Telehealth , Lipid Lowering Medication Adherence
Conditions
Brief summary
To evaluate the effect of telehealth through short messaging services (SMSs) on adherence to statins in patients with diabetes.
Interventions
OTHERSMS reminder massages about adherence
SMS three-times per week in the first six weeks and twice per week in the second six weeks reminding the patient about adherence to prescribed medication
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Masking description
MA will provide randomization AD will assess participant at baseline and follow-up EH will deliver the intervention.
Intervention model description
Eligible patients will be offered to participate. Willing patients will be randomly assigned to one of two groups: Two arms study design: first arm (control group)won't receive intervention while the second arm (intervention group) will receive telenursing intervention through SMS; Is a text messages will be sent to the intervention group comprised of a reminder on when, how to take lipid lowering medication, benefits, and adverse effect of not taken the drug as prescribed for three months duration. SMS (Short Messaging Service) will be sent three times per week in the first six weeks and twice per week in the second six weeks.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adult (≥18 years) * Both sexes * Type 1 and 2 diabetes * Had a prescription of lipid lowering medication with a minimum duration of two weeks * Have an active contact phone number that can receive text messages * Able to read SMS text messages (patient, or family member)
Exclusion criteria
* Communication impairment * Taking any psychotropic medications * Familial hypercholesterolemia * Already established coronary heart disease * not on lipid lowering medication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence rate | 6 and 12 weeks | Adherence rate was measured by: 1\. Pill counting (PC) Pill count (PC) Is an objective mesearrment, calculated by the sum of days covered by lipid-lowering medication divided by the number of days in that period. Investigators calculated the index date for adherence on the day of recruitment for each patient. Patients were considered to have good adherence to lipid-lowering medication if their estimated PC was ≥80%, Equation : Sum of days covered by lipid-lowering medication / number of days in that period × 100. Percentage ≧ 80% means a good medication adherence Percentage \< 80% means a poor medication adherence |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lipid profile | at 12 week | Mean score of lipid profile will be monitored at follow up times comparison between baseline and follow up measurements will be done |
| Acute cardiovascular events (CVE) | at 12 weeks | Number of cases who will be hospitalized or exposed to acute cardiovascular events (CVD) within follow periods. |
| Mortality | at 12 weeks | Number of death or mortality within follow up period. |
Countries
Egypt
Outcome results
None listed