Randomised controlled trial of a very brief practitioner-delivered intervention plus a digital intervention to support medication adherence in people prescribed treatment for hypertension in primary care: the Programme on Adherence to Medication (PAM) trial
Supporting medication adherence in patients prescribed treatment for hypertension
Current interventions as of 01/12/2023: Intervention group: A very brief intervention (VBI) delivered remotely (by phone or video call) by a practice nurse or healthcare assistant followed by a digital intervention (text messaging or smartphone app), in addition to usual care. Control group: Usual care only. _____ Previous interventions as of 22/10/2020: Intervention group: usual care PLUS a very brief intervention (VBI) facilitated by a practice nurse or health care assistant followed by a 12-month text messaging programme or smartphone app. Comparator group: usual care only. _____ Previous interventions: The intervention group will receive a 1-minute very brief intervention, followed by a 3 months text message and/or a smartphone app intervention. The control group will receive usual care only. Follow up will be at 12 months. Randomisation will be stratified by primary care professionals only.
Current inclusion criteria as of 01/12/2023: Patients will be included if they satisfy all the following criteria: 1. Has a diagnosis of hypertension (high blood pressure) 2. Have been prescribed at least one antihypertensive (blood pressure lowering) medication 3. Any Blood Pressure reading higher than 140/90 mmHg OR gaps in collecting repeat prescriptions 4. Can understand English and is able to provide informed consent 5. Has a mobile phone and is familiar with sending and receiving text messages 6. The practice nurse or healthcare assistant is not aware of any other reason why the patient should be excluded _____ Previous inclusion criteria as of 22/10/2020: Patients will be included if they satisfy all six criteria: 1. Have a diagnosis of hypertension (high blood pressure) 2. Have been prescribed at least one antihypertensive (blood pressure lowering) medication 3. Have a most recent blood pressure reading higher than 140/90 mmHg or gaps in collecting repeat prescriptions 4. Can understand English and is able to provide informed consent 5. Have a mobile phone and is familiar with sending and receiving text messages 6. The practice nurse or health care assistant is not aware of any other reason why the patient should be excluded. ______ Previous inclusion criteria: Patients will be included if they: 1. Have a diagnosis of high blood pressure (HBP), or comorbidities of HBP type 2 diabetes cholesterol 2. Are prescribed at least one antihypertensive medication 3. Have poorly controlled HBP or gaps in collecting repeat prescriptions 4. Are able and use mobile phones 5. Have the capacity to provide informed consent
Current exclusion criteria as of 01/12/2023: Patients will be excluded if: 1. They have BP > 200/100mm Hg or postural hypotension (>20mm Hg systolic drop) 2. They have a diagnosis of dementia or other cognitive difficulties that could affect study participation 3. They have had a recent severe life-threatening event or are under treatment for another long-term health condition (e.g. cancer) 4. They are taking part in another medication adherence intervention or digital intervention for behaviour change 5. Their BP is not managed by their GP practice _____ Previous exclusion criteria: Patients will be excluded if they: 1. Have a diagnosis of dementia or other cognitive difficulties that could affect study participation 2. Have had a recent severe life-threatening event or are under treatment for another long-term health condition (e.g. cancer) 3. Take part in another medication adherence and/or digital intervention