跳至主要内容
临床试验/NCT06865755
NCT06865755尚未招募不适用

Deploying and Evaluating a Technology Based System to Help People Adhere to Long Term Medications

San Diego State University2 个研究点 分布在 1 个国家目标入组 15 人开始时间: 2025年3月1日最近更新:

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

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kristen Wells

Professor

San Diego State University

研究点 (2)

Loading locations...

相似试验