Adherence to Polypharmacy in Patients With Opioid Substitution Therapy Using Electronics

NCT ID: NCT02701660

Last Updated: 2018-04-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-08-30

Brief Summary

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Electronic dispensers for polypharmacy are used in home care to assist patients with their medication management and to improve adherence. Opioid dependent patients with substitution therapy often exhibit multiple risk factors for non-adherence. The increase of both the age and associated comorbidities in this population demand for innovative solutions to optimize medication management. The investigators developed a novel medication supply model with an automated electronic medication dispenser to simultaneously assist opioid dependent patients with their medication and objectively monitor their adherence. This study aims to demonstrate the feasibility of the new supply model.

Detailed Description

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Conditions

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Substance-Related Disorders

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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electronic medication dispenser

An Automatic Tablet Dispensing and Packaging System is used to repack all solid oral prescription medications for each participant into unit-of-dose pouches. Every participant receives a roll with pouches for 14-28 days loaded into a dispenser installed at their homes. The electronic medication dispenser is a remote controlled, electronic medication management aid reminding the patients with acoustic alerts to take their medication.

Group Type EXPERIMENTAL

electronic medication dispenser (medido)

Intervention Type DEVICE

Automated dispense of medication through an electronic dispenser

Interventions

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electronic medication dispenser (medido)

Automated dispense of medication through an electronic dispenser

Intervention Type DEVICE

Other Intervention Names

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medido

Eligibility Criteria

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Inclusion Criteria

* written informed consent given
* reading and writing skills in German
* Stable housing situation in the canton of Basel-City and adjacent communities
* Accessibility by phone
* Minimum duration in opioid substitution treatment for 2 months
* Polypharmacy (\> 3 solid oral medications)
* Routine monitoring of clinical parameters less than 1 week before inclusion or agreed within 1 week from inclusion
* Insured with Swiss health insurance

Exclusion Criteria

* opioid substitution treatment with Diacetylmorphine
* \> 2 drugs, which can not be packaged in pouches (eg liquids)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Basel

OTHER

Sponsor Role collaborator

Psychiatric Hospital of the University of Basel

OTHER

Sponsor Role collaborator

University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kurt Hersberger, Prof. MD

Role: STUDY_CHAIR

University Hospital, Basel, Switzerland

Locations

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Outpatient addiction service, University Psychiatric Clinics

Basel, , Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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APPOSTEL-1

Identifier Type: -

Identifier Source: org_study_id

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