My Health - My Medication. Patient Involvement in Administration of Medication
NCT ID: NCT02894814
Last Updated: 2017-06-02
Study Results
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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COMPLETED
NA
329 participants
INTERVENTIONAL
2016-04-30
2017-03-31
Brief Summary
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The hypothesis is, that involving the patient in the medication procedure and focused dialogue about the medicine during hospitalization will improve the patients' health literacy measured by patient adherence, patient knowledge and perceptions of safety about the medication. It is further expected that more time will be spent together with the patient, and that the new medication procedures will be cost-neutral.
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Detailed Description
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In Denmark dispensing and administration of medication during hospitalization is a process where the health staff has completely taken the responsibility from the patient, leaving unused resources among patients and their relatives.
In general non-adherence to medication in patients with chronic medical diseases is a common problem, which contributes to adverse health outcomes, increase healthcare expenditures and reduce quality of life.
One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication during hospitalization), which is a medication system developed in United Kingdom in the 1990s, could be an important part of a shift in the healthcare system toward increasing patient involvement. Use of own medication and self-administration aims, among other things, to increase adherence and the patient's knowledge and understanding of their medication. One-Stop Dispensing has so far only been tested on elective surgical patients in Denmark, which is why this study set out to investigate acute hospitalized medical patients.
To investigate the effect of the medication system One-Stop Dispensing in Danish medical patients the investigators planned a study including two designs. An observational before and after implementing One-Stop Dispensing study and a randomized controlled study for the intervention period.
Enrolment for an observational part of the study will begin in April 2016 with data collection on patients under the traditional medication system.
In October 2016 enrolment will then begin for the intervention period including randomization to a basic intervention including the elements of One-Stop Dispensing or an extended intervention which besides One-Stop Dispensing also include a dialogue with the patients about their medication during the hospitalization and at discharge. The data collection will end in March 2017.
The research team will identify and verify patient eligibility. All participants will need to provide informed written consent. For recruitment and informed consent, project information will be discussed with the participants.
Baseline variables will be collected at admission and in the intervention period prior to randomization. This includes questionnaire and baseline characteristics such as age, sex and diagnosis. The primary measure is adherence measured at baseline and 1 month after discharge. Knowledge of the patients' own medication will assessed by a health professional also at baseline and again at discharge.
The study will end after one month follow up is completed for all the included patients.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Basic intervention
Elements of One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication during hospitalization)
One-Stop Dispensing
Use of own medication, review of the patient's medication, partly or self-administration of medication during hospitalization under support from the health personnel to improve adherence, knowledge and feeling safe about the medication.
Extended intervention
Elements of One-Stop Dispensing and focused dialogue with the patients about their medication during the hospitalization.
One-Stop Dispensing and focused dialogue
Besides the elements of One-Stop Dispensing focused dialogue about the patient's medicine during hospitalization and at discharge to improve adherence, knowledge and feeling safe about the medication
Observational part of the study
Data collection on patients under the traditional medication system
No interventions assigned to this group
Interventions
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One-Stop Dispensing
Use of own medication, review of the patient's medication, partly or self-administration of medication during hospitalization under support from the health personnel to improve adherence, knowledge and feeling safe about the medication.
One-Stop Dispensing and focused dialogue
Besides the elements of One-Stop Dispensing focused dialogue about the patient's medicine during hospitalization and at discharge to improve adherence, knowledge and feeling safe about the medication
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Patients with significant cognitive problems (dementia, dying, psychotic etc.)
* Patients who abuse medicine or narcotics.
* Patients who have participated in the project during a previous admission.
* Patients who do not use prescribed medicine.
* Patients admitted in the period monday from 8 a.m. until friday 3 p.m.
18 Years
ALL
No
Sponsors
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Central Jutland Regional Hospital
OTHER
Responsible Party
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Charlotte Appel
Research Nurse
Principal Investigators
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Charlotte W Appel, PhD
Role: PRINCIPAL_INVESTIGATOR
Diagnostic Centre, Regional Hospital Silkeborg, Denmark
Locations
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Diagnostic Centre, Regional Hospital Silkeborg
Silkeborg, , Denmark
Countries
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Other Identifiers
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1-16-02-124-16
Identifier Type: OTHER
Identifier Source: secondary_id
6300002A
Identifier Type: -
Identifier Source: org_study_id
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