APHID- Primary Care Accuracy Study

NCT02135731 | Completed

• 1 other identifier: 08-0308
• Study Type: interventional
• Target: 220
• Locations: 1 country
• Sites: 1

Brief Summary

We are studying patients' abilities to correctly identify the prescription medications they are taking. We are interested in understanding what tools will help patients correctly identify their medications. People participating in this study will be asked to either review a paper printout of their medication list or a computer program with their medications. The program will show the names and pictures of the medications. In either situation, participants will be asked to indicate if they are taking the medications as prescribed. We will then compare reported adherence between each medication review process. Participation may help the program developers improve the product.

Conditions

Medication Review

Outcome Measures

Primary Outcomes (1)

• Number of medication discrepancies from the reference standard

  Baseline

Study Arms (2)

Paper

NO INTERVENTION

Usual care -medication review on paper

Computer

EXPERIMENTAL

Medication review software with pictures

Other: Medication review software with pictures

Interventions

Medication review software with pictures OTHER

The intervention is a self-service software program that displays each prescription on screen along with an image of the pharmaceutical product. Patients must use response buttons to describe adherence patterns and to advance through the questionnaire items.

Computer

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Veteran with Primary Care appointment at Portland VA
• Three or more medications in medication profile

You may not qualify if:

• Visual impairment
• Upper extremity neuromuscular impairment
• Cognitive impairment
• Unable to speak and read English
• Never been seen at a VA

Sponsors & Collaborators

• Blake Lesselroth: lead

Study Sites (1)

Portland VAMC

Portland, Oregon, 97239-2999, United States

Location

Related Publications (4)

• Lesselroth BJ, Felder RS, Adams SM, Cauthers PD, Dorr DA, Wong GJ, Douglas DM. Design and implementation of a medication reconciliation kiosk: the Automated Patient History Intake Device (APHID). J Am Med Inform Assoc. 2009 May-Jun;16(3):300-4. doi: 10.1197/jamia.M2642. Epub 2009 Mar 4.

  PMID: 19261949 BACKGROUND

• Lesselroth BJ, Adams K, Tallett S, Wood SD, Keeling A, Cheng K, Church VL, Felder R, Tran H. Design of admission medication reconciliation technology: a human factors approach to requirements and prototyping. HERD. 2013 Spring;6(3):30-48. doi: 10.1177/193758671300600304.

  PMID: 23817905 BACKGROUND

• Lesselroth BJ, Holahan PJ, Adams K, Sullivan ZZ, Church VL, Woods S, Felder R, Adams S, Dorr DA. Primary care provider perceptions and use of a novel medication reconciliation technology. Inform Prim Care. 2011;19(2):105-18. doi: 10.14236/jhi.v19i2.802.

  PMID: 22417821 BACKGROUND

• Lesselroth BJ, Adams K, Church VL, Tallett S, Russ Y, Wiedrick J, Forsberg C, Dorr DA. Evaluation of Multimedia Medication Reconciliation Software: A Randomized Controlled, Single-Blind Trial to Measure Diagnostic Accuracy for Discrepancy Detection. Appl Clin Inform. 2018 Apr;9(2):285-301. doi: 10.1055/s-0038-1645889. Epub 2018 May 2.

  PMID: 29719884 DERIVED

Study Officials

• Blake Lesselroth, MD, MBI

  PVAMC

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Director, Portland Patient Safety Center of Inquiry

Study Record Dates

• First Submitted: May 8, 2014
• First Posted: May 12, 2014
• Study Start: February 1, 2009
• Primary Completion: December 1, 2011
• Study Completion: January 1, 2012
• Last Updated: May 12, 2014

Record last verified: 2014-05

Locations

US (1)