Automated Hovering to Improve Medication Adherence Among Myocardial Infarction Patients (Heartstrong) (Heartstrong)
Patients With Principal or Secondary Diagnosis Code of Intrntl Classification of Diseases, 9th Revision, (ICD-9-CM) 410 (Except When 5th Digit Was 2)
About this trial
This is an interventional health services research trial for Patients With Principal or Secondary Diagnosis Code of Intrntl Classification of Diseases, 9th Revision, (ICD-9-CM) 410 (Except When 5th Digit Was 2) focused on measuring Initial occurrence Acute Myocardial Infarction (AMI)
Eligibility Criteria
Inclusion Criteria:
- Patients admitted to hospitals throughout New Jersey or at the University of Pennsylvania Health System who are discharged (or scheduled to be discharged) to their homes with a principal or secondary diagnosis code of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) 410 (except when the fifth digit was 2)
- a length of stay of 1 to 180 days
- Aged 18 to 80 years
- Be discharged to home
- Prescribed at least 2 of these 4 medication categories (statin, aspirin, beta-blocker, anti-platelet)
Exclusion Criteria:
- cannot give consent
- have a markedly shortened life expectancy (diagnosis of metastatic cancer, end-stage renal disease on dialysis, or dementia)
Sites / Locations
- University of Pennsylvania
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control
Intervention
The control group will have their claims data analyzed for a 12 month period. We will be examining these data for hospital admissions, new vascular events (AMI, stroke, acute coronary syndrome admission), or repeat or new cardiovascular procedures.
The intervention group (1) will use GlowCaps, a remote monitoring and reminder pill bottle; (2) assigned an engagement advisor from the study team; (3) asked to provide study team with names and contact information of up to 3 family members or friends as support partners for med adherence. The study team will contact these people in order listed until 1 agrees to this role; (4) will select a 2-digit lucky number to be used as part of the sweepstakes-based engagement incentives in which eligibility to win will be conditional on med adherence; and (5) will determine preferences for Way to Health platform communication methods.The group receiving the program intervention will also have their claims data analyzed for the 12 months post-enrollment.