Medication Adherence Clinical Trial
Official title:
The Impact of Comprehensive Medication Review by Pharmacist in Hemodialysis Patients: A Quasi Experimental Interrupted Time Series Study
Nonadherence to medications by patients requiring hemodialysis (HD) leads to unfavorable clinical outcomes.Limited data exist on the influence of pharmacists on pharmacoadherence by patients requiring HD. Therefore, we assessed the impact of patient-centered pharmacist care through the implementation of concepts of Medication Therapy Management (MTM) and motivational interview (MI) on pharmacoadherence and its outcomes in patients requiring HD.
Patients were assessed at baseline for baseline characteristics, dialysis-related factors,
and medications records
1. Pharmacists conducted brief monthly interview for patients to assess the medications
they are receiving
2. A comprehensive interview for patients occurred at month 3 and 5 including concepts of
MTM and MI
3. MTM included a review of each participant's medications and personal medication record
to identify the use of any over-the-counter medications, design of their
medication-related action plan, formulation of specific therapeutic interventions, and
referrals for discussion with their physician and subsequent documentation and
follow-up. The therapeutic interventions accepted by the physician were further
discussed with each patient/caregiver using the MI technique to encourage adherence and
this discussion was documented in each patient's medication record.
4. MI incorporated the main components reported in the literature: rolling with resistance;
expressing empathy; avoiding argumentative behavior; highlighting the discrepancy
between patients' current attitudes compared with the desired therapeutic goals; and
empowering patients' self-efficacy
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04709640 -
Pilot Study to Improve Medication Management in Older Adults
|
N/A | |
| Completed |
NCT03257579 -
Myocardial Infarction Prescription Duration Adherence Study
|
N/A | |
| Completed |
NCT05376397 -
Testing THRIVE 365 for Black Sexual Minority Men (On The Daily)
|
N/A | |
| Withdrawn |
NCT03427008 -
A Pilot Study of mDOT for Immunosuppressant Adherence in Adult Kidney Transplant Recipients
|
N/A | |
| Completed |
NCT03805451 -
Life Steps for PrEP for Youth
|
N/A | |
| Withdrawn |
NCT03292393 -
Social Norms and Antihypertensive Medication Adherence
|
N/A | |
| Not yet recruiting |
NCT02876848 -
A Novel E-Health Approach in Optimizing Treatment for Seniors (OPTIMUM Study)
|
N/A | |
| Completed |
NCT02823795 -
The Supporting Patient Activation in Transition to Home Intervention
|
N/A | |
| Completed |
NCT02914730 -
Insulin Dosing Practices in Persons With Diabetes on Multiple Daily Injections
|
||
| Completed |
NCT02797262 -
Measuring and Monitoring Adherence to ART With Pill Ingestible Sensor System
|
N/A | |
| Completed |
NCT02066935 -
Non-adherence to Immunosuppressives in Kidney Transplantation in Brazil Multicenter Study
|
||
| Completed |
NCT01934608 -
The Effect of Synching Prescription Refills on Adherence
|
N/A | |
| Completed |
NCT01741311 -
Secondary HIV Prevention and Adherence Among HIV-infected Drug Users
|
N/A | |
| Completed |
NCT01770314 -
Study to Test the Efficacy of Online Education to Increase Safe Use of Opioid Medication.
|
Phase 2 | |
| Recruiting |
NCT01105104 -
An Enhanced Medication Monitoring Program
|
Phase 1 | |
| Completed |
NCT01859273 -
Adherence Enhancement for Renal Transplant Patients
|
N/A | |
| Withdrawn |
NCT01430702 -
Feasibility of Using a Telemedicine Medication Delivery Unit for Older Adults
|
N/A | |
| Completed |
NCT01118208 -
Blister Packaging Medication to Increase Treatment Adherence and Clinical Response
|
N/A | |
| Completed |
NCT00848224 -
Improving Adherence to Pharmacological Treatment
|
N/A | |
| Completed |
NCT06034301 -
Pill Bottle vs Reminder App
|
N/A |