Pilot Study to Improve Medication Management in Older Adults

NCT04709640 | Completed

• 1 other identifier: 201708062
• Study Type: interventional
• Target: 4
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot study seeks to determine the acceptability and feasibility of the intervention to improve ability of older adults to management medication with community dwelling older adults.

Conditions

Medication Adherence

Outcome Measures

Primary Outcomes (1)

• In-Home Medication Management Evaluation (HOME-Rx)

  The HOME-Rx is a performance-based tool designed to identify functional barriers to medication management for community-dwelling older adults. Its purpose is to identify common and specific barriers to independence in medication management for older adults living independently in the community. We will use the I-HOPE measure the severity of barriers impacting medication management before and after the intervention. We will also measure the performance and satisfication of the older adult to perform their medication management tasks independently before and after the intervention.

  1 month

Study Arms (1)

Tailored Medication Management Intervention

EXPERIMENTAL

This research study involved an initial 1.5 hour visit and 2-3 follow up home visits (each lasting 60 minutes). Participants received 2-3 home visits during which they received recommendations on strategies which will improve medication management. Level II occupational therapy fieldwork students made the recommendations, after approval from their supervising licensed OT. The OT fieldwork students provided assistance to the individual in implementing strategies, obtaining adaptive equipment at little or no cost to the individual.

Other: Tailored Medication Management Intervention

Interventions

Tailored Medication Management Intervention OTHER

This research study involved an initial 1.5 hour visit and 2-3 follow up home visits (each lasting 60 minutes). Participants received 2-3 home visits during which they received recommendations on strategies which will improve medication management. Level II occupational therapy fieldwork students made the recommendations, after approval from their supervising licensed OT. The OT fieldwork students provided assistance to the individual in implementing strategies, obtaining adaptive equipment at little or no cost to the individual.

Tailored Medication Management Intervention

Eligibility Criteria

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

You may qualify if:

• age 65 years or older
• taking four or more prescription medications
• self-reported decreased medication adherence.

You may not qualify if:

• significant cognitive impairment as indicated by a score of 10 or more on the Short Blessed Test
• Resides in an institutionalized setting.

Sponsors & Collaborators

• Washington University School of Medicine: lead

Study Sites (1)

Washington University in St. Louis

St Louis, Missouri, 63108, United States

Location

MeSH Terms

Conditions

Medication Adherence

Condition Hierarchy (Ancestors)

Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Occupational Therapy, Neurology and Social Work

Study Record Dates

• First Submitted: October 13, 2020
• First Posted: January 14, 2021
• Study Start: September 7, 2017
• Primary Completion: November 21, 2018
• Study Completion: November 21, 2018
• Last Updated: September 2, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)