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Implementation of a Medication Reminder App to Improve Medication Adherence
Patti F Gardner1, Alice Kindschuh2
1Creighton University, Omaha, NE, USA pattigardner@creighton.edu pattifgardner65@gmail.com.
Journal of Doctoral Nursing Practice
|September 22, 2025
Summary
A medication reminder app significantly improved medication adherence in adults with attention-deficit/hyperactivity disorder (ADHD). This digital tool helps patients remember to refill prescriptions, addressing a key challenge in ADHD treatment.
Area of Science:
- Behavioral Science
- Digital Health
- Clinical Psychology
Background:
- Adults with ADHD face higher risks of substance use, suicide attempts, and accidental injuries.
- Medication nonadherence is prevalent in ADHD treatment, with ~42% of patients not refilling prescriptions.
- Core ADHD symptoms like forgetfulness contribute to challenges in consistent medication management.
Purpose of the Study:
- To evaluate the impact of a medication reminder app on medication adherence in adults with ADHD.
- To analyze changes in prescription refill patterns following the implementation of a reminder app.
Main Methods:
- Tracking days between stimulant refills for 3 months pre-intervention.
- Tracking days between stimulant refills for 3 months post-intervention.
- Utilizing a paired t-test to compare pre- and post-intervention refill frequencies.
Main Results:
- Mean days between refills decreased from 46 pre-intervention to 34 post-intervention.
- A statistically significant improvement in refill frequency was observed (p = .02).
- An effect size of 0.96 indicates a substantial influence of the app on refill behavior.
Conclusions:
- Medication reminder apps effectively increase medication adherence in adults with ADHD.
- The app demonstrated a positive and significant impact on managing ADHD medication.
- Reminder apps offer a practical and implementable solution for improving patient adherence in nursing practice.
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