Improving Caregiver Mediated Medication Management
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 183
- 主要终点
- Medication management-assessed by investigator developed Medication Deficiency Checklist- post followup
研究概览
简要总结
This study sought to improve medication management by caregivers of community dwelling patients with dementia or simple memory loss. This was done by testing a tailored intervention delivered both in-home and by telephone by either a social worker or nurse. The intervention was designed to decrease medication deficiencies and improve medication adherence by developing problem solving skills.
详细描述
Objective: The overall purpose of this investigation is to test the efficacy of a tailored caregiver mediated medication management intervention designed for caregivers of community dwelling patients with dementia.
Specific Aims:
Primary Aim:
Examine the efficacy of a tailored caregiver mediated medication management in-home and telephone delivered intervention designed to decrease medication taking deficiencies and daily hassles and improve medication adherence of caregivers of community dwelling patients with dementia vs. standard education/usual care group of caregivers over time.
Hypothesis 1 Immediately post-treatment (8 weeks), there will be a decrease in medication taking deficiencies and daily hassles and an improvement in caregiver medication adherence in the treatment compared to the usual care group.
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
- Single (Investigator)
盲法说明
Participants and outcomes assessors were not blind to the intervention by nature o the protocol. Investigators and analysts were blinded to study group assignment.
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
- •PATIENTS 18 years of age or older; Patient having memory deficit reported by either member of dyad. Be unable to manage their own medications Have a minimum of two co-morbid conditions (one additional condition besides dementia) Have more than one medication prescribed or recommended by an MD. This could include MD recommended supplements and over the counter medications.
- •Have an informal caregiver/not a paid caregiver; Live within approximately a 75 mile radius of the University of Pittsburgh.
- •INFORMAL/FAMILY CAREGIVERS 18 years of age or older; have access to a telephone for the telephone-delivered intervention and maintenance sessions; have medication management deficiencies as identified by the Medication Management Instrument for Deficiencies on the Elderly (MedMaIDE) at screening; live within a 75 mile radius of the University of Pittsburgh.
排除标准
- •major physical/aggressive behavior problems identified at screening using the Revised Memory Behavior Problem Checklist.
- •INFORMAL/FAMILY CAREGIVERS:
- •hearing impairment without a modified telephone to enhance their ability to hear.
结局指标
主要结局
Medication management-assessed by investigator developed Medication Deficiency Checklist- post followup
时间窗: 24 weeks
Maintenance of improved medication management of patient's medications by caregiver after a no treatment followup period.
Medication management assessed by investigator developed Medication Deficiency Checklist- post-treatment
时间窗: 8 weeks
Improved medication management of patient's medications by caregiver at post-intervention.
Medication management-assessed by investigator developed Medication Deficiency Checklist- post maintenance
时间窗: 16 weeks
Maintenance of improved medication management of patient's medications by caregiver following a booster/maintenance period
次要结局
- Patient outcomes- medical utilization-Investigator developed Unscheduled Event Checklist(24 weeks)
- Caregiver outcome- Improved quality of life via Medical Outcome Short Form (SF-36)(24 weeks)
研究者
Judith Erlen
Professor of Nursing
University of Pittsburgh