Study Stopped
Difficulties with patient recruitement
Multidrug Blister Pack Study
Electronic Multidrug Blister Packs to Improve Clinical and Humanistic Outcomes in Patients After Hospital Discharge
1 other identifier
interventional
11
1 country
1
Brief Summary
The purpose of this study is to determine the benefit of patients using a multidrug blister packs after discharged from an university hospital to their homes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jan 2013
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 2, 2012
CompletedStudy Start
First participant enrolled
January 1, 2013
CompletedFirst Posted
Study publicly available on registry
January 2, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2014
CompletedApril 9, 2015
April 1, 2015
1.9 years
November 2, 2012
April 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Time to rehospitalisation + time to major therapy adjustment
The outcome measure will be assessed at 3, 6, and 12 months.
12 months
Medication Possession Ratio
MPR will be assessed at 3, 6, and 12 months.
12 months
Secondary Outcomes (3)
Timing and taking adherence according to the electronic monitoring system and through patient self report
12 months
Quality of life
12 months
Patient satisfaction
12 months
Study Arms (2)
Control
NO INTERVENTIONAt hospital discharge, patients of the control group will receive usual care at their community pharmacy.
Electronic Multidrug Blister Pack
EXPERIMENTALInterventions
At hospital discharge, patients will get their prescribed drugs repackaged in an electronic multidrug blister pack with 7x4 cavities. The electronic film affixed on the rear side measures the date and time when a loop is broken, i.e. when a cavity is emptied. Patients will get feedback on their adherence profiles at the community pharmacy.
Eligibility Criteria
You may qualify if:
- Age over 18 years
- Prescription of 4 or more different oral solid drugs
- Capable to understand german (verbally and written)
- Capable to give informed consent
- Insured by a Swiss health insurance
- Manages his/her pharmacotherapy without external support
- Obtains his/her medication from a community pharmacy
- Accepts to use an electronic multidrug blister pack
- Place of domicile in Basel-Stadt or Basel-Land
You may not qualify if:
- Pregnancy
- \> 2 drugs that cannot be packed into a multidrug blister pack (e.g. fluids)
- Dementia, or evaluated as cognitively impaired by the responsible nurse
- Transplanted patient
- Anticoagulation with oral vitamin K antagonists
- Has already used a multidrug blister pack of Pharmis or a Medifilm® single dose system
- is visually impaired (blind)
- cannot push drugs through a blister
- refuses to allow contact to his/her regular pharmacy and GP
- is referred to a nursing home or to rehabilitation or another hospital at discharge
- is included in other clinical trial
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Kurt Hersbergerlead
Study Sites (1)
Notfallapotheke
Basel, Canton of Basel-City, 4056, Switzerland
Related Publications (4)
Mahtani KR, Heneghan CJ, Glasziou PP, Perera R. Reminder packaging for improving adherence to self-administered long-term medications. Cochrane Database Syst Rev. 2011 Sep 7;(9):CD005025. doi: 10.1002/14651858.CD005025.pub3.
PMID: 21901694BACKGROUNDCramer JA. Enhancing patient compliance in the elderly. Role of packaging aids and monitoring. Drugs Aging. 1998 Jan;12(1):7-15. doi: 10.2165/00002512-199812010-00002.
PMID: 9467683BACKGROUNDOsterberg L, Blaschke T. Adherence to medication. N Engl J Med. 2005 Aug 4;353(5):487-97. doi: 10.1056/NEJMra050100. No abstract available.
PMID: 16079372BACKGROUNDRosen MI, Rigsby MO, Salahi JT, Ryan CE, Cramer JA. Electronic monitoring and counseling to improve medication adherence. Behav Res Ther. 2004 Apr;42(4):409-22. doi: 10.1016/S0005-7967(03)00149-9.
PMID: 14998735BACKGROUND
Related Links
Study Officials
- STUDY CHAIR
Kurt E Hersberger, Prof PhD
University of Basel
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Professor PhD
Study Record Dates
First Submitted
November 2, 2012
First Posted
January 2, 2013
Study Start
January 1, 2013
Primary Completion
December 1, 2014
Study Completion
December 1, 2014
Last Updated
April 9, 2015
Record last verified: 2015-04