Improving Medication Adherence Using Family-focused and Literacy-sensitive Strategies
NCT05548413 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 328
Last updated 2026-05-05
Summary
People with heart failure who do not take their medications as prescribed are at high risk of complications leading to hospitalization, death and poor quality of life. In the proposed intervention, nurses will use easy-to-understand language to coach patients and their care partners to help them work together and build skills to overcome their individual barriers to adherence in order to 1) improve and sustain patient medication adherence; 2) reduce hospitalization; 3) improve quality of life. If effective, this intervention will support long-term medication adherence, thus reducing hospitalizations related to heart failure and quality of life.
Conditions
- Medication Adherence
- Heart Failure
Interventions
- BEHAVIORAL
-
FamLit
The FamLit (Family-focused and Literacy-sensitive strategy) is an interactive, multi-component intervention supported by the FamLit intervention Guide, including both spoken and printed materials written at a 4th-grade reading level for HF patients and their primary CPs.Three constructs guide the intervention, based on the Theory of Planned Behavior (TPB): 1) develop patient and CP positive attitudes through HF instruction and teach-back; 2) form positive subjective norms through coaching to improve patient and CP communication, support, and teamwork; and 3) increase perceived behavioral control through coaching and role-playing to empower patients and CPs to overcome individual barriers to adherence. This intervention also includes use of the SimpleMed+ electronic pillbox.
- BEHAVIORAL
-
Attention Control
Participants in this group will talk with an interventionist to discuss general health. This intervention also includes use of the SimpleMed+ electronic pillbox.
Sponsors & Collaborators
-
National Institute of Nursing Research (NINR)
collaborator NIH -
Jia-Rong Wu
lead OTHER
Principal Investigators
-
Jia-Rong Wu · University of Kentucky
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2023-01-04
- Primary Completion
- 2027-06-30
- Completion
- 2027-12-31
Countries
- United States
Study Locations
More Related Trials
-
Improving Medication Adherence Through Graphically Enhanced Interventions in Acute Coronary Syndromes
NCT00399880 ·Status: COMPLETED ·Phase: NA
-
Nurse-led Reminder Program for the Prevention of Cardiovascular Diseases
NCT01823588 ·Status: COMPLETED ·Phase: NA
-
Effect of Patient Education on Compliance and Cardiovascular Risk Parameters
NCT02096887 ·Status: UNKNOWN ·Phase: NA
-
Nurse-led Medication Self-management Intervention in the Improvement of Medication Adherence
NCT05645653 ·Status: UNKNOWN ·Phase: NA
-
Self-efficacy, Beliefs and Adherence- Pilot and Feasibility Trial of a Pharmacist-led Intervention
NCT03406923 ·Status: COMPLETED ·Phase: NA
-
Investigating Fear Of Recurrence as a Modifiable Mechanism of Behavior Change
NCT03853213 ·Status: COMPLETED ·Phase: NA
-
An mHealth Intervention to Improve Medication Adherence and Health Outcomes
NCT04703439 ·Status: COMPLETED ·Phase: NA
-
An Intervention to Support Medication Adherence Following Acute Coronary Syndrome
NCT02967588 ·Status: COMPLETED ·Phase: NA
-
Targeted Feedback Reports to Improve Acute Coronary Syndromes (ACS) Care
NCT00952250 ·Status: COMPLETED ·Phase: NA
-
Using Feedback Reports to Improve Medication Adherence
NCT02480530 ·Status: COMPLETED ·Phase: NA
-
Mitigating Racial Disparities in Shared Decision Making in the Intensive Care Unit
NCT05710744 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Advance Directives Completion Rates and an Intervention to Address Health Literacy in a Clinic Population
NCT02702284 ·Status: COMPLETED ·Phase: NA
-
Improving Quality With Outpatient Decision Support
NCT00225628 ·Status: COMPLETED ·Phase: NA
-
Study of an Intervention to Improve Use of Life-saving Medications for Heart Disease
NCT00323258 ·Status: COMPLETED ·Phase: NA
-
Personalized Experiences to Inform Improved Communication for Patients With Life Limiting Illness
NCT04118569 ·Status: COMPLETED ·Phase: NA
-
Training in the 21st Century: Using Virtual Role-Plays to Improve Nurse Communication for Medication Adherence
NCT03599050 ·Status: COMPLETED ·Phase: NA
-
Increasing Adherence to Treatment Recommendations Following a Cardiac Event
NCT02327260 ·Status: COMPLETED ·Phase: NA
-
Evaluating CVD Medication Adherence Program in Low SES
NCT02375737 ·Status: COMPLETED ·Phase: NA
-
Assessing the Effectiveness of a Health Literacy Intervention in the Workplace
NCT01103986 ·Status: COMPLETED ·Phase: NA
-
Evaluating the Effectiveness of a Computerized Medication Adherence System at Reducing Cardiovascular Disease Risk Factors
NCT00796172 ·Status: COMPLETED ·Phase: PHASE2
-
A Randomized Study of the Efficacy of a New Intervention for Medication Adherence in Chronic Illness: Medications, Meaning and Me (The 3-M Study)
NCT02258516 ·Status: COMPLETED ·Phase: NA
-
An Intervention to Reduce Prehospital Delay to Treatment in Acute Coronary Syndrome
NCT00734760 ·Status: COMPLETED ·Phase: NA
-
Improving Functional Health Literacy in Older Veterans
NCT00038337 ·Status: COMPLETED ·Phase: PHASE2
-
Increasing Autonomous Motivation in ESRD to Enhance Phosphate Binder Adherence
NCT02215655 ·Status: COMPLETED ·Phase: NA
-
Uncertainty Management Intervention
NCT00938795 ·Status: COMPLETED ·Phase: NA