My Interprofessional Care Team for Adherence and Research Engagement Disparities

Part of paid clinical trials in Springfield, Massachusetts.

Sponsor
University of Arizona
Study ID
NCT05470439
Status
Recruiting
Apply to this trial

Conditions

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • My Interprofessional Care team for Adherence and Research Engagement (MI-CARE) — BEHAVIORAL
    MI-CARE is an innovative, tailored coordinated care intervention by pharmacist-community health worker (CHW) team derived from a previous research and a clinical pilot implementation. MI-CARE will identify and address individual, clinical, social-cultural and structural barriers to medication adherence and hypertension management. MI-CARE consists of an initial individualized needs assessment (Baseline). During Months 1-2, pharmacist-CHW team will deliver a tailored intervention including an individualized medication chart, preferred adherence aids, hypertension therapy optimization, tailored education based on medication beliefs, tools to combat social stressors, and referrals for structural barriers such as food insecurity, transportation and drug costs. Tailored family/care partner participation and telehealth visits will be provided when needed during this time. A booster visit to assess patient progress and reinforce intervention components will occur at Month 2.

Study Details

MI-CARE is an innovative coordinated care team intervention to improve medication adherence and blood pressure derived from research findings that build on existing clinical practice. Designed with an eye toward sustainability, MI-CARE incorporates billable pharmacist and CHW services for patients with low medication adherence and high burdens of chronic illness and preventable consequences. MI-CARE offers interprofessional team care with comprehensive expertise and complementary skill sets that mitigate the silo effect of specialized medicine to deliver primary care to diverse, high-risk populations experiencing disparities in hypertension.

Key Dates

Start date
Aug 30, 2023
Status verified
Jun 2025
Primary completion
Mar 31, 2026
Completion
Jun 30, 2026

Study Design

Enrollment
217 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: MI-CARE Intervention
    Pharmacist-community health worker team providing coordinated care tailored to high-risk patients with hypertension. MI-CARE intervention participants will meet with the pharmacist-CHW team for medication optimization and tailored case management. Pill counts will be completed to assess adherence and BP will be measured at each visit to guide antihypertensive medication optimization and provide feedback to participants about their adherence and BP control. Intervention visits will be followed by a booster one month later.
  • No Intervention: Waitlist Control
    Participants enrolled in this arm will receive usual medical care

Primary Outcome Measure

Objectively measured medication adherence (pill count) [ Time Frame: Month 6 ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Caring Health Center, Inc.SpringfieldMassachusetts01103
Vrinda Prakash
[email protected]
413-739-1100
Cristina Huebner Torres, PhD MA (PRINCIPAL_INVESTIGATOR)

Find similar trials in Springfield, MA

By condition
Hypertension (high blood pressure)
By specialty
CardiologyHeart disease
By research site
Caring Health Center, Inc.· Springfield, MA

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