Hypertension Clinical Trial
Official title:
Effect of Occupational Therapy in Promoting Medication Adherence: A Randomized Control Trial
The purpose of this research study is to see if an occupational therapist can help people with high blood pressure and/or diabetes find ways to better take their medicine. Participants will be recruited from the Jordan Valley Community Health Center in Springfield, Missouri.
The purpose of this study is to determine whether the addition of an occupational therapy
intervention to counseling by a clinical pharmacist (current usual care) compared to
counseling by a clinical pharmacist only, will affect three-month medication adherence rates
among community-dwelling adults with uncontrolled hypertension and/or diabetes.
To meet this purpose, the following objectives will be addressed:
1. to determine if the addition of the delivery of an occupational therapy intervention
(specifically the Integrative Self-Management Intervention) to usual care improves
three-month medication adherence rates, as measured by the Adherence to Refills and
Medication Scale (ARMS-7), pill count, blood pressure and/or hemoglobin A1c.
2. to determine whether the administration of the occupational therapy intervention in
addition to usual care influences an individual's readiness for change as measured by
the stages of change measure; and
3. to explore whether participant demographics (e.g., gender, age, race/ethnicity, assist
at home, co-morbidities, and number of medications) impact three-month medication
adherence rates.
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