Financial Incentives to Improve Medication Adherence

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.

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Key information

Conditions

Schizophrenia Behavior Behavioral Symptoms Bipolar Disorder Bipolar and Related Disorders Depression Health Behavior Medication Adherence Mental Disorders Mood Disorders Patient Acceptance of Health Care Patient Compliance Psychotic Disorders Schizo Affective Disorder Schizophrenia Spectrum and Other Psychotic Disorders Treatment Adherence and Compliance

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Zucker Hillside Hospital

Glen Oaks, New York, 11004, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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.

Exclusion criteria

Acute anger to self or others as per investigator assessment
Unwilling or unable to participate

Treatment and study plan

Wellth - Financial Incentives

Other

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

Primary outcomes

Change in medication adherence rate

Time frame: Between baseline and study completion (10 weeks)

Adherence rate will be measured as pills missed/pills prescribed

Sponsors and collaborators

Lead sponsor

Northwell Health

Other

Registry information

Official study title

Financial Incentives to Improve Medication Adherence: a Pilot Study

Important dates

Study start: 2019
Primary completion: 2020
Study completion: 2022
First posted: Dec 10, 2019
Registry last updated: Sep 21, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed