Evaluate Changes in Medication Adherence and Patient Perspective of Polyglot Systems, Inc's Meducation Technology
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 23
- 试验地点
- 2
- 主要终点
- Medication Possession Ratio at 6 Months
研究概览
简要总结
The investigators propose a 6 month pre-post, pilot,feasibility study with up to 25 individuals among veterans with cardiovascular disease risk factors including Hypertension (HT), Diabetes Mellitis (DM) and Hyperlipidemia (HL) who receive care from the hospital-based primary care clinics associated with Durham VAMC. The investigators will examine veteran's perception and ease of using an innovative tool to help improve medication adherence to cardiovascular medications. This study aims to focus on patients with multiple chronic conditions and their caregivers to address 1) appropriate use of medications 2)maximize patient self-care and care by families and other caregivers 3) make available a tool for medication management 4) managing complex regimens, and 5) addressing health literacy.
详细描述
Recruitment letter:
Each week, the research assistant (RA) will identify participants who have a medical appointment scheduled 3 weeks from the current date from the statistician's list of eligible participants. The RA will review Computerized Patient Record System (CPRS) to confirm enrollment at the Durham VA Medical Center (DVAMC) or Raleigh Community Based Outpatient Clinic (CBOC), identify participants' primary care provider and conduct a preliminary medical record review of the exclusion criteria listed above.
An introductory recruitment letter signed by the patient's provider will be sent to these participants.
Telephone Screening:
The RA will call the participants between 1 and 2 weeks later to assess interest and eligibility using the telephone screening script. During this telephone call, the RA will ask permission to conduct the telephone screening to further evaluate the participants' eligibility to participate in the study. These screening questions are being asked because exclusion criteria may not be accurately reflected in the VA medical record. If participants agree to meet with study team to further discuss the project they will be scheduled for an interview. If requested, participant will be sent an appointment reminder letter signed by the study principal investigator and/or project coordinator.
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Enrolled in one of three DVAMC Primary Care Clinics affiliated with the hospital for at least one year;
- •At least one visit to a primary care provider (PCP) at Durham VAMC associated primary care clinics in the previous 12 months;
- •Outpatient diagnostic code for hypertension (> 140/90), diabetes and/or hypercholesterolemia
- •Prescription for metoprolol tartrate (twice a day beta blocker, most common 2 day medication prescribed in the VA)
- •Baseline Medication Possession Ratio (MPR) of < 80% indicating medication non adherence
- •More than 9 active medications.
排除标准
- •diagnosed with metastatic cancer,
- •diagnosed with dementia documented in medical record,
- •active diagnosis of psychosis documented in medical record with admission with last 30 days
- •participating in another clinical trial,
- •not currently receiving care at the Durham VAMC
- •resident of a nursing home,
- •hard time seeing type/printing on books, magazines articles, etc.
- •hard time hearing or speaking on the telephone
- •limited/no access to telephone
- •currently a patient in the primary care pharmacist medication management clinic at Durham VAMC
- •plans to move medical care from DVAMC in next 12 months
结局指标
主要结局
Medication Possession Ratio at 6 Months
时间窗: 6 months
Medication Possession Ratio (MPR) is defined as the number of daily doses of medication dispensed by the pharmacy to each patient, divided by the patient's total follow-up time." The time period for the assessment for 6 months MPR 6 months after enrollment.
Medication Possession Ratio at Baseline
时间窗: baseline
Medication Possession Ratio (MPR) is defined as the number of daily doses of medication dispensed by the pharmacy to each patient, divided by the patient's total follow-up time." The time period for the assessment for baseline MPR 12 months prior to enrollment.
次要结局
- Blood Pressure at Baseline(baseline)
- Blood Pressure at 6 Months(6 months)
- Cholesterol & Creatinine Levels at Baseline(baseline)
- Cholesterol & Creatinine Levels at 6 Months(6 months)
- Weight at Baseline(baseline)
- Weight at 6 Months(6 months)
- Pulse at Baseline(baseline)
- Pulse at 6 Months(6 months)