N/A
N=23
Medication Adherence With Polyglot Meducation
Hypertension · Diabetes · Hypercholesterolemia
Bottom Line
View on ClinicalTrials.gov: NCT01744392 ↗Enrolled (actual)
23
Serious AEs
60.9%
Results posted
Nov 2015
Primary outcome: Primary: Medication Possession Ratio at Baseline — 65.0 percentage of medication possession
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- education intervention (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Durham VA Medical Center
- Primary completion
- Jun 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Medication Possession Ratio at Baseline |
65.0 | — |
| PRIMARY Medication Possession Ratio at 6 Months |
68.2 | .73 |
| SECONDARY Blood Pressure at Baseline |
130.06; 76.6 | — |
| SECONDARY Blood Pressure at 6 Months |
130.1; 75.1 | — |
| SECONDARY Cholesterol & Creatinine Levels at Baseline |
77.0; 45.1; 152.4; 1.1 | — |
| SECONDARY Cholesterol & Creatinine Levels at 6 Months |
82.3; 46.4; 160.0; 1.2 | — |
| SECONDARY Weight at Baseline |
223.0 | — |
| SECONDARY Weight at 6 Months |
219.4 | — |
| SECONDARY Pulse at Baseline |
73.2 | — |
| SECONDARY Pulse at 6 Months |
70.3 | — |
Summary
The investigators propose a 6 month pre-post, pilot,feasibility study with up to 25 individuals among veterans with cardiovascular disease risk factors including Hypertension (HT), Diabetes Mellitis (DM) and Hyperlipidemia (HL) who receive care from the hospital-based primary care clinics associated with Durham VAMC. The investigators will examine veteran's perception and ease of using an innovative tool to help improve medication adherence to cardiovascular medications. This study aims to focus on patients with multiple chronic conditions and their caregivers to address 1) appropriate use of medications 2)maximize patient self-care and care by families and other caregivers 3) make available a tool for medication management 4) managing complex regimens, and 5) addressing health literacy.
Eligibility Criteria
Inclusion Criteria
- Enrolled in one of three DVAMC Primary Care Clinics affiliated with the hospital for at least one year;
- At least one visit to a primary care provider (PCP) at Durham VAMC associated primary care clinics in the previous 12 months;
- Outpatient diagnostic code for hypertension (> 140/90), diabetes and/or hypercholesterolemia
- Prescription for metoprolol tartrate (twice a day beta blocker, most common 2 day medication prescribed in the VA)
- Baseline Medication Possession Ratio (MPR) of < 80% indicating medication non adherence
- More than 9 active medications.
Exclusion Criteria
- diagnosed with metastatic cancer,
- diagnosed with dementia documented in medical record,
- active diagnosis of psychosis documented in medical record with admission with last 30 days
- participating in another clinical trial,
- not currently receiving care at the Durham VAMC
- resident of a nursing home,
- hard time seeing type/printing on books, magazines articles, etc.
- hard time hearing or speaking on the telephone
- limited/no access to telephone
- currently a patient in the primary care pharmacist medication management clinic at Durham VAMC
- plans to move medical care from DVAMC in next 12 months
Data sourced from ClinicalTrials.gov (NCT01744392). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.