scholarly journals Mobile health (mHealth) based medication adherence measurement - a pilot trial using electronic blisters in diabetes patients

2013 ◽  
Vol 76 ◽  
pp. 47-55 ◽  
Author(s):  
Helmut Brath ◽  
Jürgen Morak ◽  
Thomas Kästenbauer ◽  
Robert Modre-Osprian ◽  
Hermine Strohner-Kästenbauer ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Mobile Health ◽  
Pilot Trial ◽  
Adherence Measurement ◽  
Diabetes Patients

scholarly journals A counselor in your pocket: feasibility of mobile health tailored messages to support HIV medication adherence

2015 ◽  
pp. 1353 ◽  
Author(s):  
Paul F. Cook ◽  
Jane Carrington ◽  
Sarah J. Schmiege ◽  
Whitney Starr ◽  
Blaine Reeder
Keyword(s):  
Medication Adherence ◽  
Mobile Health ◽  
Tailored Messages ◽  
Hiv Medication

scholarly journals The Effectiveness of Self-Management of Hypertension in Adults Using Mobile Health: Systematic Review and Meta-Analysis

10.2196/17776 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e17776 ◽  
Author(s):  
Ran Li ◽  
Ning Liang ◽  
Fanlong Bu ◽  
Therese Hesketh
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Health Care ◽  
Medication Adherence ◽  
Mobile Health ◽  
Meta Analysis ◽  
Self Management ◽  
Narrative Synthesis ◽  
Management Behavior ◽  
Mhealth Intervention

Background Effective treatment of hypertension requires careful self-management. With the ongoing development of mobile technologies and the scarcity of health care resources, mobile health (mHealth)–based self-management has become a useful treatment for hypertension, and its effectiveness has been assessed in many trials. However, there is a paucity of comprehensive summaries of the studies using both qualitative and quantitative methods. Objective This systematic review aimed to measure the effectiveness of mHealth in improving the self-management of hypertension for adults. The outcome measures were blood pressure (BP), BP control, medication adherence, self-management behavior, and costs. Methods A systematic search was conducted using 5 electronic databases. The snowballing method was used to scan the reference lists of relevant studies. Only peer-reviewed randomized controlled trials (RCTs) published between January 2010 and September 2019 were included. Data extraction and quality assessment were performed by 3 researchers independently, adhering to the validation guideline and checklist. Both a meta-analysis and a narrative synthesis were carried out. Results A total of 24 studies with 8933 participants were included. Of these, 23 studies reported the clinical outcome of BP, 12 of these provided systolic blood pressure (SBP) and diastolic blood pressure (DBP) data, and 16 articles focused on change in self-management behavior and medication adherence. All 24 studies were included in the narrative synthesis. According to the meta-analysis, a greater reduction in both SBP and DBP was observed in the mHealth intervention groups compared with control groups, −3.78 mm Hg (P<.001; 95% CI −4.67 to −2.89) and −1.57 mm Hg (P<.001; 95% CI −2.28 to −0.86), respectively. Subgroup analyses showed consistent reductions in SBP and DBP across different frequencies of reminders, interactive patterns, intervention functions, and study duration subgroups. A total of 16 studies reported better medication adherence and behavioral change in the intervention groups, while 8 showed no significant change. Six studies included an economic evaluation, which drew inconsistent conclusions. However, potentially long-term financial benefits were mentioned in all economic evaluations. All studies were assessed to be at high risk of bias. Conclusions This review found that mHealth self-management interventions were effective in BP control. The outcomes of this review showed improvements in self-management behavior and medication adherence. The most successful mHealth intervention combined the feature of tailored messages, interactive communication, and multifaceted functions. Further research with longer duration and cultural adaptation is necessary. With increasing disease burden from hypertension globally, mHealth offers a potentially effective method for self-management and control of BP. mHealth can be easily integrated into existing health care systems. Trial Registration PROSPERO CRD42019152062; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=152062

scholarly journals The Feasibility of a Using a Smart Button Mobile Health System to Self-Track Medication Adherence and Deliver Tailored Short Message Service Text Message Feedback

10.2196/13558 ◽  
2019 ◽  
Vol 3 (2) ◽  
pp. e13558
Author(s):  
Rebecca J Bartlett Ellis ◽  
James H Hill ◽  
K Denise Kerley ◽  
Arjun Sinha ◽  
Aaron Ganci ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health System ◽  
Mobile Health ◽  
Short Message Service ◽  
Text Message ◽  
Short Message ◽  
Message Service

scholarly journals Effective Engagement of Adolescent Asthma Patients With Mobile Health–Supporting Medication Adherence (Preprint)

2018 ◽  
Author(s):  
Richelle C Kosse ◽  
Marcel L Bouvy ◽  
Svetlana V Belitser ◽  
Tjalling W de Vries ◽  
Piet S van der Wal ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Mobile Health ◽  
Controlled Trial ◽  
Study Data ◽  
Improve Medication Adherence ◽  
Actual Use ◽  
Asthma Patients ◽  
Log File ◽  
Cluster Randomized ◽  
Mhealth Apps

BACKGROUND Mobile health (mHealth) apps have the potential to support patients’ medication use and are therefore increasingly used. Apps with broad functionality are suggested to be more effective; however, not much is known about the actual use of different functionalities and the effective engagement. OBJECTIVE The aim of this study was to explore the use and the effective engagement of adolescents (aged 12 to 18 years) with the Adolescent Adherence Patient Tool (ADAPT). METHODS The ADAPT intervention consisted of an app for patients, which was connected to a management system for their pharmacist. The aim of the ADAPT intervention was to improve medication adherence and, therefore, the app contained multiple functionalities: questionnaires to monitor symptoms and adherence, medication reminders, short movies, pharmacist chat, and peer chat. For this study, data of the ADAPT study and a cluster randomized controlled trial were used. Adolescents with asthma had 6 months’ access to the ADAPT intervention, and all app usage was securely registered in a log file. RESULTS In total, 86 adolescents (mean age 15.0, SD 2.0 years) used the ADAPT app 17 times (range 1-113) per person. Females used the app more often than males (P=.01) and for a longer period of time (P=.03). On average, 3 different functionalities were used, and 13% of the adolescents used all functionalities of the app. The questionnaires to monitor symptoms and adherence were used by most adolescents. The total app use did not affect adherence; however, activity in the pharmacist chat positively affected medication adherence (P=.03), in particular, if patients sent messages to their pharmacist (P=.01). CONCLUSIONS mHealth apps for adolescents with asthma should contain different functionalities to serve the diverging needs and preferences of individual patients. Suggested key functionalities to promote use and effectiveness in adolescents with asthma are questionnaires to monitor symptoms and a health care provider chat.

scholarly journals Refilling medications through an online patient portal: consistent improvements in adherence across racial/ethnic groups

2015 ◽  
Vol 23 (e1) ◽  
pp. e28-e33 ◽  
Author(s):  
Courtney R. Lyles ◽  
Urmimala Sarkar ◽  
Dean Schillinger ◽  
James D. Ralston ◽  
Jill Y. Allen ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Health Behaviors ◽  
Ethnic Groups ◽  
Patient Portal ◽  
Patient Portals ◽  
Statin Adherence ◽  
Changes Over Time ◽  
Racial Ethnic ◽  
Over Time ◽  
Diabetes Patients

Abstract Objective Online patient portals are being widely implemented; however, no studies have examined whether portals influence health behaviors or outcomes similarly across patient racial/ethnic subgroups. We evaluated longitudinal changes in statin adherence to determine whether racial/ethnic minorities initiating use of the online refill function in patient portals had similar changes over time compared with Whites. Methods We examined a retrospective cohort of diabetes patients who were existing patient portal users. The primary exposure was initiating online refill use (either exclusively for all statin refills or occasionally for some refills), compared with using the portal for other tasks (eg, exchanging secure messages with providers). The primary outcome was change in statin adherence, measured as the percentage of time a patient was without a supply of statins. Adjusted generalized estimating equation models controlled for race/ethnicity as a primary interaction term. Results Fifty-eight percent of patient portal users were white, and all racial/ethnic minority groups had poorer baseline statin adherence compared with Whites. In adjusted difference-in-difference models, statin adherence improved significantly over time among patients who exclusively refilled prescriptions online, even after comparing changes over time with other portal users (4% absolute decrease in percentage of time without medication). This improvement was statistically similar across all racial/ethnic groups. Discussion Patient portals may encourage or improve key health behaviors, such as medication adherence, for engaged patients, but further research will likely be required to reduce underlying racial/ethnic differences in adherence. Conclusion In a well-controlled examination of diabetes patients’ behavior when using a new online feature for their healthcare management, patient portals were linked to better medication adherence across all racial/ethnic groups.

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