Medication Understanding in MS

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity of Nottingham

About this trial

The goal of this observational study is to learn how people with multiple sclerosis (MS) understand, organise, and use their medicines at home. The study aims to explore how people take their prescribed and non-prescribed medicines, what challenges they experience, and whether any safety issues arise in day-to-day medication use.

Participants will take part in one home visit with trained student researchers. During the visit, researchers will review all medicines and supplements the participant uses, ask about routines and any difficulties, check medication packaging with permission, and ask a brief question about memory. No treatment changes will be made. Information will be reviewed by a senior clinician, and any safety concerns will be shared with the participant's usual healthcare team.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 years and over with a confirmed diagnosis of multiple sclerosis

Living in the community (not in residential care)

Taking at least one prescribed medication

Able to provide informed consent or, for those without capacity to provide informed consent, with a consultee available to provide consultee declaration and provide information during home-based medication review

Disqualifiers

Severe cognitive or communication impairment without a consultee to provide consultee declaration and medication-related information

Participants for whom a home visit is deemed unsafe

Non-English speakers

Trial population

From outpatient neurology (Nottingham) and rehabilitation medicine (Derby) settings

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

Not listed

Trial groups

80 Participants
are grouped into 1 trial group
Group A: People with multiple sclerosis

Trial outcomes

Primary outcomes

1

Medication Burden (Descriptive)

Total number of prescribed and non-prescribed medications and supplements used by each participant, recorded during the home-based medication review. This includes dose, frequency, route, and source of each item. The outcome will be summarised descriptively (counts, means, ranges).

Time frame
Baseline

Secondary outcomes

1

Medication Adherence (MARS-5 Score)

Self-reported adherence measured using the 5-item Medication Adherence Report Scale (MARS-5). Scores range from 5 to 25, with higher scores indicating better adherence. Results will be summarised descriptively.

Time frame
Baseline
2

Medication-Related Challenges

Proportion of participants reporting difficulties with medication supply, administration, formulation, or perceived effectiveness, based on structured trigger questions. Reported descriptively.

Time frame
Baseline
3

Subjective Cognitive Decline (Single-Item Question)

("Yes"/"No") to the validated single-item subjective cognitive decline question ("Do you feel you have more problems with your memory than most?"). Used to contextualise medication-taking behaviours. Summarised descriptively.

Time frame
Baseline
4

Medication Organisation and Use of Aids

Use of medication aids such as dosette boxes, blister packs, phone reminders, or charts. Recorded as present/absent and described using frequencies.

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Nottingham

Lead sponsor

University Hospitals of Derby and Burton NHS Foundation Trust

Collaborator

Nottingham University Hospitals NHS Trust

Collaborator

This trial is not recruiting at the moment. You can still explore other options: