Clinical Trial: Improving Caregiver Mediated Medication Management- The 3M Study
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: Improving Caregiver Mediated Medication Management
Brief Summary: This study sought to improve medication management by caregivers of community dwelling patients with dementia or simple memory loss. This was done by testing a tailored intervention delivered both in-home and by telephone by either a social worker or nurse. The intervention was designed to decrease medication deficiencies and improve medication adherence by developing problem solving skills.
Detailed Summary:
Objective: The overall purpose of this investigation is to test the efficacy of a tailored caregiver mediated medication management intervention designed for caregivers of community dwelling patients with dementia.
Specific Aims:
Primary Aim:
Examine the efficacy of a tailored caregiver mediated medication management in-home and telephone delivered intervention designed to decrease medication taking deficiencies and daily hassles and improve medication adherence of caregivers of community dwelling patients with dementia vs. standard education/usual care group of caregivers over time.
Hypothesis 1 Immediately post-treatment (8 weeks), there will be a decrease in medication taking deficiencies and daily hassles and an improvement in caregiver medication adherence in the treatment compared to the usual care group.
Hypothesis 2 Immediately post-maintenance (16 weeks), there will be a sustained decrease in medication taking deficiencies and daily hassles and an improvement in caregiver medication adherence in the treatment group compared to the usual care group.
Hypothesis 3 At 8 weeks post-maintenance (24 weeks), there will continue to be a sustained decrease in medication taking deficiencies and daily hassles and an improvement in caregiver medication adherence in the treatment group compared to the usual care group.
Secondary Aims:
- Examine the efficacy of a tailored caregiver mediated medication management in-home and telephone delivered intervention designed to decrease medication taking deficienci
Sponsor: University of Pittsburgh
Current Primary Outcome:
- Medication management assessed by investigator developed Medication Deficiency Checklist- post-treatment [ Time Frame: 8 weeks ]Improved medication management of patient's medications by caregiver at post-intervention.
- Medication management-assessed by investigator developed Medication Deficiency Checklist- post maintenance [ Time Frame: 16 weeks ]Maintenance of improved medication management of patient's medications by caregiver following a booster/maintenance period
- Medication management-assessed by investigator developed Medication Deficiency Checklist- post followup [ Time Frame: 24 weeks ]Maintenance of improved medication management of patient's medications by caregiver after a no treatment followup period.
Original Primary Outcome: Same as current
Current Secondary Outcome:
- Patient outcomes- medical utilization-Investigator developed Unscheduled Event Checklist [ Time Frame: 24 weeks ]decrease medical utilization such as md visits, emergency visits, and hospitalizations
- Caregiver outcome- Improved quality of life via Medical Outcome Short Form (SF-36) [ Time Frame: 24 weeks ]Improvement of caregiver's quality of life over time
Original Secondary Outcome: Same as current
Information By: University of Pittsburgh
Dates:
Date Received: April 18, 2017
Date Started: June 1, 2010
Date Completion:
Last Updated: May 1, 2017
Last Verified: May 2017
- Medication management assessed by investigator developed Medication Deficiency Checklist- post-treatment [ Time Frame: 8 weeks ]
