RecruitingNot ApplicableNCT05548413

Improving Medication Adherence Using Family-focused and Literacy-sensitive Strategies

Improving Medication Adherence Using Family-focused and Literacy-sensitive Strategies in Patients With Heart Failure


Sponsor

Jia-Rong Wu

Enrollment

328 participants

Start Date

Jan 4, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

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.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a program that uses family members and easy-to-understand strategies to help people with heart failure take their medications more consistently. It includes an electronic pill organizer that tracks whether medications are being taken. **You may be eligible if...** - You have been diagnosed with heart failure (either type) - You have had trouble taking your medications regularly in the past - You have a family member, partner, or friend who helps with your care and is willing to participate - You have been on stable heart failure medications for at least 3 months - You manage your own medications at home - You can be reached by phone **You may NOT be eligible if...** - You have significant memory problems or dementia - You do not have a care partner willing to be involved - You are in a care facility where staff administer your medications - You are unwilling to use the electronic pill tracker 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

BEHAVIORALFamLit

The 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.

BEHAVIORALAttention Control

Participants in this group will talk with an interventionist to discuss general health. This intervention also includes use of the SimpleMed+ electronic pillbox.


Locations(1)

Jia-Rong Wu

Lexington, Kentucky, United States

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NCT05548413


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