Patient-Centered Tablet Application for Improving Medication Adherence after a Drug-Eluting Stent.

Autor:	Shah V; Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago , Chicago, IL , USA., Dileep A; Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago , Chicago, IL , USA., Dickens C; Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago, Chicago, IL, USA; Division of Cardiology, Department of Internal Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA., Groo V; Division of Cardiology, Department of Internal Medicine, College of Medicine, University of Illinois at Chicago, Chicago, IL, USA; Department of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, Chicago, IL, USA., Welland B; University of Illinois at Chicago , Chicago, IL , USA., Field J; University of Illinois at Chicago , Chicago, IL , USA., Baumann M; University of Illinois at Chicago , Chicago, IL , USA., Flores JD; University of Illinois at Chicago , Chicago, IL , USA., Shroff A; Division of Cardiology, Department of Internal Medicine, College of Medicine, University of Illinois at Chicago , Chicago, IL , USA., Zhao Z; Department of Biobehavioral Health Science, College of Nursing, University of Illinois at Chicago , Chicago, IL , USA., Yao Y; Department of Biobehavioral Nursing Science, University of Florida , Gainesville, FL , USA., Wilkie DJ; Department of Biobehavioral Nursing Science, University of Florida , Gainesville, FL , USA., Boyd AD; Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago , Chicago, IL , USA.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2016 Dec 12; Vol. 4, pp. 272. Date of Electronic Publication: 2016 Dec 12 (Print Publication: 2016).
DOI:	10.3389/fpubh.2016.00272
Abstrakt:	Background/aims: This study's objective was to evaluate a patient-centered educational electronic tablet application, "My Interventional Drug-Eluting Stent Educational App" (MyIDEA) to see if there was an increase in patient knowledge about dual antiplatelet therapy (DAPT) and medication possession ratio (MPR) compared to treatment as usual. Methods: In a pilot project, 24 elderly (≥50 years old) research participants were recruited after a drug-eluting stent. Eleven were randomized to the control arm and 13 to the interventional arm. All the participants completed psychological and knowledge questionnaires. Adherence was assessed through MPR, which was calculated at 3 months for all participants who were scheduled for second and third follow-up visits. Results: Relative to control, the interventional group had a 10% average increase in MPR. As compared to the interventional group, more patients in the control group had poor adherence (<80% MPR). The psychological data revealed a single imbalance in anxiety between the control and interventional groups. On average, interventional participants spent 21 min using MyIDEA. Discussion: Consumer health informatics has enabled us to engage patients with their health data using novel methods. Consumer health technology needs to focus more on patient knowledge and engagement to improve long-term health. MyIDEA takes a unique approach in targeting DAPT from the onset. Conclusion: MyIDEA leverages patient-centered information with clinical care and the electronic health record highlighting the patients' role as a team member in their own health care. The patients think critically about adverse events and how to solve issues before leaving the hospital.
Databáze:	MEDLINE
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