A Pilot Study to Evaluate a Telepharmacy Intervention to Improve Inhaler Adherence in Veterans With COPD
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 97
- 试验地点
- 1
- 主要终点
- Adherence to daily inhaled COPD medications
研究概览
简要总结
Hypothesis: Can a counseling intervention, delivered by a pharmacist, increase inhaler adherence in veterans with COPD who have demonstrated poor inhaler adherence through pharmacy refill records?
Veterans who receive who receive daily maintenance inhalers from the William S Middleton Memorial Veterans Hospital Pharmacy and who have a medication possession ratio less than 80% over the previous six months will be invited to participate in the study. This study will randomize 100 participants to a usual care arm or a pharmacist counseling intervention. Final data collection will be six months after randomization to determine if both self-reported and refill record adherence has changed.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female veterans established with the William S. Middleton Memorial Veterans Hospital and associated Community Based Outpatient Clinics
- •Fill their inhaled COPD medications with the VHA
- •A diagnosis of COPD and an active prescription for a twice daily long-acting beta-agonist and/or long-acting anticholinergic with or without a prescription for inhaled corticosteroids for at least 4 months.
- •Non-adherence to at least one COPD medication, a medication possession ratio of less than 80% or over 120% via the pharmacy refill records.
排除标准
- •Patients with a diagnosis or electronic medical record note regarding significant hearing impairment.
- •Patients with a diagnosis regarding cognitive deficit and activated power of attorney.
- •Patients who use daily nebulization instead of inhalers for maintenance medication.
研究组 & 干预措施
COPD Counseling Intervention
Pharmacist counseling intervention delivered via telephone.
干预措施: COPD Inhaler Counseling (Behavioral)
Usual Care
干预措施: Usual Pharmacy Care (Behavioral)
结局指标
主要结局
Adherence to daily inhaled COPD medications
时间窗: Previous six months
Adherence will be measured by pharmacy refill records and by participant self-report
次要结局
- COPD exacerbations(Previous six months)