Research Grant Initiative
The NAON Research Committee awarded their inaugural research grant to NAON member, Deborah Witting-Wells, PhD, RN, NE-BC. Deborah and her team are using their funding to explore the use of available technology and an existing app to promote adherence to ASA in order to prevent deep vein thrombosis (DVT) in post-orthopaedic surgery patients.
The specific aim of this study is to evaluate the impact of using a smartphone app reminder on medication adherences twice daily in 200 adults prescribed 81 milligrams of aspirin for 35 days as anti-thrombotic therapy after knee or hip arthroplasty. After screening and informed consent and baseline assessment, participants will be randomized using a 1:1 allocation to either the control or intervention group. Both will receive education and the intervention will also have an app downloaded onto their phone, pre-set with twice daily reminders and instructions on how to use with return demonstration. The in-person follow up assessment will occur on day 36.
This study is significant to NAON and its members as orthopaedic surgical procedures have some of the highest rates for post-operative DVT. Anticoagulant treatment is critical for these patients and ASA is an effective treatment for this particular patient population. While medication adherence is known to be of critical importance, adherence rates are typically low. Poor rates of adherence have been linked to the need for more medical treatment, greater expenses for the patients, and a greater financial burden on the healthcare system, less optimal health care outcomes, and increased morbidity and mortality. Reminders are critical for individuals to help prevent DVTs and improve outcomes.
The results of this study will be translatable to clinical practice and used to address ongoing adherence of aspirin (ASA). If found efficacious, the app could easily be used to promote medication adherence self-management by reminding patients to take medications for other chronic health conditions, specifically when forgetfulness is an issue.
NAON is dedicated to providing excellence in research. NAON feels that research is a systematic investigation in developing, testing and evaluating facts, theories or already developed concepts.
NAON is always interested in new research projects that will help our members with their career. To let NAON know about a project you think would be of interest, please contact our Research Committee members.
- Academic Center for Evidence-Based Nursing
- Agency for Healthcare Research and Quality
- AHRQ: Nursing Resources & Research Findings
- Center for Disease Control: Data and Statistics
- Center for Scientific Review
- Department of Defense Congressionally Directed Medical Research Programs
- National Institute on Aging
- National Institute of Arthritis and Musculoskeletal and Skin Disease
- National Institutes of Health
- National Institutes of Health Clinical Center
- National Institute for Nursing Research
- National League for Nursing
- National Library of Medicine
- National Women's Health Information Center
- Robert Wood Johnson Foundation