NCT05469581

"Efficiency of Preventive Interventions in Community Nursing to Improve Medication Adherence in Vulnerable Elderly"

Efficiency of Preventive Interventions in Community Nursing to Improve Medication Adherence in Vulnerable Elderly"

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 639 (estimated)
• Sponsor: Martina Horvat · Academic / Other
• Sex: All
• Age: 65 Years
• Healthy volunteers: Not accepted

Summary

The purpose of the study is to design and investigate the effectiveness of a set of preventive interventions by community nurses in outpatient care in treating vulnerable elderly people to improve the extent to which they follow the agreed recommendations of a doctor or pharmacist regarding taking medication.

Detailed description

We will conduct a randomized controlled trial to determine the effectiveness of preventive interventions to improve adherence in vulnerable elderly people. The randomized controlled trial will include: vulnerable people over 65 years of age with preserved cognitive abilities who are receiving at least one medication for any medical condition and are being treated by an outpatient service; they live in their home environment, which in the first phase will show vulnerability and, at the same time, initial suboptimal adherence. We will inform the subjects verbally and in writing about the course, purpose, and goals of the study and obtain their written consent for inclusion in the study. They will then be randomly assigned to two groups: experimental and control. In the case of the experimental group, we will carry out a set of preventive interventions to support the improvement of medication adherence. The control group will receive regular nursing care from community nurses, to which we will add the so-called distractor. We will determine the effectiveness of preventive interventions based on changes in self-efficacy and adherent behavior. Data on adherence behavior and self-efficacy will be collected at the beginning of the study, at the end of the implementation of the set of preventive interventions, and three months after the end of the implementation.

Conditions

• Noncommunicable Diseases
• Vulnerable Elderly

Interventions

Type	Name	Description
OTHER	A set of preventive interventions to improve adherence in vulnerable elderly people	* reviewing the list of medications, delivery of an ordered list of medications, and checking medication regimen understanding; * delivering a leaflet on the correct/safe taking of medications, discussion, explanation, and verification of understanding of the content; * a counseling about the importance of adherence; * handing over the medication dispenser (if the elderly person does not have one yet), * delivering of a personal medication card, which shows the timeline of taking prescribed medication.

Timeline

• Start date: 2021-09-01
• Primary completion: 2023-12-31
• Completion: 2023-12-31
• First posted: 2022-07-21
• Last updated: 2023-05-17

Locations

1 site across 1 country: Slovenia