The Impact of Budesonide/Formoterol pMDI Medication Reminders on Adherence in Chronic Obstructive Pulmonary Disease (COPD) Patients: Results of a Randomized, Phase 4, Clinical Study

Factors affecting medication adherence among older adults using tele-pharmacy services: a scoping review

“…The commercial and economic aspects played essential roles when investigating the utilization of a tele-pharmacy intervention. Patients mentioned the affordability of the intervention as a factor that facilitated use [ 42 , 48 ]. Moreover, government subsidies improved patients' willingness to use the interventions, leading to better medication adherence [ 37 ].…”

“…As a large proportion of older adults experienced the aforementioned chronic diseases simultaneously, polypharmacy was found to be a general characteristic among older people, which led to increased utilization of the MA tools and, as a result, improved MA outcomes. Surprisingly, in two studies on patients with several chronic diseases, older adults showed a higher MA rate than younger adults [ 42 , 45 ]. While in another study on patients with hypertension, no significant MA change was reported in the older age group [ 56 ].…”

“…In addition, the majority of the included studies were completed between 2019 and 2021, indicating a recent surge in interest in this topic. Although there is a common perception that older people will not use technology for health, our review showed that this is rapidly changing, and in some cases, MA was higher in older groups (over 65 years) than in younger groups (less than 65 years) when using tele-pharmacy interventions [ 42 , 45 ].…”

“…Patients' desire to participate in an adherence intervention was also important. Various methods of remote communication were identified, including electronic medical device [18,25,39], mobile application [40][41][42], web application [27,43], text message [23,44,45], postal mail [46], phone call [26,47,48], electronic-prescription (e-prescription) [34,49] and remote dispensing [50]. Electronic medical devices used in studies included interventions like in-home electronic medication dispensing systems and electronic dosage forms like blisters, eye drops and sprays to improve the MA among older adults.…”

“…One of the most important factor was found to be the disease itself. For example, older patients with chronic diseases such as diabetes, hypertension, hyperlipidemia, chronic kidney disease (CKD), chronic obstructive pulmonary disease (COPD) and heart diseases were more committed to taking their medications, as were those with cancer [27,29,42,43,52] . In contrast, no significant MA improvement was observed in patients with HIV and pain [54,55].…”