The feasibility of text reminders to improve medication adherence in adolescents with asthma
| Autor: | Shelagh A. Mulvaney, Jason Slagle, Qingxia Chen, Barron L. Patterson, Kevin B. Johnson, Hui Nian, Coda L. Davison, Yun-Xian Ho |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty 020205 medical informatics Adolescent Reminder Systems Alternative medicine Medication adherence Health Informatics 02 engineering and technology Health informatics Medication Adherence Special Focus on Person-Generated Health and Wellness Data 03 medical and health sciences 0302 clinical medicine Quality of life Intervention (counseling) 0202 electrical engineering electronic engineering information engineering medicine Humans 030212 general & internal medicine mHealth Asthma Internet Text Messaging business.industry medicine.disease Mobile Applications Intention to Treat Analysis Clinical trial Self Care Physical therapy Quality of Life Feasibility Studies Female business |
| Zdroj: | Journal of the American Medical Informatics Association : JAMIA. 23(3) |
| ISSN: | 1527-974X |
| Popis: | Objective Personal health applications have the potential to help patients with chronic disease by improving medication adherence, self-efficacy, and quality of life. The goal of this study was to assess the impact of MyMediHealth (MMH) – a website and a short messaging service (SMS)-based reminder system – on medication adherence and perceived self-efficacy in adolescents with asthma. Methods We conducted a block-randomized controlled study in academic pediatric outpatient settings. There were 98 adolescents enrolled. Subjects who were randomized to use MMH were asked to create a medication schedule and receive SMS reminders at designated medication administration times for 3 weeks. Control subjects received action lists as a part of their usual care. Primary outcome measures included MMH usage patterns and self-reports of system usability, medication adherence, asthma control, self-efficacy, and quality of life. Results Eighty-nine subjects completed the study, of whom 46 were randomized to the intervention arm. Compared to controls, we found improvements in self-reported medication adherence ( P = .011), quality of life ( P = .037), and self-efficacy ( P = .016). Subjects reported high satisfaction with MMH; however, the level of system usage varied widely, with lower use among African American patients. Conclusions MMH was associated with improved medication adherence, perceived quality of life, and self-efficacy. Trial Registration This project was registered under identifier [NCT01730235][1]. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT01730235&atom=%2Fjaminfo%2F23%2F3%2F449.atom |
| Databáze: | OpenAIRE |
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