Viewing Study NCT02967588



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Last Modification Date: 2024-10-26 @ 12:13 PM
Study NCT ID: NCT02967588
Status: COMPLETED
Last Update Posted: 2017-07-02
First Post: 2016-10-11

Brief Title: An Intervention to Support Medication Adherence Following Acute Coronary Syndrome
Sponsor: Kings College London
Organization: Kings College London

Study Overview

Official Title: Development and Feasibility of a Brief Hospital-Based Intervention to Support Medication Adherence Following Acute Coronary Syndrome
Status: COMPLETED
Status Verified Date: 2016-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Background Medication adherence following acute coronary syndrome ACS is often sub-optimal and is associated with poor clinical outcomes Non-adherence can be considered intentional or unintentional Findings ways to improve adherence is an important area of research with widespread clinical implications however previous interventions have generally been ineffective The investigators propose an intervention that challenges both intentional and unintentional non-adherence in patients hospitalised following ACS

Objectives The objective of this study is to determine the feasibility of a hospital-based intervention aimed at supporting medication adherence in patients following an ACS

Methods Patients admitted to hospital with an ACS will be recruited for this study The study will target both intentional and unintentional non-adherence over two sessions through challenging treatment beliefs and formulating specific action plans to encourage habit formation Patients will be asked to provide in-depth feedback around the acceptability of the intervention As this is a feasibility study outcomes ie medication adherence will not be collected

Dissemination If this study seems to be practical to deliver and acceptable to patients then it will inform the design of a future randomized-controlled pilot study to test the effectiveness of the intervention delivered by hospital pharmacists on a study outcome ie medication adherence
Detailed Description: Intervention details

All stages of the intervention will take place during hospitalization
Firstly patients will complete a questionnaire based on the Beliefs about Medication Questionnaire-Specific BMQ-S Horne Weinmen 1999
Patients responses to this questionnaire will form the basis of Session 1 where beliefs about medicines will be discussed The aim is to identify any negative or erroneous beliefs patients have that may prevent them from taking their medicines after they leave the hospital
Session 2 will focus on developing specific action plans for taking medication at home Patients will be asked to formulate an if-then plan If it is time X in place Y and I am doing Z then I will take my pill dose The aim is to make taking their medicines as much a part of their daily routine as possible
Prior to discharge patients will complete the beliefs questionnaire again to see if there has been any shift in their beliefs about medications
Patients will also be asked to provide detailed feedback about the study The investigators want to know whether the intervention setting ie hospital-based timing ie straight after an ACS content ie targeting both intentional and unintentional non-adherence and interventionist ie PhD candidate seem to be acceptable to patients
Feedback will be gathered after completion of the intervention and also during a follow up phone call 2-3 weeks after discharge

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None