Inr Tracking Coumadin Use With Phone App

Study Overview
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Brief Summary
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This study aims to compare the INR values of the patients followed by face-to-face and telephone applications.

Detailed Description
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Warfarin has a narrow therapeutic window. Maintaining the patient's international normalized ratio (INR) within the predefined therapeutic range is one of the main challenges of warfarin treatment. This study was designed as a randomized controlled experiment. Twelve patients living in a distant place were assigned to the experimental group, and 12 patients living nearby and followed in the outpatient clinic were assigned to the control group. A Patient Information Form and the Adherence to Refills and Medications Scale were used to collect data.

Official Title
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Inr Tracking With Face-To-Face And Phone App: A Randomized Controlled Trial

Conditions
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Warfarin, Mobile Applications

Intervention / Treatment
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* Other: mobile applications with the name Set My INR


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: at least 18 years old, using a smartphone, not having a psychiatric illness or treatment, and agreeing to participate Exclusion Criteria: requiring medical examination, not using a smartphone, having a psychiatric illness or treatment, and not agreeing to participate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 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: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Comparison of INR Control and Drug Compliance Values by Groups<br>Follow-up of the patients in the control group continued in the outpatient clinic. This application includes an interface where patients can enter drug treatment information such as INR values, disease diagnosis, how many times a day and how many mg they take, and a chat box section where they can communicate with their physicians, including emergencies. The doctor reviewed the patient's INR findings once they were relayed by the patient, then told them to adjust the patient's warfarin dosage and schedule the next INR check. The application sent notifications to the patients every day about when and how many mg of the drug they would take | Other: mobile applications with the name Set My INR<br>* The relevant software company assisted in developing the phone application. The language of the application created with the name Set My INR is Turkish. The application provided an opportunity for patients to share and communicate with their physician after having the INR value measured in a health institution near their place of residence before coming to the hospital<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of the Knowledge Levels of the Groups on the Use of Coumadin | To measure the knowledge level with Patient Information Form of patients using coumadin about the medication. | It ranges from 6 months to 1 year | 
| Comparison of INR Control and Drug Compliance Values by Groups | Measuring medication compliance with The Adherence to Refills and Medications Scale of patients using coumadin. To compare the INR values of the patients using the phone application and followed face to face. | It ranges from 6 months to 1 year |