Evaluating a Low-Literacy Discharge Medication Education Tool

NCT00408733 | Completed

• 1 other identifier: G06-09-104-01
• Study Type: interventional
• Target: 287
• Locations: 1 country
• Sites: 1

Brief Summary

Recent studies have demonstrated that patients sub-optimally understand hospital discharge medication instructions Health literacy has been shown to be an important factor in patient understanding of medical information , and following medication instructions. The primary aim of this project is to test the efficacy of a low-literacy discharge medication education tool on medication adherence, and patient knowledge and understanding of inpatient discharge medications, in a low-income population with low health literacy levels. This evaluation is a prospective trial with patients randomly assigned to either receiving this tool or receiving the current standard of care. Given the complexity of the discharge medication regimen for the conditions of congestive heart failure (CHF) and coronary artery disease (CAD), and the proven effectiveness of these medications in the post discharge period, this trial will focus on the subpopulation of patients hospitalized with these two conditions.

Conditions

Congestive Heart Failure; Coronary Artery Disease

Outcome Measures

Primary Outcomes (1)

• Self-Reported Medication Adherence

  2 & 4 weeks post discharge

Secondary Outcomes (1)

• Medication Knowledge, Patient Satisfaction & Self-Efficacy, Readmissions and Emergency Department Visits

  2weeks -8weeks post discharge

Study Arms (2)

1

NO INTERVENTION

2

EXPERIMENTAL

Intervention

Other: Medication Education Tool

Interventions

Medication Education Tool OTHER

Picture and Icon-based Customizable Educational Tool

2

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or greater
• Admission to the internal medical or cardiology services at LAC/USC Medical Center
• Discharge directly from the medical service to home
• During admission, being evaluated or treated for congestive heart failure or coronary artery disease.

You may not qualify if:

• Moderate or severe cognitive dysfunction
• Severe psychiatric disability such that the patient has, or there is an application for, a conservator, or any psychiatric illness with current psychotic features
• Not having speaking proficiency in either English or Spanish language.
• If the patient was previously enrolled in the study on a prior hospitalization, he or she will also be excluded.
• Performing the patient education at hospital discharge for a patient enrolled in the study

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

Los Angeles County/ USC Medical Center

Los Angeles, California, United States

Location

Related Publications (1)

• Cordasco KM, Asch SM, Bell DS, Guterman JJ, Gross-Schulman S, Ramer L, Elkayam U, Franco I, Leatherwood CL, Mangione CM. A low-literacy medication education tool for safety-net hospital patients. Am J Prev Med. 2009 Dec;37(6 Suppl 1):S209-16. doi: 10.1016/j.amepre.2009.08.018.

  PMID: 19896021 DERIVED

MeSH Terms

Conditions

Heart Failure; Coronary Artery Disease

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Coronary Disease; Myocardial Ischemia; Arteriosclerosis; Arterial Occlusive Diseases; Vascular Diseases

Study Officials

• Kristina M Cordasco, MD, MPH

  University of California, Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: December 6, 2006
• First Posted: December 7, 2006
• Study Start: January 1, 2007
• Primary Completion: July 1, 2007
• Study Completion: August 1, 2007
• Last Updated: January 25, 2008

Record last verified: 2007-12

Locations

US (1)