AzTrials
AzTrials

Drug-Related ProblemsNCT04841863

Secondary Prevention of Dug-related Problems Through Digital Health

A study testing MyPlan digital health platform and Satndard care in people with Drug-Related Problems, run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau at 1 site in Spain.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

The purpose of this study is to evaluate the clinical impact of a program for the secondary prevention of drug-realted problems (DRP) focused on the patient empowerment through Digital Health in patients who visit the Emergency Department (ED) of the Hospital de la Santa Creu i Sant Pau (HSCiSP) for a health problem… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Drug-Related Problems
What is being tested?
MyPlan digital health platform and Satndard care
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
200 participants
Where
1 siteSpain
Study dates
Apr 2021to Apr 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age greater than or equal to 18 years.
  • Visit ED for a DRP caused bu a drug of the ATC groups A, B, C or N.
  • Be independent for activities of daily living (equivalent to Barthel 100).
  • Have a Chalson Comorbidity Index 2 <= 3.
  • Not present cognitive impairment.
  • Be directly responsible for pharmacotherapy.
  • Have a mobile device compatible with the MyPlan mobile application and access to Wi-Fi or mobile data, enabling the use of the technology platform from home.

Who cannot join

  • Important language barrier.
  • Impossibility of carrying out the necessary questionnaires or interviews defined in the methods of this study.
  • Mental pathology that makes the autonomous use of technology impossible or that represents a safety problem for the patient according to clinical criteria.
  • Patients not residing in the territory who cannot be followed-up later.

Trial locations and contacts

1 site in 1 country.

Ana Juanes Borrego, Doctor contact

932 91 90 00 ext. 7459

ajuanes@santpau.cat

Jesús Ruiz Ramos, Doctor contact

932 91 90 00 ext. 7459

jruiz@santpau.cat

Spain1 site
  • Hospital de la Santa Creu i Sant Pau

    Barcelona

    Ana Juanes, Doctor, ajuanes@santpau.cat

    Jesús Ruiz, Doctor, jruiz@santpau.cat

Other trials in Spain

About this study

Official title: Secondary Prevention of Dug-related Problems Through Patient Empowerment Through Digital Health

The purpose of this study is to evaluate the clinical impact of a program for the secondary prevention of drug-realted problems (DRP) focused on the patient empowerment through Digital Health in patients who visit the Emergency Department (ED) of the Hospital de la Santa Creu i Sant Pau (HSCiSP) for a health problem related to medication in terms of readmissions, revisits and quality of life.

Read the detailed description

After being infomed about the estudy and potential risks, all patients who meet the eligibility requirements and giving written informed consent, will be randomized.

The project is structured in two consecutive phases.

  1. st Phase: 3-month randomized pilot study. Patients will be randomized with a 1:1 distribution to be included in the Drug Code Active Patient or DCAP (intervention group) or to receive usual care (control group). The pilot study will confirm whether the proposed methodology is feasible to implement it on a large scale, as well as providing the information necessary to calculate the sample of patients according to the main objective of the study.
  2. nd Phase: Randomized clinical trial lasting 18 months (6 of which will be recruitment and 12 months follow-up) following the methodology described for the pilot in a larger sample of patients until the calculated sample size is achieved.
Being tested
MyPlan digital health platform, Satndard care
Keywords
DRP, Digital Health

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MyPlan digital health platformDevice

    Inclusion in the active group involves the use of MyPlan digital health tool that aims to improve clinical-patient communication, enahnce patient empowerment, improve early detection of side effects and allows professionals to individualize interventions.

  • Satndard careOther

    Inclusion in the control group do not involves the use of MyPlan digital health tool. Patients will receive the standard of care.

Study groups in NCT04841863
Study groupRoleWhat they receive
Drug Code Active Patient o DCAPActive comparatorInclusion in the active group involves the use of MyPlan digital health tool that aims to improve clinical-patient communication, enahnce patient empowerment, improve early detection of side effects and allows professionals to individualize interventions. Patients will receive follow-up by videoconference 48 hours after discharge and in the phase II, at 6 and 12 months after discharge.
Receives: Device: MyPlan digital health platform
Standard carePlacebo comparatorInclusion in the control group do not involves the use of MyPlan digital health tool. Patients will receive the standard of care. Patients will receive follow-up by videoconference 48 hours after discharge and in the phase II, at 6 and 12 months after discharge.
Receives: Other: Satndard care

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Clinical impact of a digitial health tool for secondary prevention of DRP focused on patient empowerment.

    Change in clinical impact during the follow-up time will be evaluated in terms of number of readmissions, number of revisits and quality of life (based on the result obtained in the EQ-5D-3L51 questionnaire)

    Measured: Baseline, 48h after discharge, 30-day and 90-day after discharge (in phase I, Pilot Trial)

  2. Clinical impact of a digitial health tool for secondary prevention of DRP focused on patient empowerment.

    Change in clinical impact during the follow-up time will be evaluated in terms of number of readmissions, number of revisits and quality of life (based on the result obtained in the EQ-5D-3L51 questionnaire)

    Measured: Baseline, 48h after discharge, 6-month and 12-month after discharge (in phase II, Clinical Trial)

Secondary outcomes (11)
  1. Identify, classify, and quantify DRP that cause urgent care in a tertiary hospital in this patient population.

    Type of DRP that promotes ED visits characterized according to the three dimensions of the Third Consensus of Granada (Need, Effectiveness and Safety)

    Measured: Baseline

  2. Identify risk factors for ED visits related to DRP

    Age, sex, social and familiar environment, blood presure (mmHg), heart frequency (bpm), Hb1Ac (%), pain (visual analog scale), weight (kg) and height (cm), chronic kidney disease, number of drugs at admission and at discharge, number of chronic health problems.

    Measured: Baseline

  3. Identify which groups of drugs are more frequently associated to DRP

    Using ATC group classification

    Measured: Baseline

  4. Change in the patient therapeutic adherence

    Active days on the MyPlan platform, functionalities used, number of queries made through platform messaging

    Measured: Baseline, 48h after discharge, 30-day and 90-day after discharge (in phase I, Pilot Trial)

  5. Change in the patient therapeutic adherence

    Active days on the MyPlan platform, functionalities used, number of queries made through platform messaging

    Measured: Baseline, 48h after discharge, 6-month and 12-month after discharge (in phase II, Clinical Trial)

  6. Mesure therapeutic complexity

    Using patient Medication Regimen Complexity Index (pMRCI-S) questionnaire

    Measured: Baseline

  7. Identify predictive factors of a greater capacity for digital empowerment.

    Using the CAMBADOS questionnaire

    Measured: Baseline

  8. Measure the usability and satisfaction of patients, caregivers and professionals of the MyPlan digital health tool

    Using the TrilemaSalud questionnaire

    Measured: 90-day after discharge (in phase I, Pilot Trial)

  9. Measure the usability and satisfaction of patients, caregivers and professionals of the MyPlan digital health tool

    Using the TrilemaSalud questionnaire

    Measured: 12-month after discharge (in phase II, Clinical Trial)

  10. Change in the quality of life of patients in the active group

    Using the EQ-5D-3L51 questionnaire

    Measured: Baseline, 30-day and 90-day after discharge (in phase I, Pilot Trial)

  11. Change in the quality of life of patients in the active group

    Using the EQ-5D-3L51 questionnaire

    Measured: Baseline, 6-month and 12-month after discharge (in phase II, Clinical Trial)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Apr 2021
  2. Study startApr 2021 (estimated)
  3. Primary completionOct 2021 (estimated)
  4. Study completionApr 2023 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04841863
Sponsor's protocol ID
IIBSP-COD-2019-46
Status last verified
Apr 2021
First submitted
18 Mar 2021
Last updated
12 Apr 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Monitor clinical trial will have access to all study data

Publications

  • Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. JAMA. 1998 Apr 15;279(15):1200-5. doi: 10.1001/jama.279.15.1200.

    PubMed 9555760
  • Patel P, Zed PJ. Drug-related visits to the emergency department: how big is the problem? Pharmacotherapy. 2002 Jul;22(7):915-23. doi: 10.1592/phco.22.11.915.33630.

    PubMed 12126224
  • Baena MI, Fajardo PC, Pintor-Marmol A, Faus MJ, Marin R, Zarzuelo A, Martinez-Olmos J, Martinez-Martinez F. Negative clinical outcomes of medication resulting in emergency department visits. Eur J Clin Pharmacol. 2014 Jan;70(1):79-87. doi: 10.1007/s00228-013-1562-0. Epub 2013 Oct 3.

    PubMed 24091839
  • Castro I, Guardiola JM, Tuneu L, Sala ML, Faus MJ, Mangues MA. Drug-related visits to the emergency department in a Spanish university hospital. Int J Clin Pharm. 2013 Oct;35(5):727-35. doi: 10.1007/s11096-013-9795-7. Epub 2013 May 22.

    PubMed 23695594
  • Banerjee J, Conroy S, Cooke MW. Quality care for older people with urgent and emergency care needs in UK emergency departments. Emerg Med J. 2013 Sep;30(9):699-700. doi: 10.1136/emermed-2012-202080. Epub 2012 Dec 18. No abstract available.

    PubMed 23250895
  • Hamilton HJ, Gallagher PF, O'Mahony D. Inappropriate prescribing and adverse drug events in older people. BMC Geriatr. 2009 Jan 28;9:5. doi: 10.1186/1471-2318-9-5.

    PubMed 19175914
  • Leendertse AJ, Egberts AC, Stoker LJ, van den Bemt PM; HARM Study Group. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Intern Med. 2008 Sep 22;168(17):1890-6. doi: 10.1001/archinternmed.2008.3.

    PubMed 18809816
  • Gheewala PA, Peterson GM, Curtain CM, Nishtala PS, Hannan PJ, Castelino RL. Impact of the pharmacist medication review services on drug-related problems and potentially inappropriate prescribing of renally cleared medications in residents of aged care facilities. Drugs Aging. 2014 Nov;31(11):825-35. doi: 10.1007/s40266-014-0208-y.

    PubMed 25187228
  • Patterson SM, Cadogan CA, Kerse N, Cardwell CR, Bradley MC, Ryan C, Hughes C. Interventions to improve the appropriate use of polypharmacy for older people. Cochrane Database Syst Rev. 2014 Oct 7;(10):CD008165. doi: 10.1002/14651858.CD008165.pub3.

    PubMed 25288041
  • Campins L, Serra-Prat M, Palomera E, Bolibar I, Martinez MA, Gallo P. Reduction of pharmaceutical expenditure by a drug appropriateness intervention in polymedicated elderly subjects in Catalonia (Spain). Gac Sanit. 2019 Mar-Apr;33(2):106-111. doi: 10.1016/j.gaceta.2017.09.002. Epub 2017 Nov 20.

    PubMed 29162290
  • Perez Menendez-Conde C, Bermejo Vicedo T, Delgado Silveira E, Carretero Accame E. Adverse drug reactions which provoke hospital admission. Farm Hosp. 2011 Sep-Oct;35(5):236-43. doi: 10.1016/j.farma.2010.08.003. Epub 2011 May 12. English, Spanish.

    PubMed 21570331
  • Donaldson LJ, Kelley ET, Dhingra-Kumar N, Kieny MP, Sheikh A. Medication Without Harm: WHO's Third Global Patient Safety Challenge. Lancet. 2017 Apr 29;389(10080):1680-1681. doi: 10.1016/S0140-6736(17)31047-4. No abstract available.

    PubMed 28463129
  • Lancaster K, Abuzour A, Khaira M, Mathers A, Chan A, Bui V, Lok A, Thabane L, Dolovich L. The Use and Effects of Electronic Health Tools for Patient Self-Monitoring and Reporting of Outcomes Following Medication Use: Systematic Review. J Med Internet Res. 2018 Dec 18;20(12):e294. doi: 10.2196/jmir.9284.

    PubMed 30563822
  • Martinez-Pillado M, Said-Criado I, Regueiro-Martinez A, Rodriguez IC. E-young chronics y e-senior chronics como nuevos modelos para la atencion a la cronicidad. J Healthc Qual Res. 2018 May-Jun;33(3):119-120. doi: 10.1016/j.jhqr.2018.07.001. No abstract available. Spanish.

    PubMed 30328812
  • Park LG, Howie-Esquivel J, Dracup K. A quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence. J Adv Nurs. 2014 Sep;70(9):1932-1953. doi: 10.1111/jan.12400. Epub 2014 Apr 1.

    PubMed 24689978

Questions about this trial

What is this clinical trial studying?

A study testing MyPlan digital health platform and Satndard care in people with Drug-Related Problems, run by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 12 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Ana Juanes Borrego, Doctor (932 91 90 00 ext. 7459, ajuanes@santpau.cat), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Clinical impact of a digitial health tool for secondary prevention of DRP focused on patient empowerment. (time frame: Baseline, 48h after discharge, 30-day and 90-day after discharge (in phase I, Pilot Trial)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04841863, which also lists 30 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Apr 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in