Optimizing the Approach of Mobile Application Use to Improve Medication Adherence in Patients With Hypertension

NCT ID: NCT04066010

Last Updated: 2019-08-30

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

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2018-11-30

Brief Summary

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The purpose of this study was to determine the effectiveness of using a custom-designed mobile application to improve blood pressure (BP) and promote adherence to antihypertensive medication regimens. This was a prospective, multicenter, randomized controlled trial. Patients were randomized to an intervention or control group for three months. Antihypertensive medication refill history was assessed three months before, during and three months after the study period. Continuous outcome measures investigated were systolic/diastolic BP and medication refill history, using the cumulative medication gap (CMG) score.

Detailed Description

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Conditions

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Medication Adherence Hypertension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Control

Group Type NO_INTERVENTION

No interventions assigned to this group

Intervention

Mobile application intervention

Group Type OTHER

Mobile application (BP-n-Me)

Intervention Type OTHER

The mobile app consisted of a series of features including (1) calendar reminders of when to take medications and the patient's antihypertensive medication regimen (2) a "Call your Pharmacist" button specific to patient's pharmacy, (3) a BP log in which the patient could enter blood pressure values that were automatically compared to goal values, (4) counseling points for lifestyle and adherence factors individually tailored to each patient and (5) lifestyle and medication adherence surveys.

Interventions

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Mobile application (BP-n-Me)

The mobile app consisted of a series of features including (1) calendar reminders of when to take medications and the patient's antihypertensive medication regimen (2) a "Call your Pharmacist" button specific to patient's pharmacy, (3) a BP log in which the patient could enter blood pressure values that were automatically compared to goal values, (4) counseling points for lifestyle and adherence factors individually tailored to each patient and (5) lifestyle and medication adherence surveys.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 18 years of age
* Diagnosed with hypertension as evidenced by diagnosis codes or chart documentation
* Prescribed at least one antihypertensive for a minimum of three months prior to enrollment
* Have access to an Android mobile device with data capabilities
* Consent to using the application on their device

Exclusion Criteria

* Do not read or speak English
* Unable to read and sign the informed consent or Health Insurance Privacy and Accountability Act (HIPAA) waiver
* Too ill or cognitively impaired to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Emory Healthcare

OTHER

Sponsor Role collaborator

Grady Health System

OTHER

Sponsor Role collaborator

Atlanta Medical Center

OTHER

Sponsor Role collaborator

Mercer University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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Palmer MJ, Machiyama K, Woodd S, Gubijev A, Barnard S, Russell S, Perel P, Free C. Mobile phone-based interventions for improving adherence to medication prescribed for the primary prevention of cardiovascular disease in adults. Cochrane Database Syst Rev. 2021 Mar 26;3(3):CD012675. doi: 10.1002/14651858.CD012675.pub3.

Reference Type DERIVED
PMID: 33769555 (View on PubMed)

Other Identifiers

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H1605145

Identifier Type: -

Identifier Source: org_study_id