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Smart Technology-Assisted Patient-Centered Management in Venous Thromboembolism: Pilot Study on Anticoagulation
Zheqi Zhang1, Zhigeng Jin2, Hao Wang3
1Medical School of Chinese People's Liberation Army, Chinese PLA General Hospital, No.28 Fuxing Road, Haidian District, Beijing, 100853, China.
This pilot study shows a mobile health app (mVTEA) is feasible for improving medication adherence in venous thromboembolism (VTE) patients. All participants achieved perfect adherence at 1 month, highlighting mHealth
Area of Science:
- Cardiology
- Health Informatics
- Patient Management
Background:
- Optimal anticoagulation adherence is crucial for managing venous thromboembolism (VTE).
- Mobile health (mHealth) technologies offer a potential solution for enhancing medication adherence and self-management.
- Current adherence rates present a significant challenge in VTE care.
Purpose of the Study:
- To evaluate the feasibility and preliminary impact of the mVTEA mHealth app on short-term anticoagulation adherence.
- To assess the usability and patient-centeredness of a smart technology-assisted care approach for VTE management.
- To identify factors influencing adherence in patients with VTE or at high risk.
Main Methods:
- A pilot study involving 45 VTE patients assessed baseline adherence and beliefs using validated questionnaires.
- The primary outcome was perfect adherence at 1 month, verified through multiple methods including the mVTEA app.
- Secondary outcomes included app engagement rates and clinical safety events.
Main Results:
- All 45 participants achieved perfect anticoagulation adherence at 1 month.
- A significant majority (80%) utilized the mVTEA check-in feature, correlating with improved adherence.
- No adverse clinical events such as VTE recurrence or major bleeding were reported.
Conclusions:
- The mVTEA mHealth app demonstrates feasibility and acceptability for supporting anticoagulation adherence in VTE patients.
- Preliminary findings suggest mHealth interventions can positively impact short-term adherence.
- Further research with larger trials and longer follow-up is recommended to confirm these findings and address digital equity.
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