- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00576160
Improving Medication Adherence in Post-ACS Patients
Improving Med Adherence in Post-ACS Patients: Phase 1B Dose-Finding RCT
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
New York
-
New York, New York, United States, 10032
- Columbia University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Medical eligibility:
- Patient presenting for staged intervention with positive cardiac history OR
- Patient with stable CAD who received cardiac admission but does not report chest pain. OR
- Patient with stable CAD who has had a cardiac admission in the past.
- Patient is non-adherent to prescribed medication.
The following exclusion criteria have been set for either safety concerns or concerns that patients will not be able to complete the protocol:
- inability to communicate in English or Spanish
- unwilling to be randomized or to have aspirin in a separate bottle if they use a pill box
- unavailability for the 1 month period of the study (including being unavailable by phone and/or traveling out of the country)
- medically unable to receive aspirin (e.g. allergy, contra-indicated, etc)
- deemed unable to comply with the protocol (either self selected or by indicating during screening that s/he could not complete all requested tasks). This includes patients with a level of cognitive impairment indicative of dementia, and patients with current alcohol or substance abuse.
- deemed to need immediate psychiatric assessment (e.g., must be hospitalized, or have some other psychiatric intervention conducted within 72 hours).
- active psychosis, bipolar disorder, or any overt personality disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: A
Participants will complete Baseline and 30-day assessment visit. At both visits BDI II, Self-Efficacy Questions, AEs Assessment, and Treatment Satisfaction will be assessed. A MEMS cap will be used during the 30-day period to asses medication adherence to their prescribed aspirin. Usual Care: Participants assigned to UCC will only receive the pre- and post-assessment session, and any adherence education or encouragement that is regularly provided by their treating physicians. |
|
Experimental: B
Participants will complete Baseline and 30-day assessment visit.
At both visits BDI II, Self-Efficacy Questions, AEs Assessment, and Treatment Satisfaction will be assessed.
A MEMS cap will be used during the 30-day period to asses medication adherence to their prescribed aspirin.
After Baseline, there is an initial session telephone session with PST therapist.
Subsequent treatment sessions provide a context for the patient to discuss the problems and difficulties they face and that give rise to medication non-adherence.
|
Problem-Solving Therapy (PST) is a behavioral approach that teaches patients how to systematically solve their own behavioral difficulties.
During telephone treatment sessions, the patient will discuss the problems and difficulties they face and that give rise to medication non-adherence.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Prevalence of medication adherence
Time Frame: 30 days
|
30 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Karina W. Davidson, PhD, Columbia University
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AAAB9215
- K24HL084034 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Medication Adherence
-
NYU Langone HealthRobert Wood Johnson Foundation; New York City Health and Hospitals CorporationCompletedMedication Adherence | Medication ErrorsUnited States
-
Medical University of South CarolinaNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)RecruitingMedication Adherence | Medication ComplianceUnited States
-
Vanderbilt University Medical CenterCompletedAdherence, Medication | Nonadherence, MedicationUnited States
-
Universidad Autonoma de Baja CaliforniaCompletedMedication Adherence | Medication ComplianceMexico
-
Universiti Putra MalaysiaCompletedMedication Adherence | Adherence, TreatmentPakistan
-
University Hospital, Basel, SwitzerlandUniversity of BaselCompletedPolymedication-Check With Insight in Patients' Medication Organisation and Comprehension of GenericsMedication Adherence | Medication Therapy ManagementSwitzerland
-
Guy's and St Thomas' NHS Foundation TrustKing's College London; Sir Halley Stewart TrustCompletedMedication Adherence | Medication Compliance | Attitude | CaregiversUnited Kingdom
-
National Healthcare Group, SingaporeCompletedMedication Adherence | Medication Administered in Error
-
Cliniques universitaires Saint-Luc- Université...RecruitingAdherence, MedicationBelgium
-
Northwell HealthNational Institute on Aging (NIA)RecruitingMedication AdherenceUnited States
Clinical Trials on PST therapy
-
University of Sao Paulo General HospitalCompleted
-
Lawson Health Research InstituteBell Let's Talk Community FundCompleted
-
University of Lausanne HospitalsTerminated
-
Yale UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...Completed
-
Washington University School of MedicineNurses for Newborns FoundationCompletedPost-partum DepressionUnited States
-
Virginia Commonwealth UniversityRecruitingInformal Caregivers | Cancer SurvivorsUnited States
-
VA Office of Research and DevelopmentNot yet recruiting
-
Weill Medical College of Cornell UniversityNational Institute of Mental Health (NIMH)Completed
-
University of Texas at AustinNational Institute of Mental Health (NIMH)CompletedDepressionUnited States
-
Yale UniversityCongressionally Directed Medical Research ProgramsRecruitingAnger | Aggression | Autism Spectrum Disorder | Irritability | Asperger Syndrome | Pervasive Developmental Disorder | Disruptive BehaviorUnited States