RecruitingNot ApplicableNCT05470439

My Interprofessional Care Team for Adherence and Research Engagement Disparities

Pharmacist-CHW Team to Improve Medication Adherence and Reduce Hypertension

Sponsor

University of Arizona

Enrollment

217 participants

Start Date

Aug 30, 2023

Study Type

INTERVENTIONAL

Conditions

Hypertension Medication Adherence

Summary

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.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a team-based care approach — involving multiple health professionals including pharmacists, nurses, and doctors — to help patients with chronic conditions like diabetes or high blood pressure stick to their treatment plans and improve their health outcomes. **You may be eligible if...** - You have a chronic condition such as diabetes or high blood pressure that is being managed at a participating clinic - You are having difficulty staying on top of your medications or treatment plan - You are an adult willing to engage with a care team **You may NOT be eligible if...** - You are already receiving intensive care management from another program - You are unable or unwilling to participate in team-based care visits Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALMy Interprofessional Care team for Adherence and Research Engagement (MI-CARE)

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.