Habitual Hypertension Medication Adherence in Arizona
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 125
- 试验地点
- 2
- 主要终点
- Medication adherence
研究概览
简要总结
This research will implement a novel habit formation intervention among people living with hypertension and an indication of medication non-adherence to help maintain high anti-hypertensive (AH) medication adherence by leveraging the power of routines and unconsciously triggered habitual behaviors. The investigators will test whether high AH medication adherence can be maintained using contextually-cued medication adherence habits that mitigate the negative effects of declining motivation, forgetfulness, and the cognitive burden of performing repeated daily behaviors. The use of mHealth tools will help to make this a scalable and sustainable intervention approach for addressing an important healthcare issue in Arizona.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years old or older
- •Currently diagnosed with hypertension (either stage I or stage II hypertension)
- •Able to read/write/understand English
- •Have daily access to a smartphone
- •Engaged in hypertension care (i.e., already been prescribed antihypertensive medication for a minimum of 12 months at the time of study enrollment)
- •Demonstrated antihypertensive medication nonadherence by having over 73 days without documented antihypertensive medication prescription coverage (observable in Arizona Health Care Cost Containment System (AHCCCS) prescription drugs claims) in the past 12 months (i.e., >80% mean adherence)
排除标准
- •Less than 18 years old
- •Does not have current hypertension diagnosis
- •Unable to read/write/understand English
- •Does not have daily access to a smartphone
- •Not currently engaged in hypertension care
- •Has not demonstrated antihypertensive medication nonadherence within the past 12 months
结局指标
主要结局
Medication adherence
时间窗: Change from baseline to follow-up (Month 9)
Medication adherence will be assessed using Arizona Health Care Cost Containment System (AHCCCS) prescription drug claims over the duration of the nine month study. Prescription drug claims are submitted when an individual requests a refill of their prescription. Thus, prescription drug claims reflect whether or not an individual was taking their medication over a given time frame.
次要结局
- Stress(Change from baseline to follow-up (Month 9))
- Healthcare utilization(Change from baseline to follow-up (Month 9))
- Perceived health competence(Change from baseline to follow-up (Month 9))
- Wellth app data(Three-month intervention period)
- Self-reported habit strength(Change from baseline to follow-up (Month 9))
- Healthcare cost savings(Change from baseline to follow-up (Month 9))
- Health-related quality of life(Change from baseline to follow-up (Month 9))
- Intrinsic motivation(Change from baseline to follow-up (Month 9))