RecruitingNot ApplicableNCT06614049

AdLip: Human Coach-supported Digital/AI Personal Health Assistant to Improve Adherence to Lipid-Lowering Medication

AdLip: Use of Human Coach-supported Digital/AI Personal Health Assistant to Improve Adherence to Lipid-Lowering Medications: a Multi-centre Randomised Controlled Trial


Sponsor

National University of Singapore

Enrollment

450 participants

Start Date

Jun 10, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Investigators hypothesize that the use of a human coach-supported digital/AI personal health assistant (app) will improve adherence to cholesterol-lowering medications (statins with or without ezetimibe) among patients with hyperlipidaemia and suboptimal LDL-C control, when compared to standard care.


Eligibility

Min Age: 21 YearsMax Age: 84 Years

Inclusion Criteria6

  • Between 21 to 84 years old
  • Prescribed statins with or without ezetimibe for hyperlipidaemia.
  • Medication non-adherence as defined by the \"Extent to Non-adherence\" sub-scale of the DOSE Non-Adherence Measure), with a score \> 1 (range from 0-15)
  • Singapore residents (citizens, permanent residents, or long-term pass holders).
  • In possession of a smartphone or tablet with Android or iOS operating systems.
  • Have internet access on their mobile devices.

Exclusion Criteria10

  • Does not read or understand English. Current use of smartphone medication adherence app(s) that include statins.
  • Concurrent use of PCSK9 Inhibitors in addition to statins and/or ezetimibe
  • Participation in another study that uses medications that could affect lipid levels
  • Severe renal impairment defined as chronic kidney disease stage 4 and above.
  • Severe liver disease (Child-Pugh Class C)
  • Existing muscular-related complaints or diagnoses which may confound adverse event reporting
  • Uncorrected thyroid conditions, especially poorly-controlled hypothyroidism
  • Documented psychiatric diagnosis or history of mental illness or deemed as unable to give informed consent.
  • Currently pregnant, breastfeeding or expecting to get pregnant during the course of the study (1 year).
  • Guarded prognosis with expectant mortality within 12 months or less.

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Interventions

BEHAVIORALHuman Coach-supported Digital/AI Personal Health Assistant to Improve Adherence to Lipid-Lowering Medications

Receive personalised feedback and educational content curated by local clinicians and pharmacists through the CADENCE D-PHA app coupled with six sessions of human coaching on top of usual clinical care for lipid management over 6 months


Locations(2)

National Healthcare Group Polyclinics

Singapore, Singapore

National University Polyclinics

Singapore, Singapore

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NCT06614049


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