SystemCHANGE™ Intervention on Medication Adherence in Older Adults With Heart Failure (ECHO)

University of Missouri, Kansas City

Status: Completed

Conditions: Aging; Medication Adherence; Heart Failure

Treatments: Behavioral: SystemCHANGE

Study type: Interventional

Funder types: Other

Identifiers

NCT03162848

17-130

Details and patient eligibility

About

The purpose of this pilot RCT study is to evaluate the acceptability and feasibility of a SystemCHANGE™ intervention to improve medication adherence in older adults with heart failure. The intervention focuses on changing the individual's environment by incorporating medication taking into existing routines using small experiments with feedback, and receiving support from people who impact routines.

Enrollment: 2 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• age 50 years or older
• HF diagnosis confirmed by their physician utilizing their most recent ejection fraction
• prescribed diuretics
• self-administering medications
• able to open an electronic cap
• able to speak, hear and understand English
• not hospitalized,
• no cognitive impairment as determined by a score of 4 or greater on the 6-item mini-mental status exam.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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2 participants in 2 patient groups

SystemCHANGE intervention

Experimental group

Description:

The SystemCHANGE™ intervention utilizes the Socioecological Model and Plan-Do-Check Act model as its framework and focuses on changing the individual's environment to change behavior using small experiments with feedback.

Treatment:

Behavioral: SystemCHANGE

Attention Control

No Intervention group

Description:

The attention control group will receive education at baseline, 1 month, and 2 months following America Heart Association brochures.