Format

Send to

Choose Destination
Patient Educ Couns. 2014 Feb;94(2):261-8. doi: 10.1016/j.pec.2013.10.027. Epub 2013 Nov 18.

A text messaging intervention to promote medication adherence for patients with coronary heart disease: a randomized controlled trial.

Author information

1
San Francisco VA Medical Center, Division of Geriatrics, Palliative and Extended Care, USA. Electronic address: linda.park@ucsf.edu.
2
Department of Physiological Nursing, University of California, San Francisco, USA.
3
College of Nursing, University of Kentucky, USA.

Abstract

OBJECTIVE:

Pharmacologic treatment for secondary prevention of coronary heart disease (CHD) is critical to prevent adverse clinical outcomes. In a randomized controlled trial, we compared antiplatelet and statin adherence among patients with CHD who received: (1) text messages (TM) for medication reminders and education, (2) educational TM only, or (3) No TM.

METHODS:

A mobile health intervention delivered customized TM for 30 days. We assessed and analyzed medication adherence with electronic monitoring devices [Medication Event Monitoring System (MEMS)] by one-way ANOVA and Welch tests, two-way TM response rates by t-tests, and self-reported adherence (Morisky Medication Adherence Scale) by Repeated Measures ANOVA.

RESULTS:

Among 90 patients (76% male, mean age 59.2 years), MEMS revealed patients who received TM for antiplatelets had a higher percentage of correct doses taken (p=0.02), percentage number of doses taken (p=0.01), and percentage of prescribed doses taken on schedule (p=0.01). TM response rates were higher for antiplatelets than statins (p=0.005). Self-reported adherence revealed no significant differences among groups.

CONCLUSION:

TM increased adherence to antiplatelet therapy demonstrated by MEMS and TM responses.

PRACTICE IMPLICATIONS:

Feasibility and high satisfaction were established. Mobile health interventions show promise in promoting medication adherence.

KEYWORDS:

Antiplatelets; Coronary heart disease; Medication adherence; Mobile phone; Statins; Text messaging

PMID:
24321403
DOI:
10.1016/j.pec.2013.10.027
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center