Is a Smartphone Application Effective as an Oral Medication Adherence Aid

Study Overview
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Brief Summary
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This research will act as a pilot study that will be conducted to determine the effectiveness of a smartphone medication adherence application on adherence to oral hypertensive, diabetic, and dyslipidemic medications using a prospective randomized design. Subjects will be recruited from the University of Arkansas for Medical Sciences (UAMS) Internal Medicine Clinic North, and the study data will be collected using only subject self-reports and subject pharmacy records.

Official Title
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Is a Smartphone Application Effective as an Oral Medication Adherence Aid

Conditions
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Hypertension, Diabetes, Dyslipidemia

Intervention / Treatment
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* Other: Medication Adherence Smartphone App


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Males and females at least 18 years of age Provide informed consent Prescribed an oral medication indicated for hypertension, diabetes, or dyslipidemia during 12 weeks pre-enrollment Own a smartphone (Android or iOS) with unlimited text messaging, email access, and app store access Oral confirmation that the subject has not previously used a medication adherence app Able to consult with a pharmacy or medical student during the recruitment process for purposes of consent, data collection, and/or medication reconciliation, and/or MyMedSchedule registration Exclusion Criteria: Severely impaired vision Reside in a nursing home Non-ambulatory/bedridden Not fluent in English

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Standard Care<br>The control group will not use the medication adherence app | |
| Experimental: Medication Adherence Smartphone App<br>The experimental group will receive the medication adherence app on their smartphone and will have their entire outpatient medication list pushed to the application. Text message reminders will be sent to their phones at the appropriate times. | Other: Medication Adherence Smartphone App<br>* MyMedSchedule is a consumer-grade smartphone application currently available on various marketplaces of the Android and iOS platforms that acts as a portal to the free service MyMedSchedule.com website. It can interface with the MedActionPlan discharge planning tool for providers by automatically populating fields, allowing medication lists to be pushed to a subject's MyMedSchedule account, allowing the input of complex medication regimens, and aiding in medication reconciliation. A MyMedSchedule account can be setup with the patient's name, date of birth, allergies, emergency contact, healthcare providers, insurance plan information, and complete medication list. Medication dose and refill reminders can be set and sent through short message service (SMS) text message or e-mail. SMS text message reminders will be used for this study.<br>* Other names: MyMedSchedule;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline in number of pills taken over number of pills prescribed at 4 weeks |  | Change from baseline to 4 weeks | 
| Change from baseline in number of pills taken over number of pills prescribed at 12 weeks |  | Change from baseline to 12 weeks |