AdLip Study of a Human Coach-supported DigitalAI Health Assistant to Help Adults with Hyperlipidemia Take Their Cholesterol Medicine
Led by National University of Singapore · Updated on 2024-10-03
450
Participants Needed
2
Research Sites
N/A
Total Duration
AI-Summary
What this Trial Is About
This research aims to assess whether a human coach-supported digital and AI personal health assistant app can help improve how well patients with hyperlipidemia stick to their cholesterol-lowering medication plans compared to standard care. Hyperlipidemia is a major risk factor for heart attacks, and poor medication adherence leads to worse health outcomes and increased burden on individuals and health systems. The study is a multicenter, open-label, randomized controlled trial enrolling patients who are not fully following their statin medication regimens and have LDL cholesterol above recommended levels.
Participants will be randomly assigned to one of two groups one receiving usual standard care for lipid management, and the other receiving the digitalAI health assistant app plus human coaching in addition to standard care. The intervention includes personalized feedback and educational content via the app along with six human coaching sessions over six months, designed to support medication adherence and general well-being. The coaching focuses strictly on adherence and does not involve medication changes, although concerns are escalated to pharmacists when needed.
Participants will be followed for one year with visits at 3, 6, and 12 months to collect pill counts and clinical data. Clinical pharmacists will monitor and adjust medications as required as part of standard care. The study will evaluate adherence effectiveness at 6 and 12 months, along with secondary outcomes like LDL cholesterol levels, cardiovascular risk scores, health motivation, self-care behaviors, quality of life, and safety and acceptability of the new care model. A sub-study will collect patient insights on using the app and coaching to improve future interventions.
CONDITIONS
Brief Title
AdLip: Human Coach-supported Digital/AI Personal Health Assistant to Improve Adherence to Lipid-Lowering Medication
Research Team
D
Doreen Su-Yin Tan, Pharm.D.
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Prescribed statins with or without ezetimibe for hyperlipidaemia
Medication non-adherence score greater than 1 on the Extent to Non-adherence sub-scale of the DOSE Non-Adherence Measure
Singapore resident (citizen, permanent resident, or long-term pass holder)
Own a smartphone or tablet with Android or iOS
Have internet access on mobile device
You will not qualify if you...
Does not read or understand English
Currently using smartphone medication adherence apps that include statins
Using PCSK9 inhibitors along with statins and/or ezetimibe
Participating in other studies affecting lipid levels
Severe kidney disease (chronic kidney disease stage 4 or higher)
Severe liver disease (Child-Pugh Class C)
Existing muscle-related complaints or diagnoses that may affect side effect reporting
Uncorrected or poorly controlled thyroid conditions
Documented psychiatric diagnosis or history or unable to give informed consent
Currently pregnant, breastfeeding, or planning pregnancy during the study
Life expectancy less than 12 months due to serious illness
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Outpatient Treatment
Duration - 6 months
Participants in the intervention group receive personalized feedback through a digital/AI personal health assistant app and six sessions of human coaching on top of usual clinical care for lipid management. Participants in the control group continue with usual standard of care for lipid management.
Visits at Month 3 and Month 6 (in-person) for follow-up and pill counts
Follow-up
Duration - 6 months
Participants continue with standard care and are monitored for medication adherence and health outcomes.
Visit at Month 12 (in-person) for follow-up and pill counts
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
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Published Research Related To This Trial
Health coach-supported mobile health intervention to improve adherence to lipid-lowering medications (AdLip): Design and rationale of a multicentre randomized controlled trial protocol.