interviewing and therapeutic use of self. Standard Care Intervention Group Standard Care Educational Intervention Thirty-minute educational intervention in which the participant and interventionist review a pamphlet on adherence to medication.
- Primary Outcome Measures
Name Time Method Medication Adherence 4 Weeks Daily medication possession ratio via diary
Self-perceived improvements in ability to mange medications 4 weeks Participants at the end of the study indicate if they believe that their ability to manage medications has improved, declined, or stayed the same.
- Secondary Outcome Measures
Name Time Method Strategies used to manage medications 4 weeks Number of new strategies in daily life used to manage medications per participant report