Improvement in Medication Adherence Through the Implementation of Personalized Nudges
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 186
- 试验地点
- 2
- 主要终点
- Adherence with taking prescribed statin medications.
研究概览
简要总结
This study will determine whether a complex, data-driven protocol for assessing patient needs and providing "nudges" (reminders to be adherent with medication prescriptions) improves adherence with cardiovascular medications. This will be accomplished by performing a 12-month clinical trial of patients with an indication for statin therapy. Participants will be randomized to either an intervention or standard-of-care arm and will be followed via passive electronic means to determine if they are adherent with medication prescriptions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
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
- •Indication for statin therapy (regardless of statin use history), either: 1) the presence of coronary artery disease (CAD) (either a new diagnosis or prior diagnosis), 2) low-density lipoprotein cholesterol (LDL-C) ≥190 mg/dL, 3) the presence of diabetes and LDL-C of 70-189 mg/dL in patients aged 40- 75 years, or 4) CAD-free and diabetes-free patients aged 40-75 years who have LDL-C 70-189 mg/dL and an estimated 10-year risk of CAD ≥7.5% based on the Pooled Cohort Risk Equations (http://my.americanheart.org/professional/StatementsGuidelines/Prevention Guidelines/Prevention-Guidelines_UCM_457698_SubHomePage.jsp)
- •Enrollment in a SelectHealth insurance plan
- •Age ≥18 years
- •Planned discharge to home
排除标准
- •Age <18 years
- •Alzheimers/Dementia
- •Receipt of or expected receipt of palliative care or discharge to hospice, skilled nursing facility, inpatient rehabilitation, or long-term care facility
- •Any contraindication to statin agents
结局指标
主要结局
Adherence with taking prescribed statin medications.
时间窗: 12 (±1) months
Adherence will be measured by examining the passively-collected data regarding the filling and refilling of the subject's prescriptions that are available electronically through SelectHealth data and calculating the proportion of time during the followup period that each subject had medication (number of days in which the medication was available after a prescription was filled divided by the total length of the follow-up period).
次要结局
- Proportion of adherent subjects per group(12 (±1) months)
- Adherence with taking all cardiovascular medications.(12 (±1) months)
- Adherence with taking the composite of all CV medications at interim timepoints(3 months, 6 months, 9 months)
- Adherence with taking other individual cardiovascular medications.(12 (±1) months)
- Clinical Endpoints(12 (±1) months)
- Adherence with taking individual medications at interim timepoints(3 months, 6 months, 9 months)