Text-message Support to Improve Oral Antibiotic Adherence After ED Discharge

Medication Adherence Clinical Trial

— ImpACT  

Official title:

Feasibility of Using Text-Message Support to Improve Antibiotic Adherence After ED Discharge

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01388465
• Other study ID #: PRO11020492
• Status: Completed
• Phase: N/A
• First received: July 1, 2011
• Last updated: May 18, 2012
• Start date: June 2011
• Est. completion date: December 2011

Study information

• Verified date: May 2012
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The investigators are testing the hypothesis that patients who are exposed to daily text-message (TM) assessments with feedback will have better adherence to prescription than those patients not exposed to TM-based queries with feedback.

Description:

Short course, oral antibiotics are frequently prescribed to patients treated/discharged from the Emergency Department. Medication adherence involves the patient taking the proper daily dosing of prescribed medication for the entire length of time it is prescribed. Previous studies have shown that prescription non-filling rates range from 5 to 20%. Other studies have shown that even if patients fill their prescription, as low as 30-40% will properly take the medication. The purpose of this study is to determine if the proportion of patients discharged from the Emergency Department that are adherent with antibiotics is higher in patients that are provided TM support using self-report.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: December 2011
• Est. primary completion date: December 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Ages 18 and older

• Planned discharge form the ED on oral antibiotics

Exclusion Criteria:

• non-English speaking

• Prisoner

• No personal mobile phone with text message features

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Medication Adherence

Intervention

Behavioral:
• Mobile phone text messaging
Daily assessment followed by feedback

Locations

Country	Name	City	State
United States	UPMC Mercy Emergency Department	Pittsburgh	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
University of Pittsburgh

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Successfully picked up prescription within 24 hours of ED discharge	We will compare the proporiton of participants in each group who have picked up their prescription within 24 hours of discharge	24 hours post ED discharge	Yes
Secondary	Complete adherence to oral antibiotics	We will compare the proporiton of participants in either group who have achieved complete adherence to dosing and days of treatment	3-14 days	Yes