A Behavioral Economics-Based Telehealth Intervention to Improve Post-MI Medication Adherence
Completed · Not applicable
Conditions studied: Myocardial Infarction, Acute, Myocardial Infarction
In brief
The proposed study is a pilot randomized clinical trial (RCT). Participants in the intervention arm will participate in a 90-day adherence promotion program based on the theory of behavioral economics and administered through the Wellth mobile phone application. Subjects will be provided a CleverCap® Lite BLE C035 smart pill bottle (electronic monitoring (EM), device) containing a 90-day supply of aspirin (90 pills) and those in the intervention arm will be offered $150 for app-based medication check-ins, which consist of uploading daily photos of pills at the time of administration through the Wellth app. Subjects will have $2 deducted from total rewards for each day that a medication check-in is missed. Subjects in the control arm will receive usual care and be monitored with the same EM device types used in the intervention arm.
Key facts
- Study ID
- NCT03022266
- Run by
- Wellth Inc.
- People needed
- 130
- Starts
- 2017-02-01
- Expected to finish
- 2018-11-14
- Last updated by the study team
- 2019-05-09
Who can join
Age: 21 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Over 21 years of age
- Admitted to one of the University of Pennsylvania hospitals for acute myocardial infarction (ICD-10 codes I21.xx) or unstable angina (ICD 10 codes I20.xxx)
- Prescribed once-per-day aspirin at discharge
- The patient administers his or her own medications
- Own a smartphone with a sufficient data plan or home Wi-Fi to enable app use and avoid overage charges
- Able to speak and understand English
You may not qualify if…
- Diagnosis of MI following non-cardiac admission
- Discharge to any facility other than the patient's home
- Cognitive impairment that limits ability to understand and complete questionnaires
- Inability to operate a mobile phone and the Wellth app
- Physician-estimated life expectancy less than 6 months
Where it is running
- University of Pennsylvania — Philadelphia, Pennsylvania, United States
Full record on ClinicalTrials.gov
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