Medication Adherence Enhancement in Heart Transplant Recipients: a Randomized Clinical Trial
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Hannover Medical School
- Enrollment
- 150
- Locations
- 2
- Primary Endpoint
- Occurrence of adverse events (composite endpoint)
Study Overview
Brief Summary
Medication-related non-adherence increases the risk of rejections and associated graft loss after solid organ transplantation. A randomized controlled intervention will use adherence enhancing strategies out of a larger sample of 300 heart transplant recipients. Non-Adherence will be assessed by patients' self-report and based on immunosuppression level. All non-adherent patients will be randomly designed to either intervention or control group. Multi-module interventions include patient education, electronic medication event monitoring, and a combined behavior and symptom management. Longitudinal follow-up is envisioned after initial intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •all eligible patients with follow-up at our outpatient clinic
- •written informed consent
- •sufficient German language skills to read and answer a battery of questionnaires
- •> 18 years
- •minimum 6 mts post HTX
Exclusion Criteria
- •illiteracy
Outcomes
Primary Outcomes
Occurrence of adverse events (composite endpoint)
Time Frame: at month 60
Secondary Outcomes
- Adherence behavior measurement variables from MEMS system(first 3 month)
- Immunosuppression level(at month 60)
- All individual components of the composite endpoint occurence of adverse events(at month 60)
