Feasibility and Acceptability of a Values-Affirmation Intervention Targeting Medication Adherence in Older Adults With Heart Failure
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7
- 试验地点
- 1
- 主要终点
- Feasibility of Intervention Procedures
研究概览
简要总结
Heart failure (HF) represents a significant public health concern. Medication non-adherence represents a modifiable contributor to costly hospital readmissions in older adults with HF. Educational interventions improve, but do not eliminate, non-adherence. Values affirmation interventions which invite individuals to reflect on core values may encourage better engagement in health behaviors by increasing the personal relevance of targeted behaviors. Similar interventions have promoted weight loss, increased adherence and physical activity, and more frequent fruit and vegetable consumption in a variety of contexts and populations. This study seeks to test a recently developed values-affirmation intervention targeting medication adherence in older adults with HF enrolled in cardiac rehabilitation (CR). The purpose of this feasibility study is to test methodology to aid development of a subsequent randomized controlled pilot trial to examine preliminary efficacy.
详细描述
The objective of this study is to examine the preliminary feasibility and acceptability of study procedures and the values-affirmation intervention in a single-arm trial. Participants will be asked to complete a brief intervention with tailored education relevant to medication information, motivation, and behavioral skills. Participants will complete a baseline assessment and a follow-up assessment at one month post-intervention. The investigators hypothesize that the developed study and intervention procedures will be feasible and acceptable to participants. The investigators will also examine changes in self-reported and electronically monitored medication adherence from the baseline assessment to follow-up.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Heart failure
- •Enrolled in cardiac rehabilitation
- •Read and understand English
- •At risk for medication non-adherence based on self-report screening or number of prescribed medications
排除标准
- •Current participation in another medication-monitoring clinical or research protocol
- •New York Heart Association class IV heart failure
- •Diagnosis of Alzheimer's, dementia, or severe cognitive impairment indicated on screening
- •Current suicidality or psychosis
- •Terminal illness with an expected lifespan of less than 6 months
研究组 & 干预措施
Values-affirmation
干预措施: Values-Affirmation (Behavioral)
结局指标
主要结局
Feasibility of Intervention Procedures
时间窗: Week 4
Proportion of enrolled participants who complete the study
Feasibility of Recruitment Procedures
时间窗: Baseline
Proportion of eligible participants who enroll in the study
Acceptability Assessed Via Qualitative Exit Interview- Number of Participants Who Completed Interview
时间窗: Week 4
Qualitative exit interview to assess patient reported satisfaction with intervention content, intervention delivery, and study procedures
次要结局
- Self-reported Medication Adherence(Baseline, 4 weeks)