Impact of a Smartphone App Reminder on Adherence Aspirin Prescribed as Anti-Thrombotic Therapy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 195
- 试验地点
- 2
- 主要终点
- Proportion of Pills Taken
研究概览
简要总结
The purpose of this study is to explore the impact of using a smartphone app reminder on medication adherence twice daily in adults prescribed 81 milligrams of aspirin for 35 days as anti-thrombotic therapy after knee or hip arthroplasty.
This study will randomly assign participants to get usual postoperative care which is teaching with verbal instructions and printed information about taking the aspirin at the time of discharge, or to have an app on your smartphone with preset reminders in addition to usual postoperative discharge teaching after surgery.
详细描述
The purpose of this study is to evaluate the impact of using a smartphone application (app) reminder on medication adherence twice daily in 200 adults prescribed 81 milligrams of aspirin (ASA) for 35 days as anti-thrombotic therapy after knee or hip arthroplasty. The aim is to determine if an app downloaded on a smartphone that reminds patients twice a day to take their ASA as prescribed will improve ASA adherence and clinical outcomes for patients after total knee and total hip joint arthroplasty compared to those in the usual care.
This is a two group, randomized control study with random assignment into the control group for usual care or the intervention group to receive a medication reminder app for their smart phone (daily for 35 days) plus usual care. Participants will receive a baseline interview for demographic and other data and 36 day follow-up assessment, both conducted in person.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Prescribed aspirin 81 mg twice a day for 35 days
- •Ability to write and speak English
- •Have a smart phone with the capacity to download and set an app
- •Own and use a smart phone for communication purposes
排除标准
- •Diagnosis of mental illness
- •Do not own a smart phone
研究组 & 干预措施
Standard Education
Participants randomized to this arm will receive the standard education provided to patients about the importance of taking aspirin to prevent thromboembolic events after orthopedic surgery.
干预措施: Standard Education (Behavioral)
Medication Reminder App + Standard Education
Participants randomized to this arm will use a smartphone app with preset reminders to take aspirin to prevent thromboembolic events after orthopedic surgery in addition to usual postoperative discharge teaching.
干预措施: Standard Education (Behavioral)
Medication Reminder App + Standard Education
Participants randomized to this arm will use a smartphone app with preset reminders to take aspirin to prevent thromboembolic events after orthopedic surgery in addition to usual postoperative discharge teaching.
干预措施: Medication Reminder App (Behavioral)
结局指标
主要结局
Proportion of Pills Taken
时间窗: Post- Operative Visit (Day 36)
The proportion of pills taken is defined as the percentage of pills taken by study participants.
次要结局
- Effort Expectancy Subscale Score(Baseline (Pre-Intervention))
- AIDS Clinical Trials Group (ACTG) Adherence Questionnaire Score(Post- Operative Visit (Day 36))
- Aspirin (ASA) Self-Efficacy Scale Score(Post- Operative Visit (Day 36))
- Performance Expectancy Subscale Score(Baseline (Pre-Intervention))
- Hedonic Motivation Subscale Score(Baseline (Pre-Intervention))
- Behavioral Intent Subscale Score(Baseline (Pre-Intervention))
- Number of Thromboembolic Events(Post- Operative Visit (Day 36))
- Aspirin (ASA) General Adherence Scale Score(Post- Operative Visit (Day 36))
- Unified Theory of Acceptance and Use of Technology (UTAUT2) Survey Score(Baseline (Pre-Intervention))
研究者
Deborah Wittig-Wells, RN, PhD
Adjunct Associate Professor
Emory University