Using Feedback Reports to Improve Medication Adherence
This trial is active, not recruiting.
|Conditions||coronary artery disease, adherence|
|Treatments||individual feedback, feedback friend|
|Sponsor||Corporal Michael J. Crescenz VA Medical Center|
|Start date||January 2014|
|End date||October 2017|
|Trial size||224 participants|
|Trial identifier||NCT02480530, 01461|
The purpose of this research study is to improve statin medication adherence among Veterans with coronary artery disease with poor adherence to medications. The investigators are testing if newer technology pill bottle devices linked with individual feedback and/or social incentive strategies can improve medication taking behavior.
|Intervention model||parallel assignment|
|Masking||single blind (investigator)|
|Primary purpose||health services research|
time frame: Change in baseline adherence at 3 month and 6 month
time frame: Change in baseline patient activation at 3 month and 6 month
time frame: Change in baseline social support at 3 month and 6 month
time frame: Change in baseline LDL level at 6 month
Male or female participants from 30 years up to 75 years old.
Inclusion Criteria: - All participants will have a diagnosis of CAD - To be eligible they must be between the ages of 30-75 years of age-to ensure we are targeting those most likely to benefit from improving control to these medications - Patients must have been prescribed a statin by their provider and a documented poor adherence as measured by a 16-month medication adherence rate (Medication Possession Ratio) of <80% Exclusion Criteria: - Due to the use of the medication adherence reminder device, patients must speak English - Have a home address - Telephone number - Be willing and able to identify a friend or family member - The investigators will exclude atients with active substance abuse, significant hearing loss, or reduced cognitive ability as determined from the patient's problem list
|Official title||Evaluating Individual and Patient-Selected Family/Friend/or Reciprocal Peer Notifications to Improve Statin Medication Adherence Among Patients With Coronary Artery Disease|
|Principal investigator||Ashok Reddy, MD|
|Description||Patients with coronary artery disease and previous poor adherence to statin medications will be recruited at Philadelphia VA Medical Center. Enrolled participants will be randomly assigned to one of three arms: 1. Control Group 2. Individual Alarm device and feedback report 3. Individual plus patient-selected Feedback Friend report Patients will be given a medication-monitoring device (Vitality GlowCaps) to monitor the statin medication that is being currently prescribed by their primary care physician. In first group, the control arm (Arm 1), the device reminders will be turned off but the device will continue recording adherence to the medications. In second group, reminder arm (Arm 2), the device will be programmed as an alarm that will be activated if the patient does not take the medication at the time set by the patient. In addition the patient will get a weekly report of his/her adherence. In the third group, patient-selected family/friend/or reciprocal peer feedback arm (Arm 3), in addition to the activation of the alarm function the device will be linked to a weekly report on adherence to medications. This report will be delivered to the patient and to the patient identified family/friend/ or reciprocal peer.|
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