Training in the 21st Century: Using Virtual Role-Plays to Improve Nurse Communication for Medication Adherence

NCT ID: NCT03599050

Last Updated: 2022-02-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-12-01
• Study Completion Date: 2020-05-31

Brief Summary

This study will utilize a three-phase approach that is informed by a theory-driven implementation framework to: 1) conduct a needs analysis in order to identify individual-, health care team-, and practice-level barriers and facilitators to conducting adherence counseling in safety-net primary care practices; 2) develop a virtual communication simulation designed to improve the quality of adherence counseling by allowing nurses repeated opportunities to practice discussing medication adherence with virtual patients; and 3) conduct a pilot study to evaluate the feasibility, acceptability and preliminary efficacy of the simulation on changes in: a) nurses' collaborative communication skills, b) medication adherence, and c) reduction in BP in a sample of 20 patients with uncontrolled hypertension (HTN) who are non-adherent to their medications.

Conditions

High Blood Pressure; Hypertension

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

Communication Simulation

Nurses will use simulation over 12 weeks while fidelity is monitored using the NIH Behavior Change Consortium Treatment Fidelity Guidelines.

Group Type: EXPERIMENTAL

Audiotaped Counseling Session

Intervention Type: BEHAVIORAL

Patients and nurses will complete audio taped counseling session at least 3 months following the baseline visit. Patients will rate quality of nurse communication skills

Interventions

Audiotaped Counseling Session

Patients and nurses will complete audio taped counseling session at least 3 months following the baseline visit. Patients will rate quality of nurse communication skills

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• PCPs and nurses will be enrolled if they fulfill the following criteria:

1. male or female healthcare provider (MD/DO, NP, and Registered Nurse) practicing at the clinic

2. age 18 years or older.

No exclusions will be made based on provider race/ethnic origin. We will oversample males to examine differential communication skills based on gender.

• Patient eligibility criteria include:

1. receiving care at the participating clinic

2. having uncontrolled HTN (BP>140/90 mmHg) at two visits in the past year

3. being prescribed at least one antihypertensive medication and are non-adherent

4. are ≥age 18 years

5. fluent in English

Exclusion Criteria

• Unable to give consent
• Have a diagnosis of cognitive dysfunction or significant psychiatric comorbidity,
• Participating in another HTN-related study.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

NYU Langone Health

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Antoinette Schoenthaler, MD

Role: STUDY_DIRECTOR

NYU Langone Health

Locations

NYU School of Medicine

New York, New York, United States

Countries

United States

Other Identifiers

18-01003

Identifier Type: -

Identifier Source: org_study_id