Deploying and Evaluating a Technology Based System to Help People Adhere to Long Term Medications
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- Wisepill MEMS Sensor data collection
研究概览
简要总结
The goal of this study is to learn about the impact of an integrated medication monitoring system in breast cancer survivors aged 21-70 who are prescribed endocrine therapy. The main question it aims to address is: Does the integrated medication monitoring system improve medication adherence among breast cancer survivors when used over a six-month period?
Fifteen English-speaking breast cancer survivors who meet the inclusion criteria will use a combination of smartphone-based ecological momentary assessments, a medication event monitoring system (Wisepill), and a wearable sensor (Fitbit). After 2 months, participants will be provided personalized content to facilitate medication adherence through an app (Digital Trails) and through WisePill. Participants will complete online surveys at baseline, 3 months, and 6 months to assess their experiences and adherence.
详细描述
Purpose/objective:
The investigators have created a new integrated medication monitoring (MM) system for long-term monitoring of medication adherence consisting of baseline, 3-month, and 6-month surveys, smartphone based ecological momentary assessment, smartphone sensors, a medication event monitoring system (MEMS; Wisepill) sensor, and a wrist-worn wearable sensor (Fitbit) that will be used to collect data to understand and model medication-taking behaviors. The objective of the project is to deploy this system to predict nonadherence to endocrine therapy for breast cancer survivors and implement intervention strategies to improve medication adherence. These interventions will be evaluated for preliminary impact on behavior, acceptability, attractiveness, and usefulness.
Overview:
The investigators will conduct a single arm study collecting data in multiple ways and multiple intervals, over six months' time: 1) baseline, 3-month, and 6-month surveys via Qualtrics; 2) smartphone-based ecological momentary assessment (via Digital Trails application) at the following intervals: every 2-3 days, weekly, and monthly; 3) wireless medication event monitoring system devices (MEMS; Wisepill; daily), 4) a wrist-worn wearable sensor (Fitbit; continuous); and 5) smartphone sensors (data collected via Digital Trails application, continuous). Participants will be provided personalized intervention content based on their specific risk via the Digital Trials app. Fifteen breast cancer survivors will be asked to participate in this longitudinal study for six months.
Intervention:
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 70 Years(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •are English-speaking and reading;
- •are between ages 21 and 70 years;
- •are diagnosed with stage 0-3 breast cancer in the past 5 years;
- •have completed all surgery, radiation, and chemotherapy, except endocrine therapy;
- •are prescribed endocrine therapy;
- •do not have a physical impairment that would prevent them from using the MM system;
- •are able to provide informed consent;
- •are willing and able to use the MM system for 6 months;
- •have an Iphone or Android phone.
排除标准
- 未提供
结局指标
主要结局
Wisepill MEMS Sensor data collection
时间窗: From enrollment to the end of study at 6 months
Participants will be asked to put their endocrine therapy medication in the Wisepill device and will be asked to open the Wisepill when taking their medicine daily for six months
Intervention component - Introduction
时间窗: 6 months after enrollment into study
Number of respondents who reported receiving and/or using the app introduction
Intervention component - Instructions
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using instructions for using the app
Intervention component - calendar
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using the app calendar
Intervention component - resources
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using resources for breast cancer survivors
Intervention component - relaxation audio files
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using relaxation audio files
Intervention component - tamoxifen
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about tamoxifen
Intervention component - aromatase inhibitors
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about aromatase inhibitors
Intervention component - social support
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about social support
Intervention component - reminders
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about setting medication reminders
Intervention component - joint pain
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about managing joint pain
Intervention component - hot flashes
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about managing hot flashes
Intervention component - routine
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about establishing a routine for taking medications
Intervention component - pacing
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about pacing
Intervention component - relaxation
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about relaxation
Intervention component - needs
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about getting what they need from their health care providers
Intervention component - travel
时间窗: 6 months after enrollment into the study
Number of respondents who reported receiving and/or using information about travel
Intervention component - thoughts
时间窗: 6 months after enrollment into the study
Participants will be asked to describe what they thought about the intervention overall (qualitative response)
Intervention component - most useful
时间窗: 6 months after enrollment into the study
Participants will be asked to describe the most useful intervention components (qualitative response)
Intervention component - least useful
时间窗: 6 months after enrollment into the study
Participants will be asked to describe the least useful intervention components (qualitative response)
Intervention component - most attractive
时间窗: 6 months after enrollment into the study
Participants will be asked to describe which intervention components were most attractive (qualitative response)
Intervention component - least attractive
时间窗: 6 months after enrollment into the study
Participants will be asked to describe which intervention components were least attractive (qualitative response)
Intervention component - problems
时间窗: 6 months after enrollment into the study
Participants will be asked to describe problems they experienced using the intervention application (qualitative response)
Intervention component - changes
时间窗: 6 months after enrollment into the study
Participants will be asked to describe any changes they would make to the intervention (qualitative response)
Intervention component - additional information
时间窗: 6 months after enrollment into the study
Participants will be asked to describe what additional information the intervention should provide (qualitative response)
Intervention component - future use
时间窗: 6 months after enrollment into the study
Participants will be asked to describe whether or not they would be willing to use the intervention and monitoring system in the future to remember to take medicines.
次要结局
未报告次要终点
研究者
Kristen Wells
Professor
San Diego State University
