Pharmacy Home Adherence Reporting and Monitoring Outcomes Study

Summary

This study is a pilot test of an intervention that delivers timely diagnostic information about medication nonadherence to doctors, and then offers the services of clinical pharmacists to treat these nonadherence problems. Participating doctors will be notified when a patient is 10 days late refilling a medication for diabetes, hypertension, or hypercholesterolemia. In one randomization arm the pharmacist will contact the patient as the default option (with no action required by the doctor), and in the other the pharmacist will contact the patient only if the doctor actively chooses that the pharmacist take action. Patients of participating doctors will be randomized to 1) one of these two pharmacist options, 2) an information only control arm in which the doctor gets adherence information but does not have access to a pharmacist for that patient, and 3) a no information control arm. The investigators' central hypothesis is that the pharmacist will be consulted more often when intervention by the pharmacist is the default outcome and that the default pharmacist intervention will be the most beneficial for adherence outcomes.

Conditions

• Diabetes
• Hypertension
• Hypercholesterolemia

Interventions

BEHAVIORAL

Pharmacist calls patient unless physician cancels call

BEHAVIORAL

Patient nonadherence information sent to physician

BEHAVIORAL

Pharmacist calls patient if physician requests call

BEHAVIORAL

Doctor receives information and may be allowed certain actions

Sponsors & Collaborators

• National Institute on Aging (NIA)

  collaborator NIH

• Tufts Medical Center

  collaborator OTHER

• Harvard University

  collaborator OTHER

• Johns Hopkins University

  collaborator OTHER

• Brown University

  lead OTHER

Principal Investigators

• Ira B Wilson, MD, MSc · Brown University

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2011-03-31

Primary Completion

2014-02-28

Completion

2014-02-28

Countries

• United States

Study Locations