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information for consumers
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Trial registered on ANZCTR
Registration number
ACTRN12608000313336
Ethics application status
Approved
Date submitted
16/04/2008
Date registered
1/07/2008
Date last updated
3/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Medication self-management in consumers with diabetes and kidney disease from culturally and linguistically diverse backgrounds
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Scientific title
A language-specific, nurse-led medication intervention to enhance medication self-efficacy in consumers with diabetes and kidney disease from culturally and linguistically diverse backgrounds
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Universal Trial Number (UTN)
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Trial acronym
SEM
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
diabetes and kidney disease
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Condition category
Condition code
Renal and Urogenital
3214
3214
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0
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Kidney disease
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Metabolic and Endocrine
3433
3433
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0
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Diabetes
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Cardiovascular
3434
3434
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0
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Hypertension
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A subtitled DVD will be shown to the patient during the home visit conducted by the researcher in the presence of an interpreter or English-speaking family member.
The DVD will contain health information for consumers regarding medicines in relation to their chronic conditions to enhance decision-making and behavioural change.
A medication review will be conducted during the home visit by the researcher which involves checking the medication regimen with the patient to reach agreement about their treatment. Fortnightly 5-10 minute follow-up telephone calls will be made by an interpreter in liaison with the researcher or researcher with a family member who can interpret for the patient for a period of 12 weeks exploring any queries or problems relating to their medications. The intervention will last for 12 weeks.
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Intervention code [1]
2805
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Behaviour
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Comparator / control treatment
Standard treatment is the usual care provided to patients by the outpatients' clinic. Standard treatment will be assessed by a survey of outpatient clinic physicians. The control group will not receive the intervention but will have the same data collected at all time points with the intervention group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Medication self-efficacy will be measured by the
Medication Adherence Self-efficacy scale.
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Assessment method [1]
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Timepoint [1]
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Immediately post-intervention at 12 weeks and 3 months post-intervention
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Secondary outcome [1]
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Improved medication adherence which will be measured by the Morisky Medication Adherence scale
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Assessment method [1]
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Timepoint [1]
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Immediately post-intervention at 12 weeks and 3 months post-intervention
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Eligibility
Key inclusion criteria
Victorians whose preference is to speak either Greek, Italian or Vietnamese at home Diabetes, kidney disease and cardiovascular disease Mentally competent
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Minimum age
18
Years
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Maximum age
N/A
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Pregnancy
Imminent end stage kidney disease Aggressive form of cancer
Mental illness not stabilised with medication.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation by an independent person/third party. Allocation involved computer contact with the holder of the allocation schedule who will be off-site.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/11/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
114
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Other Collaborative groups
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Name [1]
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Nurses Board of Victoria
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Address [1]
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595 Little Collins Street
GPO Box 4932
Melbourne
Victoria 3001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Melbourne
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Address
Level 5/234 Queensberry Street
Carlton
Victoria 3159
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Royal Melbourne Hospital
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Address [1]
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Grattan Street
Parkville
Victoria
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Country [1]
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Australia
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Secondary sponsor category [2]
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Hospital
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Name [2]
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St. Vincent's Hospital
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Address [2]
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Victoria Parade
Fitzroy
Victoria
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Melbourne Hospital HREC-A
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Ethics committee address [1]
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PO Royal Melbourne Hospital Parkville Victoria 3050
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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Ethics approval number [1]
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2006:239
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Summary
Brief summary
This project aims to assist culturally and linguistically diverse consumers safely manage their complex medication regimens for the co-existing comorbidities of cardiovascular disease (CVD), diabetes and chronic kidney disease (CKD). Taking medicines as prescribed is critical for well-managed chronic diseases. Approximately 40% of Victorians with CVD, diabetes and CKD speak a language other than English at home, most commonly Greek, Italian, and Vietnamese, which increases the likelihood of medicine-related problems. A language-specific medication intervention to enhance medication self-efficacy will be developed and tested. Better medicine self-efficacy results in improved general wellbeing, medication safety and reduced healthcare costs. Null hypothesis: 1. Compared to patients receiving standard care, patients who receive the intervention will show no change in medication self-efficacy
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr. Allison Williams
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Address
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Level 5/234 Queensberry Street
Carlton 3053
Victoria
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Country
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Australia
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Phone
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+61 3 83449446
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Fax
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+61 3 93474375
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Allison Williams
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Address
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Level 5/234 Queensberry Street
Carlton 3053
Victoria
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Country
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Australia
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Phone
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+61 3 83449446
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Fax
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+61 3 93474375
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF