A Universal Medication Schedule to Promote Adherence to Complex Drug Regimens
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 50 - Any |
| Updated: | 8/3/2018 |
| Start Date: | April 3, 2017 |
| End Date: | March 2020 |
| Contact: | Guisselle A Wismer, MPH |
| Email: | delsalto@northwestern.edu |
| Phone: | 3125033272 |
This study will leverage available technologies and test strategies to impart the Universal
Medication Schedule (UMS) in primary care to help patients understand, consolidate, safely
use, and adhere to their complex medication regimens.
Medication Schedule (UMS) in primary care to help patients understand, consolidate, safely
use, and adhere to their complex medication regimens.
The study investigators will conduct a patient-randomized controlled trial using a 2x2
factorial design to compare the effectiveness of interventions, alone or in combination, to
one another. 1505 English and Spanish-speaking patients who are ≥ 50 years old, from a
federally qualified health center (FQHC) in Chicago, and prescribed ≥ 3 Rx medications will
be randomized to receive: 1) Enhanced Usual Care (EHR tools), 2) EHR tools + SMS, 3) EHR +
Portal, or 4) EHR + SMS + Portal.
The study aims to:
1. Compare the effectiveness of the UMS EHR tools, with or without SMS and/or Portal
interventions.
2. Evaluate the 'fidelity' (reliability) of each strategy and explore patient, staff,
physician, and health system factors influencing the delivery of the interventions,
alone and in combination
3. Assess the costs required to deliver each of the interventions from a health system
perspective
factorial design to compare the effectiveness of interventions, alone or in combination, to
one another. 1505 English and Spanish-speaking patients who are ≥ 50 years old, from a
federally qualified health center (FQHC) in Chicago, and prescribed ≥ 3 Rx medications will
be randomized to receive: 1) Enhanced Usual Care (EHR tools), 2) EHR tools + SMS, 3) EHR +
Portal, or 4) EHR + SMS + Portal.
The study aims to:
1. Compare the effectiveness of the UMS EHR tools, with or without SMS and/or Portal
interventions.
2. Evaluate the 'fidelity' (reliability) of each strategy and explore patient, staff,
physician, and health system factors influencing the delivery of the interventions,
alone and in combination
3. Assess the costs required to deliver each of the interventions from a health system
perspective
Inclusion Criteria:
- age 50+
- English or Spanish speaking
- Prescribed 3+ medications
- Primarily responsible for administering own medication
- Owns a cell phone and feels comfortable receiving texts
- Access and proficient in using internet at home and has a personal email address
Exclusion Criteria:
- Major cognitive, visual, or hearing impairment
- Doesn't meet inclusion criteria.
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