Aplicaciones móviles para mejorar la adherencia a la medicación: revisión y análisis de calidad

León, Beatriz González de; León‐Salas, Beatriz; Pino-Sedeño, Tasmania del; Rodríguez-Álvarez, Cristobalina; Bejarano-Quisoboni, Daniel; Trujillo‐Martín, María M.

doi:10.1016/j.aprim.2021.102095

Cited by 9 publications

(6 citation statements)

References 16 publications

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“…Thus, the increasingly necessary use of reminders to reduce non-adherence is clear. A review has recently been conducted in which free and quality mobile phone applications have been shown to reduce non-adherence because of forgetfulness [ 38 ]. These mobile phone apps could be used in patients with depression.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitating Factors of Adherence to Antidepressant Treatments: An Exploratory Qualitative Study with Patients and Psychiatrists

León¹,

Abt-Sacks

Artiles

et al. 2022

IJERPH

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This study examines the experiences and expectations of patients with depressive disorders regarding the disease and different antidepressants, as well as examining the barriers and facilitating factors that could affect their adherence to medications. An exploratory qualitative study was carried out. The study involved two focus groups made up of patients and caregivers and six semi-structured interviews with psychiatrists. In both cases, the participants were selected by intentional theoretical sampling, seeking maximum significance variation of social types. Prejudice about the side effects of medication was relevant. The importance of patients being well informed about the disease/treatments was noteworthy. The stigmatization of antidepressants by patients was identified as a barrier to medication adherence. The involvement of family members and the motivation of patients to be actively involved in the process to recover from the disease were identified as facilitating factors. The work carried out suggests the need for patients to have rigorous information about the disease/treatment to reduce the possible prejudices generated by beliefs. Maintaining greater contact and monitoring of patients/caregivers to help therapeutic adherence in patients with depressive disorders was also identified as being of great importance.

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Section: Discussionmentioning

confidence: 99%

Barriers and Facilitating Factors of Adherence to Antidepressant Treatments: An Exploratory Qualitative Study with Patients and Psychiatrists

León¹,

Abt-Sacks

Artiles

et al. 2022

IJERPH

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“…The design of the PtI was based on the Chronic Care Model, incorporating components of depression education, medication management, behavioral activation, and the use of a high-quality medication reminder mobile app already available on the market ( 24 , 28 ). Its aim was not only to increase adherence to pharmacological treatment but also to improve the training and strengthening of patients in self-motivation, self-control and monitoring of their disease.…”

Section: Methodsmentioning

confidence: 99%

“…This instruction was given by a family doctor familiar with the use of the APP. The APP was selected according to the results of the APP evaluation conducted in the Spanish market ( 28 ).…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of interventions to improve adherence to antidepressant medication in patients with depressive disorders: a cluster randomized controlled trial

del Pino-Sedeño,

González-Pacheco,

González de León

et al. 2024

Front. Public Health

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AimTo assess the effectiveness of two interventions of knowledge transfer and behavior modification to improve medication adherence in patients with depressive disorders.MethodsAn open, multicenter, three-arm clinical trial with random allocation by cluster to usual care or to one of the two interventions. The intervention for psychiatrists (PsI) included an educational program based on a patient-centered care model. The intervention for patients and relatives (PtI) included a collaborative care program plus a reminder system that works using an already available medication reminder application. The primary outcome was patient adherence to antidepressant treatment assessed through the Sidorkiewicz Adherence Instrument. Secondary measures were depression severity, comorbid anxiety and health-related quality of life. Mixed regression models with repeated measures were used for data analysis.ResultsTen psychiatrists and 150 patients diagnosed with depressive disorder from eight Community Mental Health Units in the Canary Islands (Spain) were included. Compared with usual care, no differences in long-term adherence were observed in either group PsI or PtI. The PsI group had significantly improved depression symptoms (B = −0.39; 95%CI: −0.65, −0.12; p = 0.004) during the follow-up period. The PtI group presented improved depression symptoms (B = −0.63; 95%CI: −0.96, −0.30; p < 0.001) and mental quality of life (B = 0.08; 95%CI: 0.004, 0.15; p = 0.039) during the follow-up period.ConclusionThe assessed interventions to improve adherence in patients with depressive disorder were effective for depression symptoms and mental quality of life, even over the long term. However, no effect on antidepressant adherence was observed.

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“…In light of this situation, mobile technologies have been playing a relevant role in recent years (Statista, 2021), trying to improve the health status of the population, as shown by both the increase and improvement of applications developed for mobile devices (Li et al, 2017(Li et al, , 2020Zhang et al, 2013). Mobile applications cover many areas of life, with health being one of the most important, thanks to the development of applications for improving the quality of life (Plaza et al, 2011), human posture (Moreira et al, 2020), increased physical activity (Kim & Seo, 2020;Laranjo et al, 2021;Yerrakalva et al, 2019), medication adherence (González de Le on et al, 2021;Peng et al, 2020) or sleep (Elavsky et al, 2018), of middle-aged adults and older adults, becoming a useful tool for health promotion in these populations.…”

Section: Introductionmentioning

confidence: 99%

Mobile application interventions to increase physical activity and their effect on kinanthropometrics, body composition and fitness variables in adolescent aged 12–16 years old: An umbrella review

Mateo-Orcajada

Vaquero-Cristóbal

Cano

2023

Child

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BackgroundThe aims of the present umbrella review were (a) to summarize the available evidence on the effectiveness of mobile applications aimed at increasing physical activity; (b) to analyse the effect of an increase in physical activity on kinanthropometric variables, body composition and physical fitness of adolescents aged 12–16 years old; and (c) to determine the strengths and limitations of the interventions carried out with adolescents aged 12–16 years old through the use of mobile applications, to provide recommendations for future research.MethodsThe most relevant inclusion criteria were (a) adolescents aged 12–16 years old; (b) interventions carried out only with mobile apps; (c) pre‐post measurements; (d) participants without illnesses or injuries; and (e) interventions lasting more than 8 weeks. The databases used to identify the systematic reviews were the Web of Science, Google Scholar, PubMed and Scopus. Two reviewers independently used the AMSTAR‐2 scale to measure the methodological quality of the included reviews and also carried out an analysis of external validity, with a third reviewer participating in the cases in which consensus was not reached.ResultsA total of 12 systematic reviews were included (these included a total of 273 articles that used electronic devices, of which 22 studies exclusively used mobile applications with adolescents aged 12–16). Regarding physical activity and its effect on body composition, kinanthropometric variables and physical fitness, no significant differences were found for any of the variables analysed, and the results were not sufficiently consistent to determine the influence of these interventions.ConclusionsIt is important to highlight that the scientific research conducted so far showed that mobile applications were not effective in increasing physical activity and changing the kinanthropometric variables, body composition or physical fitness of adolescents. Thus, future research with stronger methodological rigour and larger samples is needed to provide stronger evidence.

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Aplicaciones móviles para mejorar la adherencia a la medicación: revisión y análisis de calidad

Cited by 9 publications

References 16 publications

Barriers and Facilitating Factors of Adherence to Antidepressant Treatments: An Exploratory Qualitative Study with Patients and Psychiatrists

Barriers and Facilitating Factors of Adherence to Antidepressant Treatments: An Exploratory Qualitative Study with Patients and Psychiatrists

Effectiveness of interventions to improve adherence to antidepressant medication in patients with depressive disorders: a cluster randomized controlled trial

Mobile application interventions to increase physical activity and their effect on kinanthropometrics, body composition and fitness variables in adolescent aged 12–16 years old: An umbrella review

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