The Impact of Text Messaging on Medication Adherence and Exercise Regimen Among Post-myocardial Infarction Patients
研究概览
地位
条件
详细说明
The Impact of Text Messaging on Medication Adherence and Exercise Regimen among Post-Myocardial Infarction Patients includes two single-center randomized control trials to assess the impact of text message reminds on adherence to medications and exercise regimen in patients recently discharged from the hospital after MI.
Recruitment conducted at Cambridge Cardiac Rehabilitation in Ontario, Canada for both the medication adherence and exercise trial. Potential study subjects are evaluated for inclusion and exclusion criteria, give written informed consent, and are randomized, in a 1:1 ratio, to either intervention or usual care (control).
Patients randomized to the intervention arm in the medication adherence trial receive an automated text message once per day at the time they are prescribed to take their medication. The text message does not contain any personal or pharmacological information.
Patients randomized to the intervention arm in the exercise adherence trial receive four text messages per day at 7:30 am, 12:00 pm, 6:00 pm, and 9:00 pm, reminding them to exercise for 30 minutes per day as per their health care provider.
研究类型
注册 (实际的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Post-MI hospital discharge within 2 weeks
- Enrolled in cardiac rehabilitation
- Prescribed anti-platelets, beta-blockers, ACE-inhibitors or ARBs, and/or statins on 1x/day regimen (for medication adherence trial)
- Prescribed exercise regimen (for exercise trial)
- Ability to read and write English
- Possession of a cell phone with text messaging capability
Exclusion Criteria:
- Age < 18
- Incarcerated individuals
- Unable to read and write English
- Not in possession of a cell phone
- Patients prescribed medication regimen > 1x/day
学习计划
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Medication text message
Once daily text message reminder.
|
Patients randomized to this arm receive one text message per day (at the scheduled time) reminding them to take their medication.
|
|
实验性的：Exercise text message
4x daily text message reminder.
|
Patients randomized to this arm receive 4 daily text messages reminding them to exercise for 30 minutes per day.
|
|
无干预：Usual care, medication adherence
Usual care for medication adherence.
|
|
|
无干预：Usual care, exercise regimen
Usual care for exercise regimen.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Medication adherence
大体时间：12 months
|
Average medication adherence over 12 months after randomization, assessed with self-reported logs
|
12 months
|
|
Exercise frequency
大体时间：12 months
|
Average frequency of exercise over 12 months after randomization, assessed with self-reported logs
|
12 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Exercise duration
大体时间：12 months
|
Average duration of exercise assessed by BRUCE protocol
|
12 months
|
|
Full medication adherence
大体时间：12 months
|
Average medication adherence over 12 months greater than .80
|
12 months
|
合作者和调查者
调查人员
- 首席研究员：Niteesh K Choudhry, MD, PhD、Center for Healthcare Delivery Sciences, Brigham and Women's Hospital
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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