Trial Outcomes & Findings for Customized Medication Adherence Enhancement for Treating Adults With Bipolar Disorder (NCT NCT00763919)

NCT ID: NCT00763919

Last Updated: 2014-10-20

Results Overview

The minimum score is 0 and the maximum score is 100. A higher score implies poorer treatment adherence.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

baseline and 6 months

Results posted on

2014-10-20

Participant Flow

Participant milestones

Participant milestones
Measure
Customized Adherence Enhancement (CAE)
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Overall Study
STARTED
43
Overall Study
COMPLETED
30
Overall Study
NOT COMPLETED
13

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Customized Medication Adherence Enhancement for Treating Adults With Bipolar Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Customized Adherence Enhancement (CAE)
n=43 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
43 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Age, Continuous
38.4 years
STANDARD_DEVIATION 11.2 • n=99 Participants
Sex: Female, Male
Female
30 Participants
n=99 Participants
Sex: Female, Male
Male
13 Participants
n=99 Participants
Region of Enrollment
United States
43 participants
n=99 Participants

PRIMARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 100. A higher score implies poorer treatment adherence.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=28 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Treatment Adherence Within the Past Month as Measured by the Tablet Routines Questionnaire
-27.8 units on a scale
Standard Error 6.5

PRIMARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 100. A higher score implies poorer treatment adherence.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=28 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Treatment Adherence Within the Past Week as Measured by the Tablet Routines Questionnaire
-20.6 units on a scale
Standard Error 8.2

PRIMARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 4. A higher score implies poorer treatment adherence.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=28 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Treatment Adherence as Measured by the Morisky Scale
-1.7 units on a scale
Standard Error .29

PRIMARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 0 and the maximum score is 100. A higher score implies poorer treatment adherence.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=33 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Treatment Adherence Within the Past Month as Measured by the Tablet Routines Questionnaire
-28.9 units on a scale
Standard Error 6.0

PRIMARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 0 and the maximum score is 100. A higher score implies poorer treatment adherence.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=33 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Treatment Adherence Within the Past Week as Measured by the Tablet Routines Questionnaire
-21.8 units on a scale
Standard Error 6.8

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The AMSQ is a modification of the Lithium Attitudes Questionnaire. The minimum score is 0 and the maximum score is 19. A higher score implies a poorer attitude.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=31 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Attitude as Measured by the Attitude Toward Mood Stabilizers Questionnaire (AMSQ)
-4.1 units on a scale
Standard Error 3.2

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 10. A higher score implies a poorer attitude.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Attitude as Measured by the Rating of Medication Influences (ROMI)
-1.8 units on a scale
Standard Error .86

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 52. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Depression as Measured by the Hamilton Rating Scale for Depression (HAM-D)
-2.5 units on a scale
Standard Error 1.4

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 0 and the maximum score is 60. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Symptoms of Bipolar Disorder as Measured by the Young Mania Rating Scale (YMRS)
-4.9 units on a scale
Standard Error 1.4

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 18 and the maximum score is 126. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Symptoms of Bipolar Disorder as Measured by the Brief Psychiatric Rating Scale (BPRS)
-8.0 units on a scale
Standard Error 2.1

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 1 and the maximum score is 7. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Global Psychopathology as Measured by the Clinical Global Impression for Bipolar Disorder (CGI-BP)
-.90 units on a scale
Standard Error .25

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 1 and the maximum score is 100. A higher score implies higher functioning.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=30 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Functional Status as Measured by the Global Assessment of Functioning (GAF) Scale
6.7 units on a scale
Standard Error 1.8

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 1 and the maximum score is 99. A higher score implies higher perceived physical health.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=27 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Perception of Physical Health as Measured by the 12-item Short Form Health Survey (SF-12)
.48 units on a scale
Standard Error 2.2

SECONDARY outcome

Timeframe: baseline and 6 months

Population: Number of participants for analysis was based on all available data at the six month time point.

The minimum score is 1 and the maximum score is 99. A higher score implies higher perceived mental health.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=27 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Perception of Mental Health as Measured by the 12-item Short Form Health Survey (SF-12)
6.9 units on a scale
Standard Error 2.0

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 0 and the maximum score is 52. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Depression as Measured by the Hamilton Rating Scale for Depression (HAM-D)
-1.4 units on a scale
Standard Error 1.2

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 0 and the maximum score is 60. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Symptoms of Bipolar Disorder as Measured by the Young Mania Rating Scale (YMRS)
-2.8 units on a scale
Standard Error 1.7

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 18 and the maximum score is 126. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Symptoms of Bipolar Disorder as Measured by the Brief Psychiatric Rating Scale (BPRS)
-6.6 units on a scale
Standard Error 2.4

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 1 and the maximum score is 7. A higher score implies a worse condition.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Global Psychopathology as Measured by the Clinical Global Impression for Bipolar Disorder (CGI-BP)
-.47 units on a scale
Standard Error .27

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 1 and the maximum score is 100. A higher score implies higher functioning.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Functional Status as Measured by the Global Assessment of Functioning (GAF) Scale
3.5 units on a scale
Standard Error .39

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The AMSQ is a modification of the Lithium Attitudes Questionnaire. The minimum score is 0 and the maximum score is 19. A higher score implies a poorer attitude.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=33 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Attitude as Measured by the Attitude Toward Mood Stabilizers Questionnaire (AMSQ)
-3.2 units on a scale
Standard Error .62

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 0 and the maximum score is 10. A higher score implies a poorer attitude.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=33 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Attitude as Measured by the Rating of Medication Influences (ROMI)
-1.6 units on a scale
Standard Error .88

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 1 and the maximum score is 99. A higher score implies higher perceived physical health.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Perception of Physical Health as Measured by the 12-item Short Form Health Survey (SF-12)
1.1 units on a scale
Standard Error 1.9

SECONDARY outcome

Timeframe: baseline and 3 months

Population: Number of participants for analysis was based on all available data at the three month time point.

The minimum score is 1 and the maximum score is 99. A higher score implies higher perceived physical health.

Outcome measures

Outcome measures
Measure
Customized Adherence Enhancement (CAE)
n=32 Participants
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Change in Perception of Mental Health as Measured by the 12-item Short Form Health Survey (SF-12)
3.8 units on a scale
Standard Error 2.4

Adverse Events

Customized Adherence Enhancement (CAE)

Serious events: 8 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Customized Adherence Enhancement (CAE)
n=43 participants at risk
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Psychiatric disorders
worsening mania
4.7%
2/43 • Number of events 2 • 2 years and 3 months
Social circumstances
death
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Psychiatric disorders
worsening anxiety/panic attack
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Psychiatric disorders
suicidal thoughts
4.7%
2/43 • Number of events 2 • 2 years and 3 months
Social circumstances
incarcerated
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Skin and subcutaneous tissue disorders
boils beneath arms (hydronitis)
2.3%
1/43 • Number of events 1 • 2 years and 3 months

Other adverse events

Other adverse events
Measure
Customized Adherence Enhancement (CAE)
n=43 participants at risk
Participants, all of whom have a history of medication nonadherence, will be assigned to one or more treatment modules of Customized Adherence Enhancement based on their individual profiles.
Psychiatric disorders
Suicidal thoughts without plan
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Psychiatric disorders
mental instability
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Psychiatric disorders
Worsening depression
2.3%
1/43 • Number of events 1 • 2 years and 3 months
Psychiatric disorders
Worsening mania
2.3%
1/43 • Number of events 1 • 2 years and 3 months

Additional Information

Christopher Bialko

University Hospitals Case Medical Center

Phone: 216-286-4362

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place