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Using Smart Phone Technology to Support HIV Medication Refill Adherence in Virginia

15 april 2019 uppdaterad av: Rebecca Dillingham, MD/MPH, University of Virginia

Using Smart Phone Technology to Support HIV Medication Refill Adherence in Virginia - Pilot Study

The purpose of this study is to pilot a mobile health intervention, originally designed for HIV retention in care, for use in aiding patients with medication refills. The study will implement the PositiveLinks Rx app with the Henrico Health department. The study will assess user engagement and satisfaction with the app as well as preliminary impact on patient refill compliance.

Studieöversikt

Detaljerad beskrivning

The study will enrolled provider and patient participants at the Henrico Health Department in Virginia who either receive or provide medication refills through the AIDS Drug Assistance Program (ADAP). Patient participants will be provided access to a mobile app that allows them to track their mood, stress, and medication adherence, access an anonymous online community, securely message providers, and receive medication refill alerts. Provider participants will be able to view the information entered by enrolled clients, securely message clients, and track medication refill processes. Study participants will be asked to provide feedback on usability, utility, impact, and effectiveness of the program. Additional assessments will evaluate for impact on medication refill adherence and patient-provider communication.

Studietyp

Interventionell

Inskrivning (Förväntat)

26

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

    • Virginia
      • Richmond, Virginia, Förenta staterna, 23228
        • Henrico Health Department

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

18 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Nej

Kön som är behöriga för studier

Allt

Beskrivning

Patient Inclusion Criteria:

  • Currently picking up of receiving medications through ADAP from the Henrico Health Department; Able to read in English; Able to speak English; Able to sign informed consent

Provider Inclusion Criteria:

  • Current Henrico Health Department employee working with the ADAP pharmacy; Able to read in English; Able to speak English; Able to sign informed consent

Exclusion Criteria:

  • Severe cognitive impairment that interferes with a subjects ability to consent; non-English speaking; Prisoners

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Stödjande vård
  • Tilldelning: Icke-randomiserad
  • Interventionsmodell: Enskild gruppuppgift
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Övrig: Provider Participants
Employees who work with medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as providers. Provider participants will receive access to a web based system that allows them to view information for their enrolled clients, securely message clients, and track medication refills. Providers will be asked to participate in a 30-day usability interview and a end-of-study assessment.
An online portal that interacts with the mobile app to enable users to engage with participants though messaging and medication refill tracking.
Övrig: Patient Participants
Clients who receive medication refills through the AIDS Drug Assistance Program at the Henrico Health Department will be invited to participate in the study as patients. Patient participants will be provided access to a mobile app that allows them to track their mood, stress, and medication adherence, access an anonymous online community, securely message providers, and receive medication refill alerts
A mobile app designed with tools to facilitate patient self-monitoring, patient-provider communication, medication refills, and social support.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Patient Medication Refill Compliance
Tidsram: Assessed at baseline and 6-months
Primary variable analysis will include examination of patient medication refill compliance at baseline and at the 6-month follow-up to assess for any change in refill compliance.
Assessed at baseline and 6-months

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
App Usability
Tidsram: 30-days after enrollment
Assessed through the system usability scale (SUS), a validated ten item scale. Additional usability factors will be assessed through qualitative methods.
30-days after enrollment
Participant Check-In Engagement
Tidsram: Assessed at 6-months
Examining participant app engagement through assessment of check-in response rates
Assessed at 6-months
Participant Messaging Engagement
Tidsram: Assessed at 6-months
Examining participant app engagement through assessment of messages sent and received
Assessed at 6-months
Participant Community Engagement
Tidsram: Assessed at 6-months
Examining participant app engagement through assessment of community posts
Assessed at 6-months
Participant Feature Engagement
Tidsram: Assessed at 6-months
Examining participant app engagement through assessment of page views
Assessed at 6-months
Change in Patient Refill Satisfaction
Tidsram: Assessed at baseline and 6-months
Assessment of change in patient satisfaction with the refill process at their local health department. Utilizes a patient satisfaction with pharmaceutical services scale.
Assessed at baseline and 6-months
Change in Provider Communication
Tidsram: Assessed at baseline and 6-months
Assessment of change in patient perception of provider (local health department staff) communication. Utilizes the Consultation and Relational Empathy (CARE) scale.
Assessed at baseline and 6-months
Program Alignment with Health Department Workflow
Tidsram: Assessed at 30-days and 6-months
Assessing alignment with health department workflow through provider end-of-study and usability interviews
Assessed at 30-days and 6-months

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

21 mars 2019

Primärt slutförande (Förväntat)

1 september 2019

Avslutad studie (Förväntat)

1 september 2019

Studieregistreringsdatum

Först inskickad

25 februari 2019

Först inskickad som uppfyllde QC-kriterierna

13 mars 2019

Första postat (Faktisk)

15 mars 2019

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

17 april 2019

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

15 april 2019

Senast verifierad

1 april 2019

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • 21185

Läkemedels- och apparatinformation, studiedokument

Studerar en amerikansk FDA-reglerad läkemedelsprodukt

Nej

Studerar en amerikansk FDA-reglerad produktprodukt

Nej

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

Kliniska prövningar på Hiv

Kliniska prövningar på PositiveLinks RX Portal

3
Prenumerera