Elderly Medication Adherence Intervention Using the My Interventional Drug-Eluting Stent Educational App: Multisite...

Area of Science:

• Cardiology
• Health Informatics
• Patient Education

Background:

• Myocardial infarction treatment involves stenting, with medication adherence to Dual AntiPlatelet Therapy being a key modifiable risk factor.
• Ensuring patients adhere to P2Y12 inhibitors and aspirin post-stenting is critical for positive outcomes.

Purpose of the Study:

• To assess the acceptability of the My Interventional Drug-Eluting Stent Educational App (MyIDEA) protocol and intervention.
• To evaluate medication adherence and platelet activation in patients post-stenting using a randomized controlled trial.

Main Methods:

• Recruited English-speaking patients over 50 years old post-percutaneous coronary intervention (PCI) with drug-eluting stents.
• Utilized block randomization for usual care versus MyIDEA intervention, collecting baseline data and administering various health surveys.
• Measured medication adherence via Proportion of Days Covered (PDC) and platelet suppression using reactive units; primary outcome was feasibility of recruitment and retention.

Main Results:

• The MyIDEA app was usable by elderly patients in both hospital and outpatient settings.
• No significant differences were observed in platelet suppression or medication adherence between the intervention and control groups.
• Initial differences in anxiety and depression were noted between groups, with no adverse events linked to the intervention.

Conclusions:

• Elderly patients demonstrate willingness to use tablet devices for health education.
• Further research is necessary to determine the effectiveness of such interventions and optimal delivery methods.