Leveraging Real-Time Medication Use Monitoring to Improve Adherence in Adults With Glaucoma
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 5
- 试验地点
- 13
- 主要终点
- Adherence follow-up
研究概览
简要总结
This study will evaluate the effectiveness of real-time data collected on patients taking topical medication to treat glaucoma. Patients will be randomized to two groups, the first of which will only use the study device to take their medication, while the second will use the study device and receive on-demand reminder messages, when necessary.
详细描述
Adherence to topical medications to treat glaucoma remains sub optimal; however, our understanding of this behavior remains limited due to biased measures of medication use. The Kali Drop device is a potential improvement in our ability to capture medication use in patients using dropper bottles by precisely capturing the amount dispensed in real-time. Moreover, such technology creates data that can be leveraged into driving behavior change using connected mobile technology in order to improve adherence and, ultimately, health outcomes. While evidence suggests that reminders may improve adherence to glaucoma medications, the power of doing so using real-time data has yet to be explored. This study will compare simple monitoring of patients to those who are being monitored and who receive reminder messages when the system determines one is necessary due to a missed dose.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 years of age and older
- •Glaucoma diagnosis
- •Prescription for a prostaglandin indicated for glaucoma
- •Nonadherent (MPR<80%) in the last 3 months according to pharmacy records
- •Owns and operates a mobile phone and willing to receive periodic reminder messages
排除标准
- •Existing chronic eye condition in addition to glaucoma
- •Scheduled for eye surgery in the next 90 days
- •Prescription for a medication that will not fit in the device
- •Non-English speaking
研究组 & 干预措施
Monitoring only
Patients in this arm will be given a real-time medication use monitor to use in dispensing their topical glaucoma medication for 3 months
干预措施: Medication monitoring only (Behavioral)
Monitoring and reminder
Patients in this arm will be given a real-time medication use monitor to use in dispensing their topical glaucoma medication for 3 months and will receive an automated reminder (text or voice) when a missed dose is determined by the device's system
干预措施: Medication reminder (Behavioral)
结局指标
主要结局
Adherence follow-up
时间窗: From study endpoint through the subsequent 3 months
Changes and differences in adherence to glaucoma medication between groups after the intervention
Adherence
时间窗: From study baseline through the 3 months of the intervention
Changes and differences in adherence to glaucoma medication between groups
次要结局
- Medication self-efficacy using the 10-item Glaucoma Medication Adherence Self-Efficacy Scale(Change from baseline over the 3-month intervention)