Improving Adherence to Pharmacological Treatment (PACT)
2009年2月19日 更新者：University of Massachusetts, Worcester
The overall goal of this study was to implement and evaluate the effects of a systems-based and pharmacist-mediated program designed to improve adherence for patients with known coronary heart disease (CHD) to lipid-lowering pharmacologic therapy and of their physicians/nurse practitioners to the National Cholesterol Education Program Guidelines.
研究概览
详细说明
Patients were randomly assigned to a usual care condition which consisted of patients provided with usual care only, or to the Special Intervention (SI) condition.
The intervention was implemented and coordinated by pharmacists, who utilized for tracking and communication the Lotus Notes®-based system that was developed for the project.
研究类型
介入性
注册 (实际的)
689
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Massachusetts
-
Worcester、Massachusetts、美国、01655
- UMass Memorial Medical Center
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
30年 至 85年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- was between 30 and 85 years of age;
- had known CHD, defined as the presence of at least one coronary lesion at coronary angiography of >50%.
Exclusion Criteria:
- was unable or unwilling to give informed consent;
- had a history of intolerance to two or more statin drugs;
- planned to move out of the area within one year of recruitment;
- had a poor prognosis such that life expectancy was thought to be <5 years;
- had a psychiatric illness which limited ability to participate; or
- had no telephone.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：2个
|
Patients in the SI were seen by a study pharmacists prior to discharge to establish a relationship with the patient, explain the pharmacist's role in the study, provide education about all discharge medications and a medication card listing all medications and their manner of use, and set the framework for the follow-up telephone calls.
Patients received pharmacist-delivered adherence counseling telephone contacts that took place at two weeks following discharge, and at months 1, 3, 6, and 9 oriented towards assisting patients to remain adherent to prescribed lipid-lowering and other medications, and also towards ensuring that all patients were either documented to be at the LDL-C goal, or were assisted to reach the goal by facilitating the scheduling of repeat lipid measurement as needed and providing information, guidelines and prompts to the patient's physician or nurse practitioner.
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
The primary outcome evaluated is the percentage of patients with a serum low-density lipoprotein cholesterol (LDL-C) level <70 mg/dl.
大体时间：One year
|
One year
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
Proportion of prescribed lipid-lowering medication taken by patients as measured by a continuous multiple-interval (CMA) measure of medication availability based on pharmacy records.
大体时间：One year
|
One year
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Ira S Ockene, MD、University of Massachusetts, Worcester
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2000年9月1日
初级完成 (实际的)
2005年5月1日
研究完成 (实际的)
2005年5月1日
研究注册日期
首次提交
2009年2月18日
首先提交符合 QC 标准的
2009年2月19日
首次发布 (估计)
2009年2月20日
研究记录更新
最后更新发布 (估计)
2009年2月20日
上次提交的符合 QC 标准的更新
2009年2月19日
最后验证
2009年2月1日
更多信息
与本研究相关的术语
其他研究编号
- HL66786
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.