The Role of a Self-Directed Technology to Improve Medication Adherence in Heart Failure Patients

Walker, Cynthia M.; Elder, B. Laurel; Hayes, Karen S.

doi:10.1016/j.nurpra.2014.08.011

Cited by 11 publications

(3 citation statements)

References 33 publications

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“…Muitos pacientes apresentam baixosíndices de adesão a tratamentos envolvendo medicamentos pelo custo, complexidade das receitas médicas, esquecimento, percepções e cren-ças quantoà doença, características do ambiente familiar, e características do atendimento médico e da instituição de saúde [19,14,15].…”

Section: Adesão a Tratamentounclassified

Uso de gamification para melhorar adesão a tratamento

Nascimento¹,

Albuquerque²

2015

Anais Do Simpósio Brasileiro De Sistemas De Informação (SBSI)

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RESUMOEste artigo apresenta uma pesquisa em andamento sobre as dificuldades em adesão a tratamento e o uso de gamification naárea da saúde. Um sistemaé proposto para adaptar e aplicar técnicas de gamification para o caso específico de hipertensão, com foco em aumentar a motivação intrínseca. ABSTRACTThis paper presents an ongoing research on the difficulties in treatment adherence and the use of gamification in health. A system is proposed to adapt and apply gamification techniques to the specific case of hypertension, focusing in inspiring motivation.

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Section: Adesão a Tratamentounclassified

Uso de gamification para melhorar adesão a tratamento

Nascimento¹,

Albuquerque²

2015

Anais Do Simpósio Brasileiro De Sistemas De Informação (SBSI)

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“…Text message-based interventions offer a simple, cost-effective, acceptable, and feasible approach to improving medication adherence, whether by using medication reminders or supportive messages [ 17 ]. Mobile applications are favoured over traditional mobile phone messaging for sending text messages due to their capacity for pre-sending, scheduling, enhanced automation, and monitoring capabilities [ 18 , 19 ], . Through mobile applications, relevant information can be sent to the text message reminder system via the internet in a personalized manner according to the patient’s medication regimen at specific time intervals.…”

Section: Introductionmentioning

confidence: 99%

Randomized comparison of the effects of tailored text messaging versus pillbox organizers on medication adherence of heart failure patients

FarzanehRad,

Allahbakhshian,

Gholizadeh

et al. 2024

BMC Cardiovasc Disord

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Background Heart failure (HF) is a major public health issue worldwide, affecting approximately 64.3 million people in 2017. Non-adherence to medication is a common and serious issue in the management of HF. However, new reminder systems utilizing mobile technology, such as text messaging, have shown promise in improving medication adherence. The purpose of this study was to compare the impact of tailored text messaging (TTM) and pillbox organizers on medication adherence in individuals with HF. Methods A randomized controlled trial was conducted, involving 189 eligible patients with HF who were randomly assigned to either the TTM, pillbox organizer, or control group. Medication adherence was evaluated using pill counting and the Medication Adherence Rating Scale (MARS) over a period of three months and compared across the groups. The data were analyzed using Kruskal-Wallis, Analysis of Variance (ANOVA), and Repeated Measures ANOVA tests. Results The results indicate that both the TTM and pillbox organizers groups had significantly higher medication adherence compared to the control group, as measured by pill counting (MD = 0.05, 95%CI = 0.03–0.06; p < 0.001 for TTM group, MD = 0.04, 95%CI = 0.03–0.06; p < 0.001 for pillbox organizers group) and the MARS (MD = 1.32, 95%CI = 0.93 to 1.72; p < 0.001 for TTM group, MD = 1.33, 95%CI = 0.95 to 1.72; p < 0.001 for pillbox organizers group). However, there was no statistically significant difference in medication adherence between the two intervention groups using either measurement method. The TTM group exhibited a lower hospitalization rate than the other groups in the first follow up (p = 0.016). Conclusions Both the TTM and pillbox organizers were shown to be effective in enhancing medication adherence among patients with HF. Therefore, healthcare providers should take into account the patient’s condition and preferences when selecting one of these methods to promote medication adherence. Future research should aim to address the limitations of this study, such as controlling for confounding variables, considering long-term effects, and comparing the effectiveness of different interventions.

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“…Healthinformaticsresearchhasbeenaddressingtheneedsofpatienthomecareandmedication management with the development of several types of patient-centered technologies and design guidelines (Sieketal.,2011;Wilcoxetal.,2012).Ingeneral,studiesoftechnologyforself-management ofmedicationincludeweb-basedpersonalhealthapplications(Sieketal.,2010),multi-compartment medicationdevicesincludingpillboxesandmedicinecabinets (Paterson,Kinnear,Bond,&McKinstry, 2016), medication schedule tracking applications (Walker, Elder, & Hayes, 2014), sensor-driven remindersystems (Kaushik,Intille,&Larson,2008),mobilephonemessaging (Jongh,Gurol-Urganci, Vodopivec-Jamsek,Car,&Atun,2012),chatbots (Hawig,n.d. )andvirtualintelligentassistants (Dahl etal.,2011).Inthisscenario,intelligentassistantsareamongstthemostcomplexbutcompleteand multimodalsystems.…”

Section: Introductionmentioning

confidence: 99%

Carmie

Lobo

Ferreira

2017

International Journal of E-Health and Medical Communications

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The incidence of chronic diseases is increasing and monitoring patients in a home environment is recommended. Noncompliance with prescribed medication regimens is a concern, especially among older people. Heart failure is a chronic disease that requires patients to follow strict medication plans permanently. With the objective of helping these patients managing information about their medicines and increasing adherence, the personal medication advisor CARMIE was developed as a conversational agent capable of interacting, in Portuguese, with users through spoken natural language. The system architecture is based on a language parser, a dialog manager, and a language generator, integrated with already existing tools for speech recognition and synthesis. All modules work together and interact with the user through an Android application, supporting users to manage information about their prescribed medicines. The authors also present a preliminary usability study and further considerations on CARMIE.

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The Role of a Self-Directed Technology to Improve Medication Adherence in Heart Failure Patients

Cited by 11 publications

References 33 publications

Uso de gamification para melhorar adesão a tratamento

Uso de gamification para melhorar adesão a tratamento

Randomized comparison of the effects of tailored text messaging versus pillbox organizers on medication adherence of heart failure patients

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