Evaluation of a Habit-based Work-up to Support Medication Adherence

University of Iowa

Status: Enrolling

Conditions: Habits; Medication Adherence

Treatments: Behavioral: Standard Medication Counseling; Behavioral: Habit workup

Study type: Interventional

Funder types: Other

Identifiers

NCT06230978

202311617

Details and patient eligibility

About

The goal of this clinical trial is to test the impact of a medication-taking habit worksheet and discussion with a pharmacist in patients who are prescribed a new chronic medication for cardiovascular disease or depression. The main questions it aims to answer are:

• What is the feasibility and acceptability of the workup from the perspective of the patients and the clinic?
• What is the impact of the intervention on the formation of medication-taking habits compared to a comparison group who receive standard pharmacist counseling?
• What is the difference in medication adherence beliefs and behaviors for the group receiving the habit workup compared to those receiving standard counseling?

Full description

The purpose of this study is to evaluate a habit adherence workup delivered by pharmacy in primary care. The study population will include patients taking new medications for chronic conditions like high blood pressure, high cholesterol, diabetes, and depression.

This study uses a sequential design which involves first evaluating 16 patients without the added habit worksheet, and then the second phase evaluates 16 patients with the habit worksheet. All participants meet with the pharmacist and are provided standard counseling on the new medications. All participants complete the pre and post survey.

The pharmacist will be trained on the medication habit workup worksheet which has the patient choose cues they will use to develop their medication-taking habit. These will include associating the new habit with hygiene habits like toothbrushing, other habits like making coffee or eating breakfast, or visual cues like setting medications out where they will be easily noticed when doing other habits like getting dressed. Patients will take their sheet with them as a reminder of their plan. Patients also will receive medication counseling. The encounters will occur in a private clinic room.

All participants will complete baseline and follow-up surveys, which will include space for open-ended comments.

Enrollment: 32 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants must be fluent to speak and write in English,
• must be prescribed a new chronic medication

Exclusion criteria

• Does not manage their own medications independently

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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32 participants in 2 patient groups

Standard of care

Active Comparator group

Description:

The first 16 patients will receive standard medication counseling from the pharmacist

Treatment:

Behavioral: Standard Medication Counseling

Habit workup arm

Experimental group

Description:

The second 16 patients will receive the habit workup in addition to medication counseling

Treatment:

Behavioral: Habit workup

Behavioral: Standard Medication Counseling