Improving Medication Adherence in Hypertensive Patients (HTNmobile)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01826435
Recruitment Status : Withdrawn (Collaborator was not clear on how best to proceed with this project.)
First Posted : April 8, 2013
Last Update Posted : January 28, 2014
Information provided by (Responsible Party):
Duke University

Brief Summary:
The study team is proposing a single arm intervention to test the effect of an electronic intervention on medication use among individuals with a prescription for hypertension/high blood pressure. The investigator proposes that technology like text messaging, email, web applications and mobile apps with proven, nurse intervention scripts, will lead to significant, cost-effective improvements in hypertension medication use.

Condition or disease Intervention/treatment Phase
Hypertension Behavioral: Electronic Intervention Not Applicable

Detailed Description:
The intervention will incorporate a scalable electronic intervention using Email/Web Apps and Short Message Service (SMS)/Mobile Web Apps. The study team will examine the participants' responses to the electronic encounters in the technology-only intervention throughout the 3-month study timeframe.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Improving Medication Adherence in Hypertensive Patients
Study Start Date : January 2014
Estimated Primary Completion Date : August 2014
Estimated Study Completion Date : May 2015

Arm Intervention/treatment
Experimental: Electronic Intervention
Over the three months, participants will receive a technology intervention. This will include text or email encounter notifications associated with appropriate mobile or online self-management information for medication adherence and behavior change.
Behavioral: Electronic Intervention
Patients will be able to receive the intervention notifications over the electronic/multimedia mode they prefer; selecting either text messaging/mobile web and/or email/online web. Text message or email alerts with an included uniform resource locator (URL) link to the specified mobile or online web site will be utilized to notify patients of a pending encounter available on mobile. Topics that will be addressed in the intervention include medication and side effects, social support, hypertension knowledge, memory and smoking. All intervention encounters that are designed to collect responses from the patient will require the patient to supply credentials before responding to the encounter; thus, ensuring privacy of the patient session, as well as patient-specific tracking of responses.

Primary Outcome Measures :
  1. Proportion of Days Covered (PDC) [ Time Frame: 3 months ]
    Proportion of Days Covered (PDC), a Pharmacy Quality Alliance (PQA)-recommended metric for estimation of medication adherence for patients using chronic medications, will be used to identify the percentage of patients taking medications in a particular drug class with high adherence (PDC > 80% for the individual). Participants with a PDC ≤0.8 will be categorized as having "poor" adherence, and those with a PDC >0.8 will be categorized as having "good" adherence. For analyses, the PDC will be dichotomized at 0.8 (PDC >0.8) over the entire 3 month follow-up, yielding a single assessment of pill refill adherence that will be used as the primary outcome.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Enrolled in the primary care clinic for the past 6 months
  • New or existing prescription for hypertension
  • Poorly controlled mean systolic blood pressure (SBP) in the last 12 months (>140/90 Hg)

Exclusion Criteria:

  • Hospitalized for a stroke, myocardial infarction, coronary artery revascularization in the past 3 months,
  • Diagnosis of metastatic cancer;
  • Active diagnosis of psychosis or dementia documented in medical record;
  • Does not have access to the appropriate technology required
  • Is not willing to use said device to receive notifications for the study;
  • Does not live independently (assisted living or nursing home residents) or otherwise institutionalized or receiving home health care
  • Severely impaired hearing, vision or speech (unless technological aides allow them full functionality)
  • Planning to leave the area or change primary care clinics prior to the anticipated end of participation;
  • Unable to read and understand spoken English
  • Participation in another cardiovascular disease (CVD) study
  • Another household member enrolled in study;
  • Arm size > 50cm

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01826435

United States, North Carolina
Duke University Health System Clinic
Durham, North Carolina, United States, 27705
Sponsors and Collaborators
Duke University

Responsible Party: Duke University Identifier: NCT01826435     History of Changes
Other Study ID Numbers: Pro00043793
First Posted: April 8, 2013    Key Record Dates
Last Update Posted: January 28, 2014
Last Verified: January 2014