Evaluation of a Telepharmacy Robotic Medicine Delivery Unit in Warrior Transition Unit Patients With Traumatic Brain Injury, Post-Traumatic Stress Disorder, or Polytrauma
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 6
- 主要终点
- Adherence
研究概览
简要总结
The objective of this study is to evaluate whether use of TRMDU in addition to medication review leads to improved outcomes and reduced health care costs for patients when compared with medication review alone. The study will be conducted in patients assigned to Department of Defense (DOD) Warrior Transition Units (WTU's), similar DOD units, and VA polytrauma centers.
详细描述
The military has been witnessing an increased number of patients with combat related impairments such as traumatic brain injury, post traumatic stress disorder and polytrauma which has lead to sub optimal medication self management. TRMDU is a medical device developed by INRange Systems Inc. that delivers medications and emits a sound alert to assist the patient. It can be used in a hospital, clinic, or residential setting. It can be remotely accessed by the health care professionals, and it allows physicians and other prescribers to remotely change scheduling or adjust prescriptions.
Use of TRMDU in hospital settings is expected to improve outcomes by improving medication self management, increasing adherence, reducing medication errors, and thereby associated costs. Further, it may contribute to overall improvement in a patient's psychological well-being and quality of life.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 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
- •Subjects must be
- •At least 18 years of age
- •Alert and oriented to person , place and time
- •Primarily use English language for written and oral communication
- •Have diagnosis of Traumatic Brain Injury(TBI) Multiple Traumatic Brain Injury (MTBI), Post Traumatic Stress Disorder (PTSD) or Polytrauma.
- •Taking at least 4 chronic prescription medications
- •Living in a participating WTU or enrolled in Tampa Veterans Administration polytrauma outpatient treatment facility at the time of enrollment
- •Achieve a minimum score of 24 on Mini-Mental State Examination
排除标准
- •If patients meet following criteria they are excluded from the study
- •Disabilities preventing safe use of the TRMDU
- •Projected life expectancy of less than 3 months
研究组 & 干预措施
TMRDU
Telepharmacy Robotic Medicine Delivery Unit (TMRDU) group will receive TMRDU plus medication management
干预措施: TMRDU (Device)
Control
Control arm will receive only medication management, no TMRDU.
结局指标
主要结局
Adherence
时间窗: Six months
Pill counts and self report (Morisky 8-item)
次要结局
- Intensity and type of pain(Three months)
- Psychological well-being(Three months)
- Health related quality of life(Three months)
- Total cost of care(Six months)
研究者
Daniel R. Touchette
Professor of Pharmacy
University of Illinois at Chicago