- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT01304186
An Automated, Tailored Information Application for Medication Health Literacy
28. februar 2013 oppdatert av: Nova Southeastern University
The purpose of this study is to evaluate the acceptability and efficacy of a computer-based tailored information application designed to promote health literacy in persons treated for HIV infection.
The study hypothesis is that the application will be acceptable and usable for persons treated for HIV infection, and will improve their levels of adherence to antiretroviral medication treatment.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
Health literacy is a critically important problem in improving the effectiveness of health care interventions.
Patient behaviors essential to the successful treatment of HIV infection, such as high levels of medication adherence, may depend on patients understanding how to take medication, how to solve medication-related problems, and how to cope with medication side effects.
An approach that has shown promise in promoting behavior change in HIV+ persons is the Information-Motivation-Behavior Skills (IMB) model.
The intervention proposed in this application will implement a health literacy intervention based in part on insights about behavior change drawn from studies of this model.
The purpose of the proposed research is to implement this intervention via a computer-based and automated tailored information application.
Participants will first complete an automated computer-administered self interview (ACASI) that will assess medication knowledge, disease knowledge likely to be related to motivation, and problem solving skills.
Results of this assessment will feed forward to an automated training application that provides individually-tailored training on these topics.
This computer-based program will provide training, test understanding, and if necessary reteach and retest.
It will also provide printed information for participants to take home to provide ongoing prompts.
This study will comprise two phases.
In the first, the program will be developed and tested with potential users to assess its usability and detect problems with the wording of materials.
In the second phase, participants' health literacy and cognitive status will be evaluated, their adherence to a medication for HIV infection will be assessed using electronic monitoring, and the effects of the program on their adherence will be tested.
Studietype
Intervensjonell
Registrering (Faktiske)
124
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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Florida
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Fort Lauderdale, Florida, Forente stater, 33328
- Ziff Health Clinics, Nova Southeastern University
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Aged 18 years or older
- Currently treated with at least one medication for HIV infection
- No change in target medication anticipated in the next two months
- Able to participate in the study intervention in English
Exclusion Criteria:
- Psychiatric or cognitive disorder of severity sufficient to make the potential participant unable to provide informed consent.
- Not able to participate in the intervention using English.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomisert
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Tailored Information
Participants in this arm receive the computer-based tailored information application that focuses on improving health literacy related to treatment of HIV infection.
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The intervention comprises a computer-based application designed to provide individually-tailored information to participants in an interactive fashion.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Medication adherence
Tidsramme: Four weeks after intervention
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Medication adherence is assessed using electronic monitoring of pill bottle openings via the Medication Event Monitoring System (MEMS) for the month before and the month after participants engage in the study intervention.
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Four weeks after intervention
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Participant self-efficacy
Tidsramme: Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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Mood
Tidsramme: Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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Elements of the Information, Motivation, and Behavioral Skills Model
Tidsramme: Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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A self-report questionnaire asking participants about their knowledge, motivation, and behavioral skills with respect to HIV infection and its treatment.
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Immediately after completing the intervention (average time: 15 minutes) and four weeks after the intervention
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Intervention acceptability and usability
Tidsramme: Immediately after the intervention (average time: 15 minutes) and four weeks after the intervention
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A questionnaire assessing elements of the Technology Acceptance Model is administered immediately after completing the intervention and four weeks after its completion.
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Immediately after the intervention (average time: 15 minutes) and four weeks after the intervention
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Ownby RL, Waldrop-Valverde D, Caballero J, Jacobs RJ. Baseline medication adherence and response to an electronically delivered health literacy intervention targeting adherence. Neurobehav HIV Med. 2012 Oct 18;4:113-121. doi: 10.2147/NBHIV.S36549.
- Ownby RL, Waldrop-Valverde D, Hardigan P, Caballero J, Jacobs R, Acevedo A. Development and validation of a brief computer-administered HIV-Related Health Literacy Scale (HIV-HL). AIDS Behav. 2013 Feb;17(2):710-8. doi: 10.1007/s10461-012-0301-3.
- Ownby RL, Waldrop-Valverde D, Jacobs RJ, Acevedo A, Caballero J. Cost effectiveness of a computer-delivered intervention to improve HIV medication adherence. BMC Med Inform Decis Mak. 2013 Feb 28;13:29. doi: 10.1186/1472-6947-13-29.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. juni 2010
Primær fullføring (Faktiske)
1. november 2011
Studiet fullført (Faktiske)
1. juni 2012
Datoer for studieregistrering
Først innsendt
18. februar 2011
Først innsendt som oppfylte QC-kriteriene
23. februar 2011
Først lagt ut (Anslag)
25. februar 2011
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
1. mars 2013
Siste oppdatering sendt inn som oppfylte QC-kriteriene
28. februar 2013
Sist bekreftet
1. februar 2013
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- RNA-virusinfeksjoner
- Virussykdommer
- Infeksjoner
- Blodbårne infeksjoner
- Smittsomme sykdommer
- Seksuelt overførbare sykdommer, virale
- Seksuelt overførbare sykdommer
- Lentivirus infeksjoner
- Retroviridae-infeksjoner
- Immunologiske mangelsyndromer
- Sykdommer i immunsystemet
- Langsomme virussykdommer
- HIV-infeksjoner
- Ervervet immunsviktsyndrom
Andre studie-ID-numre
- R21MH086491 (U.S. NIH-stipend/kontrakt)
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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