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A text messaging intervention to promote medication adherence for patients with coronary heart disease: a randomized

Linda G Park1, Jill Howie-Esquivel2, Misook L Chung3

  • 1San Francisco VA Medical Center, Division of Geriatrics, Palliative and Extended Care, USA.

Patient Education and Counseling
|December 11, 2013
PubMed

Insights

Text messages (TM) improved adherence to antiplatelet medications in coronary heart disease patients. This mobile health intervention shows promise for enhancing medication adherence and secondary prevention.

Area of Science:

  • Cardiology
  • Digital Health
  • Pharmacology

Background:

  • Secondary prevention of coronary heart disease (CHD) is crucial for patient outcomes.
  • Adherence to antiplatelet and statin therapy is vital for managing CHD.
  • Mobile health interventions offer novel approaches to improve patient adherence.

Purpose of the Study:

  • To compare antiplatelet and statin adherence in patients with CHD receiving different text message (TM) interventions.
  • To evaluate the impact of medication reminders and education via TM on adherence.
  • To assess the feasibility and satisfaction of a mobile health intervention for CHD patients.

Main Methods:

  • A randomized controlled trial involving 90 CHD patients over 30 days.
  • Utilized electronic monitoring (Medication Event Monitoring System - MEMS) to assess adherence.
  • Analyzed adherence data using ANOVA and t-tests; self-reported adherence via Morisky Medication Adherence Scale.

Main Results:

  • Patients receiving TM for antiplatelets showed significantly higher correct dose administration and adherence on schedule (p<0.05).
  • TM response rates were higher for antiplatelets compared to statins (p=0.005).
  • No significant differences in self-reported adherence were observed between groups.

Conclusions:

  • Text message interventions significantly improved adherence to antiplatelet therapy, as confirmed by MEMS and TM response rates.
  • Mobile health interventions are feasible, well-tolerated, and demonstrate potential for enhancing medication adherence in CHD management.
Abstract

Keywords:
AntiplateletsCoronary heart diseaseMedication adherenceMobile phoneStatinsText messaging

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