Improving Medication Adherence Using Family-focused and Literacy-sensitive Strategies
Part of paid clinical trials in Lexington, Kentucky.
- Sponsor
- Jia-Rong Wu
- Study ID
- NCT05548413
- Status
- Recruiting
Conditions
- Heart Failure
- Medication Adherence
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Accepted
Interventions
- FamLit — BEHAVIORALThe FamLit (Family-focused and Literacy-sensitive strategy) is an interactive, multi-component intervention supported by the FamLit intervention Guide, including both spoken and printed materials written at a 4th-grade reading level for HF patients and their primary CPs.Three constructs guide the intervention, based on the Theory of Planned Behavior (TPB): 1) develop patient and CP positive attitudes through HF instruction and teach-back; 2) form positive subjective norms through coaching to improve patient and CP communication, support, and teamwork; and 3) increase perceived behavioral control through coaching and role-playing to empower patients and CPs to overcome individual barriers to adherence. This intervention also includes use of the SimpleMed+ electronic pillbox.
- Attention Control — BEHAVIORALParticipants in this group will talk with an interventionist to discuss general health. This intervention also includes use of the SimpleMed+ electronic pillbox.
Study Details
People with heart failure who do not take their medications as prescribed are at high risk of complications leading to hospitalization, death and poor quality of life. In the proposed intervention, nurses will use easy-to-understand language to coach patients and their care partners to help them work together and build skills to overcome their individual barriers to adherence in order to 1) improve and sustain patient medication adherence; 2) reduce hospitalization; 3) improve quality of life. If effective, this intervention will support long-term medication adherence, thus reducing hospitalizations related to heart failure and quality of life.
Key Dates
- Start date
- Jan 4, 2023
- Status verified
- Apr 2026
- Primary completion
- Jun 30, 2027
- Completion
- Dec 31, 2027
Study Design
- Enrollment
- 328 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- OTHER
Arms
- Active Comparator: Patients - Attention OnlyPatients with a confirmed diagnosis of heart failure.
- Active Comparator: Care Partners - Attention OnlyCare partners of patients with a confirmed diagnosis of heart failure.
- Experimental: Patients - FamLitPatients with a confirmed diagnosis of heart failure.
- Experimental: Care Partners - FamLitCare partners of patients with a confirmed diagnosis of heart failure.
Primary Outcome Measure
Medication adherence [ Time Frame: 12 months ]
Central Contacts
- Jia-Rong Wu, PhD8593234712
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Jia-Rong Wu | Lexington | Kentucky | 40536 |
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