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Exploring Medication Adherence Using M-Health: A Study from Veterinary Medicine.

Marta Ribas1, Ana Mafalda Lourenço2, Afonso Cavaco1

  • 1Faculty of Pharmacy, University of Lisbon, 1649-003 Lisboa, Portugal.

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Summary

Mobile health apps show potential for improving medication adherence in canine atopic dermatitis (CAD) treatment. However, further research is needed to confirm their effectiveness alongside other adherence factors.

Keywords:
canine atopic dermatitismedication adherencemobile healthpruritusveterinary pharmaceuticals

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Area of Science:

  • Veterinary Pharmacy
  • Dermatology
  • Health Informatics

Background:

  • Canine atopic dermatitis (CAD) affects 10-15% of dogs, presenting complex treatment challenges.
  • Veterinary medication management requires tailored approaches for each animal and caregiver.
  • Mobile health (m-health) applications offer new avenues for supporting treatment adherence.

Purpose of the Study:

  • To evaluate the impact of the Petable® m-health application on medication adherence in dogs with CAD.
  • To assess the correlation between m-health app usage and clinical improvement in CAD patients.
  • To identify factors influencing medication adherence in canine dermatological treatments.

Main Methods:

  • A study involving 30 dogs with CAD and their caregivers.
  • Data collection included direct observation, clinical records, m-health app usage, and the Medication Adherence Rating Scale (MAT).
  • Assessment of clinical parameters such as pruritus levels and medication adherence rates.

Main Results:

  • The m-health app indicated an overall non-adherence rate of 12.6%.
  • Caregivers self-reported 60% adherence via the MAT questionnaire.
  • Caregiver education level was the only significant positive correlate of overall adherence. Pruritus decreased irrespective of app usage.

Conclusions:

  • M-health applications may offer a supplementary tool to enhance adherence in chronic veterinary treatments.
  • Further investigation is required to fully understand the role of m-health apps in managing adherence determinants.
  • The study highlights the need for comprehensive strategies to optimize medication adherence in canine patients.