Training in the 21st Century: Using Virtual Role-Plays to Improve Nurse Communication for Medication Adherence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 试验地点
- 1
- 主要终点
- Feasibility measured by documenting total available and eligible nurses and patients approached to enroll 1 participant through final study visit
研究概览
简要总结
This study will utilize a three-phase approach that is informed by a theory-driven implementation framework to: 1) conduct a needs analysis in order to identify individual-, health care team-, and practice-level barriers and facilitators to conducting adherence counseling in safety-net primary care practices; 2) develop a virtual communication simulation designed to improve the quality of adherence counseling by allowing nurses repeated opportunities to practice discussing medication adherence with virtual patients; and 3) conduct a pilot study to evaluate the feasibility, acceptability and preliminary efficacy of the simulation on changes in: a) nurses' collaborative communication skills, b) medication adherence, and c) reduction in BP in a sample of 20 patients with uncontrolled hypertension (HTN) who are non-adherent to their medications.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •PCPs and nurses will be enrolled if they fulfill the following criteria:
- •male or female healthcare provider (MD/DO, NP, and Registered Nurse) practicing at the clinic
- •age 18 years or older.
- •No exclusions will be made based on provider race/ethnic origin. We will oversample males to examine differential communication skills based on gender.
- •Patient eligibility criteria include:
- •receiving care at the participating clinic
- •having uncontrolled HTN (BP>140/90 mmHg) at two visits in the past year
- •being prescribed at least one antihypertensive medication and are non-adherent
- •are ≥age 18 years
- •fluent in English
排除标准
- •Unable to give consent
- •Have a diagnosis of cognitive dysfunction or significant psychiatric comorbidity,
- •Participating in another HTN-related study.
结局指标
主要结局
Feasibility measured by documenting total available and eligible nurses and patients approached to enroll 1 participant through final study visit
时间窗: 6 Months
Acceptability measured by % of nurses who complete the simulation
时间窗: 6 Months
次要结局
未报告次要终点