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Improving Refill Adherence in Medicare Patients With Tailored and Interactive Mobile Text Messaging: Pilot Study
Rena Brar Prayaga1, Erwin W Jeong2, Erin Feger1
1mPulse Mobile, Inc, Encino, CA, United States.
JMIR Mhealth and Uhealth
|February 1, 2018
Summary
Tailored text messages significantly improved medication refills for Medicare patients with chronic conditions. This approach offers a cost-effective way to boost patient adherence and engagement.
Area of Science:
- Health Informatics
- Patient Adherence Research
- Digital Health Interventions
Background:
- Medication nonadherence is a significant challenge in managing chronic diseases like hypertension, cardiovascular disease, and diabetes.
- Text message reminders are a known strategy to improve adherence, but their use in older populations and at scale is less explored.
- This study focuses on a program designed to improve medication refill rates in Medicare members with chronic conditions using tailored, interactive text messages.
Purpose of the Study:
- To assess the effectiveness of tailored, interactive text message dialogues in improving medication refills among Medicare patients with chronic diseases over a 3-month period.
Main Methods:
- A Kaiser Permanente Southern California study utilized the mPulse Mobile interactive text messaging solution for partially adherent and nonadherent Medicare patients.
- Compared refill rates between a text messaging group (n=12,272) and a control group (n=76,068) who did not receive texts.
- Both groups received other adherence outreach, including phone calls and emails, from December 2016 to February 2017.
Main Results:
- The text messaging group demonstrated a significantly higher medication refill rate compared to the non-text messaging group.
- Medication refill rates were 14.07 percentage points higher in the group receiving text message interventions (P<.001).
Conclusions:
- Interactive text messaging proved highly effective in enhancing medication refill rates for Medicare beneficiaries with chronic conditions.
- This digital health solution is a cost-effective, convenient, and user-friendly tool for patient engagement and promoting adherence.
- Findings support the use of text-based interventions for improving health outcomes and driving long-term behavior change.
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