Medication Management Clinical Trial
Official title:
Improving Caregiver Mediated Medication Management
This study sought to improve medication management by caregivers of community dwelling patients with dementia or simple memory loss. This was done by testing a tailored intervention delivered both in-home and by telephone by either a social worker or nurse. The intervention was designed to decrease medication deficiencies and improve medication adherence by developing problem solving skills.
Objective: The overall purpose of this investigation is to test the efficacy of a tailored
caregiver mediated medication management intervention designed for caregivers of community
dwelling patients with dementia.
Specific Aims:
Primary Aim:
Examine the efficacy of a tailored caregiver mediated medication management in-home and
telephone delivered intervention designed to decrease medication taking deficiencies and
daily hassles and improve medication adherence of caregivers of community dwelling patients
with dementia vs. standard education/usual care group of caregivers over time.
Hypothesis 1 Immediately post-treatment (8 weeks), there will be a decrease in medication
taking deficiencies and daily hassles and an improvement in caregiver medication adherence
in the treatment compared to the usual care group.
Hypothesis 2 Immediately post-maintenance (16 weeks), there will be a sustained decrease in
medication taking deficiencies and daily hassles and an improvement in caregiver medication
adherence in the treatment group compared to the usual care group.
Hypothesis 3 At 8 weeks post-maintenance (24 weeks), there will continue to be a sustained
decrease in medication taking deficiencies and daily hassles and an improvement in caregiver
medication adherence in the treatment group compared to the usual care group.
Secondary Aims:
1. Examine the efficacy of a tailored caregiver mediated medication management in-home and
telephone delivered intervention designed to decrease medication taking deficiencies
and daily hassles and increase medication adherence of caregivers of community dwelling
patients with dementia vs. standard education/usual care group of caregivers on the
distal outcome of adverse patient outcomes including unplanned doctor's visits,
emergency room visits, and hospitalizations over time.
2. Examine the efficacy of a tailored caregiver mediated medication management in-home and
telephone delivered intervention designed to decrease medication taking and daily
hassles and increase medication adherence of caregivers of community dwelling patients
with dementia vs. standard education/usual care group of caregivers on the distal
outcome of health related quality of life in both caregivers and community dwelling
patients over time.
Significance: This study is both timely and significant because of the growing number of
patients with dementia who need supportive services of family members, as well as from the
health care system. This study is addressing a very timely issue, the reduction of
medication deficiencies that can lead to errors. This is a priority patient safety issue
regardless of whether the medications are given by a professional healthcare provider or an
informal family caregiver. Additionally, this intervention has the potential for translation
into geriatric practices and lay community or support groups.
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