Evaluating the Impact of a Web-based Risk Assessment System (CareSage) and Tailored Interventions on Healthcare Utilization: Study Protocol for a Randomized Controlled Trial

2018 ◽  
Author(s):  
Ramya Sita Palacholla ◽  
Nils Fischer ◽  
Stephen Agboola ◽  
Mariana Nikolova-Simons ◽  
Sharon Odametey ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Randomized Controlled Trial ◽  
Healthcare Utilization ◽  
Study Protocol ◽  
Controlled Trial ◽  
Assessment System ◽  
Web Based ◽  
Randomized Controlled ◽  
Tailored Interventions ◽  
The Impact

scholarly journals Evaluating the Impact of a Web-Based Risk Assessment System (CareSage) and Tailored Interventions on Health Care Utilization: Protocol for a Randomized Controlled Trial

10.2196/10045 ◽  
2018 ◽  
Vol 7 (5) ◽  
pp. e10045 ◽  
Author(s):  
Ramya Sita Palacholla ◽  
Nils C Fischer ◽  
Stephen Agboola ◽  
Mariana Nikolova-Simons ◽  
Sharon Odametey ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Assessment System ◽  
Care Utilization ◽  
Web Based ◽  
Randomized Controlled ◽  
Tailored Interventions ◽  
The Impact

Effectiveness of a web-based medication adherence tool with patient centered communication: Results of a clustered randomized controlled trial (Preprint)

2019 ◽  
Author(s):  
Jan van Lieshout ◽  
Joyca Lacroix ◽  
Aart van Halteren ◽  
Martina Teichert
Keyword(s):  
Randomized Controlled Trial ◽  
Medication Adherence ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Community Pharmacies ◽  
Web Based ◽  
Randomized Controlled ◽  
Tailored Interventions ◽  
Increased Risk

BACKGROUND Growing numbers of people use medication for chronic conditions; non-adherence is common, leading to poor disease control. A newly developed web-based tool to identify an increased risk for non-adherence with related potential individual barriers might facilitate tailored interventions and improve adherence. OBJECTIVE To assess the effectiveness of the newly developed tool to improve medication adherence. METHODS A cluster randomized controlled trial assessed the effectiveness of this adherence tool in patients initiating cardiovascular or oral blood glucose lowering medication. Participants were included in community pharmacies. They completed an online questionnaire comprising an assessments of their risk for medication non-adherence and subsequently of barriers to adherence. In pharmacies belonging to the intervention group, individual barriers displayed in a graphical profile on a tablet were discussed by pharmacists and patients at high non-adherence risk in face to face meetings and shared with their general practitioners and practice nurses. Tailored interventions were initiated by the healthcare providers. Barriers of control patients were not presented or discussed and these patients received usual care. The primary outcome was the difference in medication adherence at 8 months follow-up between patients with an increased non-adherence risk from intervention and control group, calculated from dispensing data. RESULTS Data from 492 participants in 15 community pharmacies were available for analyses (intervention 253, 7 pharmacies; control 239, 8 pharmacies). The intervention had no effect on medication adherence (-0.01; 95%CI -0.59 – 0.57; P= .96), neither in the post hoc per protocol analysis (0.19; 95%CI -0.50 – 0.89; P=.58). CONCLUSIONS This study showed no effectiveness of a risk stratification and tailored intervention addressing personal barriers for medication adherence. Various potential explanations for lack of effect were identified. These explanations relate for instance to high medication adherence in the control group, study power and fidelity. Process evaluation should elicit possible improvements and inform the redesign of intervention and implementation. CLINICALTRIAL The Netherlands National Trial Register: NTR5186. Date: May 18, 2015 (http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5186)

scholarly journals ‘Red Ruby’: an interactive web-based intervention for lifestyle modification on metabolic syndrome: a study protocol for a randomized controlled trial

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Leila Jahangiry ◽  
Davoud Shojaeizadeh ◽  
Mahdi Najafi ◽  
Kazem Mohammad ◽  
Mahdieh Abbasalizad Farhangi ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Lifestyle Modification ◽  
Controlled Trial ◽  
Web Based ◽  
Randomized Controlled

scholarly journals What is the impact of mother’s bed incline on episodes of decreased oxygen saturation in healthy newborns in skin-to-skin contact after delivery: Study protocol for a randomized controlled trial

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Jesús Rodríguez López ◽  
Nadia Raquel García Lara ◽  
María López Maestro ◽  
Javier De la Cruz Bértolo ◽  
José Carlos Martínez Ávila ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Oxygen Saturation ◽  
Study Protocol ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Skin Contact ◽  
Skin To Skin ◽  
The Impact

The Impact of Web-Based HOT (Healthy Outcomes for Teens) Project on Risk for Type 2 Diabetes: A Randomized Controlled Trial

2014 ◽  
Vol 16 (12) ◽  
pp. 846-852 ◽  
Author(s):  
Henna Muzaffar ◽  
Darla M. Castelli ◽  
Jane Scherer ◽  
Karen Chapman-Novakofski
Keyword(s):  
Type 2 Diabetes ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Web Based ◽  
Randomized Controlled ◽  
The Impact
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