My Health - My Medication. Patient Involvement in Administration of Medication

NCT02894814 | Completed

• 2 other identifiers: 6300002A1-16-02-124-16
• Study Type: interventional
• Target: 329
• Locations: 1 country
• Sites: 1

Brief Summary

The primary purpose of this study is to investigate if patient involvement in the medication procedures through elements of the medication system One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication) and focused dialogue about medication can maintain or improve the patients' health literacy to perform the prescribed medical treatment during and after hospitalization. The hypothesis is, that involving the patient in the medication procedure and focused dialogue about the medicine during hospitalization will improve the patients' health literacy measured by patient adherence, patient knowledge and perceptions of safety about the medication. It is further expected that more time will be spent together with the patient, and that the new medication procedures will be cost-neutral.

Conditions

Medical Patients

Keywords

Self administration; Medication; Inpatient; Self-care; Self-management; Medical patients

Outcome Measures

Primary Outcomes (1)

• Change in adherence to medical treatment

  Ability to adhere to medical recommendations in general, assessed by questionnaire at baseline (admission to hospital) and 1 month after discharge.

  From baseline (admission) to one month after discharge

Secondary Outcomes (5)

• Patient satisfaction

  The day at discharge, after admission of an average of 3 days

• Time spent per patient

  Days admitted, an average of 3 days

• Cost per patient

  Days admitted, an average of 3 days

• Knowledge of own medication

  Days admitted, an average of 3 days

• Change in patient's perception of security and safety regarding medication

  From baseline (admission) to one month after discharge

Study Arms (3)

Basic intervention

ACTIVE COMPARATOR

Elements of One-Stop Dispensing (use of own medication, placed in bedside locker, partly or self-administration of medication during hospitalization)

Behavioral: One-Stop Dispensing

Extended intervention

ACTIVE COMPARATOR

Elements of One-Stop Dispensing and focused dialogue with the patients about their medication during the hospitalization.

Behavioral: One-Stop Dispensing and focused dialogue

Observational part of the study

NO INTERVENTION

Data collection on patients under the traditional medication system

Interventions

One-Stop Dispensing BEHAVIORAL

Use of own medication, review of the patient's medication, partly or self-administration of medication during hospitalization under support from the health personnel to improve adherence, knowledge and feeling safe about the medication.

Basic intervention

One-Stop Dispensing and focused dialogue BEHAVIORAL

Besides the elements of One-Stop Dispensing focused dialogue about the patient's medicine during hospitalization and at discharge to improve adherence, knowledge and feeling safe about the medication

Extended intervention

Eligibility Criteria

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

You may qualify if:

• Hospitalized patients at Diagnostic Center, Regional Hospital Silkeborg, Denmark ≥ age 18 years, who understand, speak and are able to read Danish.

You may not qualify if:

• Patients admitted for elective procedures, where admission is expected to be \<24 hours
• Patients with significant cognitive problems (dementia, dying, psychotic etc.)
• Patients who abuse medicine or narcotics.
• Patients who have participated in the project during a previous admission.
• Patients who do not use prescribed medicine.
• Patients admitted in the period monday from 8 a.m. until friday 3 p.m.

Sponsors & Collaborators

• Central Jutland Regional Hospital: lead

Study Sites (1)

Diagnostic Centre, Regional Hospital Silkeborg

Silkeborg, 8600, Denmark

Location

Study Officials

• Charlotte W Appel, PhD

  Diagnostic Centre, Regional Hospital Silkeborg, Denmark

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Nurse

Study Record Dates

• First Submitted: May 30, 2016
• First Posted: September 9, 2016
• Study Start: April 1, 2016
• Primary Completion: March 1, 2017
• Study Completion: March 1, 2017
• Last Updated: June 2, 2017

Record last verified: 2017-06

Locations

DK (1)