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IRCT20220814055689N1 IRCT 2023-09-03 Tehran University of Medical Sciences Assessing the impact of planned behavior theory oriented intervention on drug adherence Assessing the impact of planned behavior theory oriented intervention on drug adherence in patients undergoing coronary angioplasty 2023-07-01 anticipated 88 Complete https://irct.ir/trial/65281 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Using Excel software, 22 blocks of four are formed and in each block, the cells are randomly assigned between control and intervention groups. N/A Coronary Angioplasty. Intervention 1: Intervention group: At the patient's first visit to the clinic, after registering their information in the demographic questionnaire, the level and proportion of medication adherence are measured through the utilization of the Moriski questionnaire and the Global evaluation of medication adherence tool.Then, if desired medication adherence is not achieved, with the cooperation of the patient, barriers to medication use in terms of time and place of medication use and method of use are identified, and a practical plan to cope with these barriers is developed based on each patient's problems. A written copy of this plan along with an educational brochure is given to the patient. The importance of proper medication use is also orally taught and a educational brochure is given to patients who have desirable medication adherence. Then, during a 30-days period, this program is executed by phone or in-person reminders to the patient and after 60 days, the level and proportion of medication adherence are measured again. Additionally, during this stage, the rate of re-hospitalization of patients, within a two-month period of program implementation is measured. It should be noted that this intervention focuses on adherence to antiplatelet, statin and aspirin medications. Intervention 2: Control group: In this group, the rate and ratio of drug compliance is measured in the first visit and then common trainings after angioplasty are provided. Again, 60 days later, the rate and ratio of drug compliance will be measured. After the final evaluation, educational pamphlets will be given to the patients of the control group. Yes - There is a plan to make this available What will be shared: The demographic profile file of the participants, dependent and independent variables, data classification system, codes used in the analysis, clinical study report, informed consent form, statistical analysis map will be shared through the faculty website and email after the study is done. When: There is no limitation. To whom: Researchers Conditions: For future research and meta-analysis Where to obtain: Researcher's email How to obtain: The request should be sent to email. Comments:
public DR.Elham Navab
School of Nursing Midwifery, Nosrat Ave,Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 elhamnavab2@gmail.com Tehran University of Medical Sciences scientific DR Elham Navab
School of Nursing Midwifery, Nosrat Ave.,Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6105 4000 elhamnavab2@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) History of coronary angioplasty Positive behavioral intention to take medicine Absence of underlying chronic non-cardiac disease that affects the quality of life. Physical and cognitive ability and independence of medication use. Age requirement:18 to 75 years Literacy for reading and writing 18 years 75 years Both Lack of mental health Diseases or surgeries that require not taking anti-platelet drugs. Z95.5 Presence of coronary angioplasty implant and graft Treatment - Drugs Treatment - Drugs Intervention group: At the patient's first visit to the clinic, after registering their information in the demographic questionnaire, the level and proportion of medication adherence are measured through the utilization of the Moriski questionnaire and the Global evaluation of medication adherence tool.Then, if desired medication adherence is not achieved, with the cooperation of the patient, barriers to medication use in terms of time and place of medication use and method of use are identified, and a practical plan to cope with these barriers is developed based on each patient's problems. A written copy of this plan along with an educational brochure is given to the patient. The importance of proper medication use is also orally taught and a educational brochure is given to patients who have desirable medication adherence. Then, during a 30-days period, this program is executed by phone or in-person reminders to the patient and after 60 days, the level and proportion of medication adherence are measured again. Additionally, during this stage, the rate of re-hospitalization of patients, within a two-month period of program implementation is measured. It should be noted that this intervention focuses on adherence to antiplatelet, statin and aspirin medications. Control group: In this group, the rate and ratio of drug compliance is measured in the first visit and then common trainings after angioplasty are provided. Again, 60 days later, the rate and ratio of drug compliance will be measured. After the final evaluation, educational pamphlets will be given to the patients of the control group. The rate of drug adherence after coronary angioplasty. Timepoint: Prior to intervention, 30 days after intervention, and 60 days after intervention. Method of measurement: The determination of medication adherence level using the Morisky Medication Adherence Scale,. The ratio of drug adherence after coronary angioplasty. Timepoint: Prior to intervention, 30 days after intervention, and 60 days after intervention. Method of measurement: measuring the ratio of medication adherence using the Brazilian Global Evaluation of Medication Adherence (GEMA). The rate of readmission of patients. Timepoint: 60 days after intervention. Method of measurement: Patient information questionnaire. Tehran University of Medical Sciences Approved 2022-10-24 Research Ethics Committees of School of Nursing and Midwifery & Rehabilitation - TUMS Room 604, 6th Floor, Tehran University of Medical Sciences Central Building, Qods Intersection, Keshavarz Blvd. Tehran Tehran Iran (Islamic Republic of)