scholarly journals Web-Based STAR E-Learning Course Increases Empathy and Understanding in Dementia Caregivers: Results from a Randomized Controlled Trial in the Netherlands and the United Kingdom

2015 ◽  
Vol 17 (10) ◽  
pp. e241 ◽  
Author(s):  
Bart Hattink ◽  
Franka Meiland ◽  
Henriëtte van der Roest ◽  
Peter Kevern ◽  
Francesca Abiuso ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
United Kingdom ◽  
The Netherlands ◽  
Controlled Trial ◽  
Dementia Caregivers ◽  
Web Based ◽  
Randomized Controlled ◽  
The United Kingdom ◽  
E Learning

scholarly journals Is it worthwhile to conduct a randomized controlled trial of glaucoma screening in the United Kingdom?

2013 ◽  
Vol 19 (1) ◽  
pp. 42-51 ◽  
Author(s):  
Jennifer Burr ◽  
Rodolfo Hernández ◽  
Craig Ramsay ◽  
Maria Prior ◽  
Susan Campbell ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
United Kingdom ◽  
Controlled Trial ◽  
Glaucoma Screening ◽  
Randomized Controlled ◽  
The United Kingdom

scholarly journals Randomized controlled trial of the effect of selenium supplementation on thyroid function in the elderly in the United Kingdom

2008 ◽  
Vol 87 (2) ◽  
pp. 370-378 ◽  
Author(s):  
Margaret P Rayman ◽  
Alexander J Thompson ◽  
Bram Bekaert ◽  
Janet Catterick ◽  
Rachel Galassini ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
United Kingdom ◽  
Thyroid Function ◽  
Controlled Trial ◽  
The Elderly ◽  
Selenium Supplementation ◽  
Randomized Controlled ◽  
The United Kingdom

Effectiveness of a web-based medication adherence tool with patient centered communication: Results of a clustered randomized controlled trial (Preprint)

2019 ◽  
Author(s):  
Jan van Lieshout ◽  
Joyca Lacroix ◽  
Aart van Halteren ◽  
Martina Teichert
Keyword(s):  
Randomized Controlled Trial ◽  
Medication Adherence ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Community Pharmacies ◽  
Web Based ◽  
Randomized Controlled ◽  
Tailored Interventions ◽  
Increased Risk

BACKGROUND Growing numbers of people use medication for chronic conditions; non-adherence is common, leading to poor disease control. A newly developed web-based tool to identify an increased risk for non-adherence with related potential individual barriers might facilitate tailored interventions and improve adherence. OBJECTIVE To assess the effectiveness of the newly developed tool to improve medication adherence. METHODS A cluster randomized controlled trial assessed the effectiveness of this adherence tool in patients initiating cardiovascular or oral blood glucose lowering medication. Participants were included in community pharmacies. They completed an online questionnaire comprising an assessments of their risk for medication non-adherence and subsequently of barriers to adherence. In pharmacies belonging to the intervention group, individual barriers displayed in a graphical profile on a tablet were discussed by pharmacists and patients at high non-adherence risk in face to face meetings and shared with their general practitioners and practice nurses. Tailored interventions were initiated by the healthcare providers. Barriers of control patients were not presented or discussed and these patients received usual care. The primary outcome was the difference in medication adherence at 8 months follow-up between patients with an increased non-adherence risk from intervention and control group, calculated from dispensing data. RESULTS Data from 492 participants in 15 community pharmacies were available for analyses (intervention 253, 7 pharmacies; control 239, 8 pharmacies). The intervention had no effect on medication adherence (-0.01; 95%CI -0.59 – 0.57; P= .96), neither in the post hoc per protocol analysis (0.19; 95%CI -0.50 – 0.89; P=.58). CONCLUSIONS This study showed no effectiveness of a risk stratification and tailored intervention addressing personal barriers for medication adherence. Various potential explanations for lack of effect were identified. These explanations relate for instance to high medication adherence in the control group, study power and fidelity. Process evaluation should elicit possible improvements and inform the redesign of intervention and implementation. CLINICALTRIAL The Netherlands National Trial Register: NTR5186. Date: May 18, 2015 (http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5186)

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