Pilot Study to Improve Medication Management in Older Adults

Not Applicable

Completed

• Conditions: Medication Adherence
• Interventions: Other: Tailored Medication Management Intervention

• Registration Number: NCT04709640
• Lead Sponsor: Washington University School of Medicine

Brief Summary

This pilot study seeks to determine the acceptability and feasibility of the intervention to improve ability of older adults to management medication with community dwelling older adults.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-09-07
• Primary Completion: 2018-11-21
• Study Completion: 2018-11-21
• Study First Submitted: 2020-10-13
• Study First Submitted QC: 2021-01-11
• Study First Posted: 2021-01-14
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-17
• Last Update Posted: 2023-07-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 4

Inclusion Criteria

• age 65 years or older
• taking four or more prescription medications
• self-reported decreased medication adherence.

Exclusion Criteria

• significant cognitive impairment as indicated by a score of 10 or more on the Short Blessed Test
• Resides in an institutionalized setting.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Tailored Medication Management Intervention	Tailored Medication Management Intervention	This research study involved an initial 1.5 hour visit and 2-3 follow up home visits (each lasting 60 minutes). Participants received 2-3 home visits during which they received recommendations on strategies which will improve medication management. Level II occupational therapy fieldwork students made the recommendations, after approval from their supervising licensed OT. The OT fieldwork students provided assistance to the individual in implementing strategies, obtaining adaptive equipment at little or no cost to the individual.

Primary Outcome Measures

Name	Time	Method
In-Home Medication Management Evaluation (HOME-Rx)	1 month	The HOME-Rx is a performance-based tool designed to identify functional barriers to medication management for community-dwelling older adults. Its purpose is to identify common and specific barriers to independence in medication management for older adults living independently in the community. We will use the I-HOPE measure the severity of barriers impacting medication management before and after the intervention. We will also measure the performance and satisfication of the older adult to perform their medication management tasks independently before and after the intervention.

Trial Locations

Locations (1)

Washington University in St. Louis; 🇺🇸 Saint Louis, Missouri, United States