NCT04017559

Brief Summary

Adherence to treatment is a major challenge in cystic fibrosis (CF). Motivational Interviewing (MI) is increasingly used to address this, but its effectiveness is unknown. We investigated the clinical impact of an MI intervention, delivered by a specifically trained pharmacist, on adherence to inhaled antibiotics (IA).

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2014

Typical duration for not_applicable

Status
completed

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

Study Start

First participant enrolled

October 22, 2014

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2016

Completed
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 17, 2017

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

July 10, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 12, 2019

Completed
Last Updated

July 12, 2019

Status Verified

July 1, 2019

Enrollment Period

1.9 years

First QC Date

July 10, 2019

Last Update Submit

July 10, 2019

Conditions

Outcome Measures

Primary Outcomes (1)

  • Inhaled Antibiotic collection percentage

    Change in adherence to Inhaled Antibiotic measured by collection from pharmacy in 6 months before intervention and at end of intervention

    6 months preceding intervention compared to end of 6 month intervention period

Secondary Outcomes (7)

  • Percent Predicted Forced Expiratory Volume in 1 second (ppFEV1)

    6 months

  • Body Mass Index (BMI)

    6 months

  • Need for additional Intra-venous or oral antibiotics

    6 months

  • Treatment quality and satisfaction (TQSM)

    6 months

  • Self reported adherence using "Moriskey Medication Adherence 8" questionnaire (MMAS-8)

    6 months

  • +2 more secondary outcomes

Study Arms (1)

Intervention cohort

EXPERIMENTAL

All participants were entered into the intervention cohort to receive the Motivational Interviewing intervention

Behavioral: Motivational Interviewing

Interventions

A pharmacist trained in MI delivered three recorded MI sessions over 2 months, with follow up at 3, 4 and 6 months.

Intervention cohort

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or female patients with a documented diagnosis of CF aged ≥18 years on the date of informed consent
  • Known chronic infection with Pa, as defined by the Leeds criteria
  • Has been prescribed inhaled colomycin and/or tobramycin and/or aztreonam for a minimum of 3 months prior to study enrolment
  • Able to provide written informed consent
  • Able to understand and comply with protocol requirements and instructions
  • Has been identified by the physician during routine appointments as having difficulties with adherence to their inhaled therapies

You may not qualify if:

  • Patients that do not expectorate sputum spontaneously
  • Inability to complete questionnaires

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Cystic Fibrosis

Interventions

Motivational Interviewing

Condition Hierarchy (Ancestors)

Pancreatic DiseasesDigestive System DiseasesLung DiseasesRespiratory Tract DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesInfant, Newborn, Diseases

Intervention Hierarchy (Ancestors)

Directive CounselingCounselingMental Health ServicesBehavioral Disciplines and ActivitiesHealth ServicesHealth Care Facilities Workforce and Services

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2019

First Posted

July 12, 2019

Study Start

October 22, 2014

Primary Completion

September 1, 2016

Study Completion

May 17, 2017

Last Updated

July 12, 2019

Record last verified: 2019-07

Data Sharing

IPD Sharing
Will not share