Self-Management Interventions Using Mobile Health for the Multimorbid

Status Completed

Clinical Trial Summary

The purpose of this pilot study is to evaluate the feasibility and impact of delivering mobile health self-management interventions to improve adherence to the prescribed treatment in a multimorbid population returning home after hospital discharge.

Clinical Trial Description

The purpose of this three-group repeated-measures randomized controlled trial is to evaluate the use of mobile health (mHealth) self-management technology as a model of care for individuals with multimorbidity. Specifically, this 8-week self-management intervention uses tailored self-management strategies (action planning, goal setting, and individually identified support needs) and mHealth technology for real-time virtual visits, daily messages, and self-monitoring activities. The investigators are testing the additive impact of having the nurse practitioner/community health worker (NP/CHW) team with the mHealth platform (mHealth Plus). The NP evaluates physiological status by evaluating symptoms and tailoring the intervention specific to the individual's multimorbidity while the CHW will assist in recognizing possible solutions to challenging social determinants of health by identifying community resources and guidance in overcoming barriers. The following specific aims will be addressed: Aim 1: To evaluate the feasibility of implementing comparative SM interventions (mHealth and mHealth plus virtual visits with a nurse practitioner and community health worker team) in multimorbid individuals by assessing: a) acceptability of each intervention; b) enrollment (recruitment efficiency, attrition, problems and solutions); c) intervention fidelity (delivery, receipt, enactment of the intervention [benefits and barriers]); and d) data collection (technological transfer of data, instrument reliability, the time required, missing data). Aim 2: To examine the impact of delivering the m-Health and m-Health plus interventions compared to standard care (SC) in multimorbid individuals on: a) primary outcome: adherence to disease-specific lifestyle behaviors (e.g. diet and medication, and self-monitoring of physiological measures as needed (e.g. weight blood pressure, blood glucose, oxygen saturation); b) secondary outcomes: health related quality of life; c) patient-reported health status; d) symptom status; and e) healthcare utilization. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT04566107
Study type	Interventional
Source	University of Nebraska
Contact
Status	Completed
Phase	N/A
Start date	October 14, 2019
Completion date	June 30, 2021

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT05345041` - Church-based Intervention to Improve Physical Function in African Americans	N/A
Completed	`NCT03537053` - An Approach to "Move a Little & Often" With Health Conditions	N/A
Recruiting	`NCT03885401` - Enhanced Care Planning for Patients With Multiple Chronic Conditions	N/A
Recruiting	`NCT04922320` - Effect of Patient Priorities Care Implementation in Older Veterans With Multiple Chronic Conditions	N/A
Completed	`NCT04056663` - Health-circuit Evaluation as a Digital Support for the Management of Patients at Risk of Hospitalization	N/A
Active, not recruiting	`NCT03474692` - Virta Health Registry
Completed	`NCT04568382` - Diabetes Communication and Treatment Burden	N/A
Recruiting	`NCT05708768` - Digital, Innovative, Sustainable, and Knowledge-based Acute Municipal Healthcare Services Illness and Trauma
Recruiting	`NCT05778630` - Emotions and Cognitions in Pediatric Chronic Physical Conditions	N/A
Completed	`NCT03600389` - Patient Priorities Care (PPC)	N/A
Recruiting	`NCT05877846` - Precision Medicine and Physical Function	N/A
Recruiting	`NCT05600465` - Behavioral Activation + Occupational Therapy: An Innovative Intervention for Empowered Self-Management of Multiple Chronic Conditions	N/A
Active, not recruiting	`NCT05303194` - Patient Priorities Care for Hispanics With Dementia	N/A
Completed	`NCT05156073` - Shared Decision Making About Medication Use for People With Multiple Health Problems	N/A
Recruiting	`NCT04188470` - Optimising Drug Therapy in Polymedicated Patients According to the Person-centered Care Model	N/A
Terminated	`NCT04595851` - Pharmacists Coordinated Care Oncology Model (PCOM) for Patients Taking Oral Anti-cancer Medications	N/A
Recruiting	`NCT06044571` - Optimizing Telehealth-delivery of a Weight Loss Intervention in Older Adults	N/A
Completed	`NCT03745703` - MOCHA Moving Forward: a CBPR Investigation of Chronic Disease Prevention in Older, Low-income African-American Men	N/A
Recruiting	`NCT05913206` - Understanding Factors in Decision Making for Children With Medical Complexity	N/A
Completed	`NCT04492527` - Student-delivered Telehealth Program for COVID-19 Education and Health Promotion	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.