Clinical Trials Logo

Clinical Trial Details — Status: Not yet recruiting

Administrative data

NCT number NCT06016101
Other study ID # 2023-A00948-37
Secondary ID
Status Not yet recruiting
Phase
First received
Last updated
Start date September 2023
Est. completion date April 1, 2024

Study information

Verified date August 2023
Source RIVAGES
Contact Joël Belmin, Professor
Phone +33149594565
Email j.belmin@aphp.fr
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

In this study, the investigators are interested in the Medissimo nurse application, which is a medication monitoring application for the elderly dedicated to self-employed nurses. The aim is to estimate the consistency of the measure of medication compliance assessed by this application with reference measures, as well as the user experience of healthcare professionals with this application.


Description:

Introduction : As people age, the number of chronic illnesses in the same person tends to increase. Poor compliance with treatment or interrupted medication exposes patients to risks to their health, and the consequences represent avoidable costs for the healthcare system. In practice, however, it is not easy to measure compliance with medication. E-health devices dedicated to taking medication represent a new way of measuring medication adherence, a necessary step towards improving it. Objectives : Main: To assess the concordance of adherence measurement by the Medissimo nurse application used in an existing e-Health device aimed at improving the dispensing and monitoring of prescribed medication for people living at home, with reference measurements.Secondary: To explore the user-experience of the healthcare professionals (pharmacists, nurses and GPs) involved with two aspects: use of the application itself and interest in the reports generated by this application. Methods : Methodological design: Cross-sectional observational study in routine care (RIPH3). Patients: The study will focus on one hundred patients aged over 65, who are already MedipacĀ® pillbox users and receive home nursing visits as part of their usual care. Each month, the beneficiaries of the service receive weekly pillboxes prepared by the referring pharmacist, and the homecare nurses are equipped with the Medissimo nurse smartphone application, which can be used to record the quality of doses taken, any undesirable effects, reasons for not taking the medication and dose adjustments. The system generates a monthly report summarising this monitoring, which is shared with the referring pharmacist and sent to the GP. In this way, the system produces a measure of medication compliance. To validate this measure, the investigators will carry out two reference measures of compliance with medication for the same patients: the Morisky questionnaire (completed by the home care nurse during a regular visit) and the pill count by the referring pharmacist when the pillboxes are renewed. The analysis will focus on the concordance between overall medication compliance measured by the Medissimo nurse application and that given by reference measurements. Healthcare professionals: The study will also involve 60 healthcare professionals (20 nurses, 20 pharmacists, 20 GPs) affected by the application, in order to assess their user experience. For nurses' use of the application, the investigators will use the System Usability Scale (SUS) questionnaire in a telephone interview. To assess interest in the monthly reports sent to these professionals, the investigators will use a Likert-type questionnaire in a telephone interview. Future prospects: If the application's compliance measurements are consistent with the reference measurements, the system could provide an additional means of supporting compliance with medication. Finally, if the data on the user experience and the monthly reports drawn up by the application are positive, it could represent a quick and easy way for professionals to coordinate the management of patients followed at home.


Recruitment information / eligibility

Status Not yet recruiting
Enrollment 160
Est. completion date April 1, 2024
Est. primary completion date March 1, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: Patient inclusion criteria: - People aged over 65 receiving more than 5 chronic medications - Person agreeing to take part in the study - Person living at home receiving home nursing care as part of routine care - Person whose carer is already a user of the application under study Inclusion criteria for professionals: - Home nurses who have been using the Medissimo nurse application for at least 1 month and who agree to take part in the study or - Private practitioners who agree to take part in the study or - Pharmacists who have been using the Medissimo nurse service for at least 1 month and who agree to take part in the study. Exclusion Criteria: Patient exclusion criteria: - Refusal to take part in the study - Person in palliative care - Person under protection, guardianship or curatorship Exclusion criteria for professionals: - Refusal to take part in the study

Study Design


Intervention

Other:
100 Patients
For patients and professionals: retrieval of socio-demographic data For patients : Pill counting Morisky questionnaire
Healthcare professionals (20 doctors, 20 pharmacists and 20 nurses)
For patients and professionals: retrieval of socio-demographic data For healthcare professionals : Evaluation of user experience Evaluation of the report produced by the application

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
RIVAGES

Outcome

Type Measure Description Time frame Safety issue
Primary Socio-demographic data (for all participants) Medical data Descriptive statistics on data (mean, standard deviation, median) about 3 months
Secondary Patient analyses : Pill counting Blant and Altman diagram to estimate the agreement between the two measurements (pill count and missed doses): determine the difference between the measurements for each mode of observation. The mean difference between the two measurements will be used to determine the bias. We will also try to assess the precision, which estimates the dispersion of the absolute bias. Precision will be estimated by the 95% agreement limits. about 3 months
Secondary Patient analyses : Recording of omissions in the monthly compliance report of patients taking part in the study Blant and Altman diagram to estimate the agreement between the two measurements (pill count and missed doses): determine the difference between the measurements for each mode of observation. The mean difference between the two measurements will be used to determine the bias. We will also try to assess the precision, which estimates the dispersion of the absolute bias. Precision will be estimated by the 95% agreement limits. about 3 months
Secondary Patient analyses : Morisky questionnaire Cohen's Kappa test: used to measure Morisky's score, and to test the concordance between the good adherence/average adherence/low adherence classification and the classification from the Medissimo application. We set the threshold for Cohen's Kappa test at 0.80, which corresponds to very good agreement. about 3 months
Secondary Analysis of professionals : User experience analysis Qualitative analysis :
Evaluation of user experimentation using the SUS (Sytem usability scale) questionnaire. This is an easy-to-use Likert-type scale comprising 10 questions. The aim is to evaluate the point of view of the Medissimo nurse user, after having had the opportunity to use it. The questions offer quick answers, ranging from "strongly disagree" to "strongly agree". The degree of acceptability, highlighted in the study by Bangor and al. (2009), is as follows:
Between 0 and 50: not acceptable
Between 50 and 60: Acceptability likely, but low
Between 60 and 70: Acceptability likely, high
Between 70 and 100: Acceptable
about 3 months
Secondary Analysis of professionals : Analysis of healthcare professionals' assessments Qualitative analysis :
This is a "likert" type questionnaire designed by the investigator specifically for this study. This 12-item questionnaire will be used to obtain feedback from healthcare professionals on the monthly reports produced by the application for nurses. The questionnaire consists of :
10 closed questions
2 open questions with short answers
about 3 months
See also
  Status Clinical Trial Phase
Completed NCT03153644 - Improving Contraceptive Care for Women With Medical Conditions
Recruiting NCT06058754 - Group-based [ADAPT] Versus One-to-one [Usual] Occupational Therapy (Go:OT Trial) N/A
Completed NCT04082585 - Total Health Improvement Program Research Project
Recruiting NCT05558085 - Biomarker Cost-Benefit Analysis of EFNEP N/A
Completed NCT04037436 - Functional Exercise and Nutrition Education Program for Older Adults N/A
Not yet recruiting NCT05622422 - A Chronic Disease Self Care Management Pilot Study N/A
Not yet recruiting NCT04954209 - Comparative Study in Long-term Commitment to Physical Activity After Two Different Resumption Programs
Not yet recruiting NCT04090593 - Chronic Disease Mobile Educational Experience N/A
Not yet recruiting NCT03628963 - Optimizing Patient Usability Experience for Chronic Care N/A
Completed NCT02390570 - Incorporating Patient Capacity Into the Clinical Landscape N/A
Completed NCT02072941 - Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision Making (PREPARE) N/A
Completed NCT01933789 - Improving Communication About Serious Illness N/A
Terminated NCT02115971 - Jumping Exercises Approach in Individuals With Chronic Ankle Instability N/A
Completed NCT02017262 - Group Self-Management of Depression and Medical Illness N/A
Completed NCT02292940 - Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions
Completed NCT02307929 - Evaluation of Quality of Care - Nurse Allied Health Clinic Programme, HA N/A
Completed NCT01458184 - Study of PhoneCare System to Treat Patients With Chronic Diseases N/A
Completed NCT00380536 - Medical Self-Management for Improving Health Behavior Among Individuals in Community Mental Health Settings N/A
Completed NCT00333710 - Evaluating a Telehealth Treatment for Veterans With Hepatitis C and PTSD N/A
No longer available NCT00096811 - Entecavir for Subjects With Chronic Hepatitis B Infection: An Early Access Program N/A