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Evaluating the feasibility and acceptability of a discharge medication literacy intervention (the CHAT study)

What is the effect of QR codes and websites on patients' hospital discharge medication literacy and communication? A feasibility trial

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12622001028796
Acronym
CHAT Study
Enrollment
60
Registered
2022-07-22
Start date
2022-10-11
Completion date
2023-05-22
Last updated
2023-10-16

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

It has been shown that one-third of patients are not engaged in discharge conversations with health care professionals; receiving large volumes of one-way information, immediately prior to being discharged home. Once home, patients identify medication-related problems that they would have liked to voice in hospital or learn more about in hospital. The purpose of this study is to develop and pilot test an intervention that enhances patients’ discharge medication literacy and communication. The primary aims of this study are: * To assess the feasibility of study processes and the intervention to inform a future effectiveness trial. * To assess patients’ and healthcare professionals’ perceptions and experiences of intervention acceptability. This is a single site pilot randomised control trial. A group of consumers and healthcare professionals co-designed the intervention which is a poster placed in the patient’s room. The poster has 3 QR codes, which when scanned, take the patient to: 1) an online search engine to find out more information about medications; 2) a website with information patients may need to help manage their medications once home; and 3) an online question builder to encourage patients to ask questions about their medications in hospital.

Interventions

The intervention is a poster (size A3) placed in the patient’s room, plus an A4 copy of the poster is given to the patient to keep. The poster has 3 QR codes which when scanned link the patient to three intervention components: 1. The NPS Medicine Wise finder: https://www.nps.org.au/medicine-finder 2. A webpage specifically designed for this study that has information to support patients with managing their medications once home, including: the NPS Medicine Wise app: https://www.nps.org.au/m

The intervention is a poster (size A3) placed in the patient’s room, plus an A4 copy of the poster is given to the patient to keep. The poster has 3 QR codes which when scanned link the patient to three intervention components: 1. The NPS Medicine Wise finder: https://www.nps.org.au/medicine-finder 2. A webpage specifically designed for this study that has information to support patients with managing their medications once home, including: the NPS Medicine Wise app: https://www.nps.org.au/medicinewiseapp, who to contact in the community such as NPS Medicine Line https://www.nps.org.au/medicines-line, and trusted sources of information including NPS Medicine Wise website and Health Direct website. 3. A question builder website specifically designed for this study that prompts patients to ask more questions about their medications in hospital The intervention education session will be delivered by a Research Nurse, one-on-one with the patient. It will be delivered in a single session while the patient is in hospital. We anticipate that it will take the nurse 10 minutes or less to deliver the intervention education session. In this single session, the nurse will provide an overview of the intervention, by showing the patient the poster, and verbally instructing them that they can scan any of the 3 QR codes that are relevant to them, at any time during their hospital admission (thus, they can choose what components they engage with). The intervention education session will be scheduled at any time prior to discharge depending upon patient availability, etc. It will then be up to the patient how they engage with the intervention for the remainder of their hospitalization. The patients will use their own smart phone/device to access the intervention. The Research Nurse will keep a log about fidelity to intervention delivery.

Sponsors

Gold Coast Hospital and Health Service
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
45 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Patients (the target group for the intervention): * Patients greater than or equal to 45 years old * Patients with greater than or equal to 1 chronic illness * Patients with greater than or equal to 1 regularly prescribed medication that they manage at home *Patients who have a smart device (I.e. tablet or phone) Healthcare professionals: *Doctor, nurse or pharmacist who was caring for patients in the intervention arm *Work regularly on participating units

Exclusion criteria

Patients: *Patients receiving end-of-life care *Patients with planned discharge to an aged care facility *Patients with cognitive impairments *Patients with an inability to communicate in English Healthcare professionals: *N/A

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 5, 2026