Improvement in Medication Compliance Through the Implementation of Personalized Nudges: the ENCOURAGE Trial
| Status: | Active, not recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/31/2019 |
| Start Date: | March 2016 |
| End Date: | March 2019 |
Improvement in Medication Compliance Through the Implementation of Personalized Nudges
This study will determine whether a complex, data-driven protocol for assessing patient needs
and providing "nudges" (reminders to be compliant with medication prescriptions) improves
compliance with cardiovascular medications. This will be accomplished by performing a
12-month clinical trial of patients with an indication for statin therapy. Participants will
be randomized to either an intervention or standard-of-care arm and will be followed via
passive electronic means to determine if they are compliant with medication prescriptions.
and providing "nudges" (reminders to be compliant with medication prescriptions) improves
compliance with cardiovascular medications. This will be accomplished by performing a
12-month clinical trial of patients with an indication for statin therapy. Participants will
be randomized to either an intervention or standard-of-care arm and will be followed via
passive electronic means to determine if they are compliant with medication prescriptions.
Inclusion Criteria:
- Indication for statin therapy (regardless of statin use history), either: 1) the
presence of coronary artery disease (CAD) (either a new diagnosis or prior diagnosis),
2) low-density lipoprotein cholesterol (LDL-C) ≥190 mg/dL, 3) the presence of diabetes
and LDL-C of 70-189 mg/dL in patients aged 40- 75 years, or 4) CAD-free and
diabetes-free patients aged 40-75 years who have LDL-C 70-189 mg/dL and an estimated
10-year risk of CAD ≥7.5% based on the Pooled Cohort Risk Equations
(http://my.americanheart.org/professional/StatementsGuidelines/Prevention
Guidelines/Prevention-Guidelines_UCM_457698_SubHomePage.jsp)
- Enrollment in a SelectHealth insurance plan
- Age ≥18 years
- Planned discharge to home
Exclusion Criteria:
- Age <18 years
- Alzheimers/Dementia
- Receipt of or expected receipt of palliative care or discharge to hospice, skilled
nursing facility, inpatient rehabilitation, or long-term care facility
- Any contraindication to statin agents
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