- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT07718334
Impact of a Mobile Application-Based Medication Reminder on Treatment Adherence Among Patients With Chronic Diseases and Memory Impairment: A Nursing Leadership Perspective
Impact of a Mobile Application-Based Medication Reminder on Treatment Adherence Among Patients With Chronic Diseases and Memory Impairment: A Nursing Leadership Perspective - A Quasi Experimental Study
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Improving medication adherence in patients with chronic illnesses and cognitive decline is a key priority in healthcare management and nursing administration. This quasi-experimental study utilizes a pretest-posttest design to examine the effectiveness of a mobile application-based reminder system designed specifically for patients experiencing memory impairment.
Participants will be selected based on specific inclusion criteria, including being diagnosed with a chronic disease and exhibiting mild-to-moderate memory impairment. Baseline assessments (pretest) will be conducted to measure initial medication adherence levels, patient demographics, and health status. Following the baseline phase, the intervention will be introduced, where participants will utilize the mobile application to receive automated medication alerts and reminders over a specified period. Evaluation (posttest) will be performed post-intervention to analyze changes in adherence rates. The findings are expected to provide insights into how nursing leadership can leverage mobile health (mHealth) technology to design supportive care pathways, enhance patient independence, and reduce clinical complications associated with poor treatment adherence.
Studientyp
Einschreibung (Geschätzt)
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
- Name: Asmaa Elwan Hassan, PhD
- Telefonnummer: +201063776424
- E-Mail: asmaaelwan@mans.edu.eg
Studieren Sie die Kontaktsicherung
- Name: Mona Ahmed Gabr, PhD
- Telefonnummer: 201097898593
Studienorte
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Dakahlia Governorate
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Gamasa, Dakahlia Governorate, Ägypten
- Rekrutierung
- Outpatient Clinics, Delta University for Science and Technology
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Kontakt:
- Asmaa Elwan Hassan, PhD
- Telefonnummer: +201063776424
- E-Mail: asmaaelwan@mans.edu.eg
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Kontakt:
- Mona Ahmed Gabr, PhD
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Kafr el-Sheikh Governorate
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Kafr ash Shaykh, Kafr el-Sheikh Governorate, Ägypten
- Rekrutierung
- Outpatient Clinics, Kafr El-Sheikh Hospital
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Kontakt:
- Asmaa Elwan Hassan, PhD
- Telefonnummer: +201063776424
- E-Mail: asmaaelwan@mans.edu.eg
-
Kontakt:
- Mona Ahmed Gabr, PhD
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Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria:
- Patients diagnosed with one or more chronic diseases requiring regular long-term medication.
- Patients exhibiting mild-to-moderate memory impairment or cognitive decline as screened by the Mini-Mental State Examination (MMSE).
- Patients who personally own and are capable of operating a smartphone or have a primary caregiver willing to manage the mobile application.
- Patients aged 18 years and older.
- Patients who provide voluntary informed consent to participate in the study.
Exclusion Criteria:
- Patients with severe cognitive impairment or advanced dementia who cannot interact with mobile technology even with caregiver assistance.
- Patients with severe acute clinical complications or unstable psychiatric conditions.
- Patients participating in another concurrent clinical trial or study targeting medication adherence
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Unterstützende Pflege
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Experimental: Mobile Application Group
Participants in this single-group study will receive training on and utilize a customized mobile application-based medication reminder designed to support adherence to their therapeutic regimens.
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The intervention consists of a mobile application specifically designed to support medication adherence.
It features automated push notifications, customized reminder alerts matching prescribed medication schedules, and tracking logs.
Participants will be instructed on how to install, configure, and use the application on their personal smartphones.
The system is designed to provide immediate prompts to overcome memory-related adherence barriers.
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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Medication Adherence (MMAS-8)
Zeitfenster: Baseline (pre-intervention) and 3 months post-intervention
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Medication adherence will be assessed using the 8-item Morisky Medication Adherence Scale (MMAS-8).
This self-reported tool evaluates patients' behaviors regarding taking their prescribed chronic medications.
Total scores range from 0 to 8, where a score of 8 indicates high adherence, 6 to <8 indicates medium adherence, and <6 indicates low adherence.
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Baseline (pre-intervention) and 3 months post-intervention
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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Objective Medication Adherence: Medication Possession Ratio (MPR)
Zeitfenster: 3 months post-intervention
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Medication Possession Ratio (MPR) will be calculated using pharmacy refill records to determine the proportion of time the patient has access to their prescribed medication during the study period.
Total scores will range from 0 to 1 (or 0% to 100%), with higher values indicating better adherence.
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3 months post-intervention
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Objective Medication Adherence: Proportion of Days Covered (PDC)
Zeitfenster: 3 months post-intervention
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Proportion of Days Covered (PDC) will be assessed using pharmacy refill records to measure the percentage of days the patient covered their prescribed medication dosage over the study duration.
Total scores will range from 0 to 1 (or 0% to 100%), where higher values reflect superior medication adherence.
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3 months post-intervention
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Cognitive Function Status (MMSE)
Zeitfenster: Baseline
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Cognitive impairment levels will be screened using the Mini-Mental State Examination (MMSE) to classify the severity of cognitive/memory impairment among participants.
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Baseline
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Perceived Nursing Care and Leadership Support
Zeitfenster: 3 months post-intervention.
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Evaluated using the Nursing Care and Leadership Support Assessment Tool to measure patient satisfaction and perception of the supportive role played by nursing leadership during the application-based program.
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3 months post-intervention.
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Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Geschätzt)
Studienabschluss (Geschätzt)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Neurologische Manifestationen
- Erkrankungen des Nervensystems
- Pathologische Prozesse
- Krankheitsattribute
- Neurobehaviorale Manifestationen
- Pathologische Zustände, Anzeichen und Symptome
- Verhalten
- Anzeichen und Symptome
- Therapietreue und Compliance
- Gesundheitsverhalten
- Zuverlässigkeit des Patienten
- Patientenakzeptanz der Gesundheitsversorgung
- Gedächtnisstörungen
- Chronische Erkrankung
- Medikamentenhaftung
Andere Studien-ID-Nummern
- DFM-IRB 00012367- 26-04-001
Plan für individuelle Teilnehmerdaten (IPD)
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Beschreibung des IPD-Plans
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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