Financial Incentives to Improve Medication Adherence

Sponsor

Northwell Health (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT04191876

Collaborator

(none)

Enrollment

Location

Arm

28.9

Anticipated Duration (Months)

0.9

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Medication adherence is a challenge in all of medicine and is associated with multiple negative outcomes. Strategies to better measure and enhance adherence to medication are urgent and necessary to minimize unwanted health outcomes, hospitalizations, poorer quality of life and excessive costs for individuals, insurers and caregivers. Recently, behavioral economics-based approaches have emerged as a promising tool to address this unmet need, but its effectiveness in oral antipsychotic treatment remains to be assessed. For this project, investigators will use an app that offers financial incentives to increase compliance for patients with chronic diseases. Investigators intend to enroll 25 patients in a pilot project to assess feasibility of offering financial incentives to improve medication adherence in severe mental illness.

Condition or Disease	Intervention/Treatment	Phase
Schizophrenia Schizo Affective Disorder Bipolar Disorder Depression	Other: Wellth - Financial Incentives	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

25 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Financial Incentives to Improve Medication Adherence: a Pilot Study

Actual Study Start Date :

Nov 1, 2019

Actual Primary Completion Date :

May 30, 2020

Anticipated Study Completion Date :

Mar 30, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Active This study has only one arm. All patients enrolled will take part in the experimental arm.	Other: Wellth - Financial Incentives Patients who are willing to participate will be offered financial incentives for medication adherence through an app (Wellth) over 10 weeks.

Arm

Intervention/Treatment

Experimental: Active

This study has only one arm. All patients enrolled will take part in the experimental arm.

Other: Wellth - Financial Incentives

Patients who are willing to participate will be offered financial incentives for medication adherence through an app (Wellth) over 10 weeks.

Outcome Measures

Primary Outcome Measures

Change in medication adherence rate [Between baseline and study completion (10 weeks)]
Adherence rate will be measured as pills missed/pills prescribed

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 80 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Psychiatric patients with suspected or confirmed poor oral medication adherence.
Age 18-80 years old
English speaking, since the app being used is only available in English
Owning a Smartphone, since the app requires a Smartphone to work
Willing and able to participate.