The Impact of Text Messaging on Medication Adherence and Exercise Regimen Among Post-myocardial Infarction Patients

NCT ID: NCT02783287

Last Updated: 2016-05-26

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

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to assess the impact of text message reminders on adherence to medications and exercise in patients recently discharged from the hospital after a myocardial infarction (MI).

Detailed Description

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The Impact of Text Messaging on Medication Adherence and Exercise Regimen among Post-Myocardial Infarction Patients includes two single-center randomized control trials to assess the impact of text message reminds on adherence to medications and exercise regimen in patients recently discharged from the hospital after MI.

Recruitment conducted at Cambridge Cardiac Rehabilitation in Ontario, Canada for both the medication adherence and exercise trial. Potential study subjects are evaluated for inclusion and exclusion criteria, give written informed consent, and are randomized, in a 1:1 ratio, to either intervention or usual care (control).

Patients randomized to the intervention arm in the medication adherence trial receive an automated text message once per day at the time they are prescribed to take their medication. The text message does not contain any personal or pharmacological information.

Patients randomized to the intervention arm in the exercise adherence trial receive four text messages per day at 7:30 am, 12:00 pm, 6:00 pm, and 9:00 pm, reminding them to exercise for 30 minutes per day as per their health care provider.

Conditions

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Myocardial Infarction

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Investigators

Study Groups

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Medication text message

Once daily text message reminder.

Group Type EXPERIMENTAL

Text message reminder for medication adherence

Intervention Type BEHAVIORAL

Patients randomized to this arm receive one text message per day (at the scheduled time) reminding them to take their medication.

Exercise text message

4x daily text message reminder.

Group Type EXPERIMENTAL

Text message reminder for exercise regimen

Intervention Type BEHAVIORAL

Patients randomized to this arm receive 4 daily text messages reminding them to exercise for 30 minutes per day.

Usual care, medication adherence

Usual care for medication adherence.

Group Type NO_INTERVENTION

No interventions assigned to this group

Usual care, exercise regimen

Usual care for exercise regimen.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Text message reminder for medication adherence

Patients randomized to this arm receive one text message per day (at the scheduled time) reminding them to take their medication.

Intervention Type BEHAVIORAL

Text message reminder for exercise regimen

Patients randomized to this arm receive 4 daily text messages reminding them to exercise for 30 minutes per day.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Post-MI hospital discharge within 2 weeks
* Enrolled in cardiac rehabilitation
* Prescribed anti-platelets, beta-blockers, ACE-inhibitors or ARBs, and/or statins on 1x/day regimen (for medication adherence trial)
* Prescribed exercise regimen (for exercise trial)
* Ability to read and write English
* Possession of a cell phone with text messaging capability

Exclusion Criteria

* Age \< 18
* Incarcerated individuals
* Unable to read and write English
* Not in possession of a cell phone
* Patients prescribed medication regimen \> 1x/day
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Waterloo

OTHER

Sponsor Role collaborator

Brigham and Women's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Niteesh K. Choudhry, MD, PhD

Associate Professor of Medicine at Harvard Medical School, Associate Physician in the Division of Pharmacoepidemiology and Pharmacoeconomics and the Hospitalist Program at Brigham and Women's Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Niteesh K Choudhry, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Center for Healthcare Delivery Sciences, Brigham and Women's Hospital

References

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Pandey A, Krumme AA, Patel T, Choudhry NK. The Impact of Text Messaging on Medication Adherence and Exercise Among Postmyocardial Infarction Patients: Randomized Controlled Pilot Trial. JMIR Mhealth Uhealth. 2017 Aug 3;5(8):e110. doi: 10.2196/mhealth.7144.

Reference Type DERIVED
PMID: 28778843 (View on PubMed)

Other Identifiers

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20980

Identifier Type: -

Identifier Source: org_study_id

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