User preferences for and engagement with text messages to support antihypertensive medication adherence: Findings from a pilot study evaluating an emergency department-based behavioral intervention

Nelson, Lyndsay A.; Spieker, Andrew J.; Rothman, Russell L.; Roumie, Christianne L.; Coco, Joseph; Fabbri, Daniel; Levy, Phillip D.; Collins, Sean P.; McNaughton, Candace D.

doi:10.1016/j.pec.2021.10.011

Cited by 6 publications

(4 citation statements)

References 35 publications

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“…Because the ED has been perceived as a potentially suboptimal environment in which to conduct behavioral interventions, combined with resistance to management of chronic conditions in the ED setting, we also assessed the feasibility of the intervention bundle in various ways. 5 , 6 , 38 We evaluated time spent by RAs on study procedures with the patient in the ED (consent, data collection, and delivery of intervention). In addition, we examined text message engagement among participants randomized to the VERB intervention after text messages were adapted to include requests for confirmation.…”

Section: Methodsmentioning

confidence: 99%

Feasibility and Short‐Term Effects of a Multi‐Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial

Spieker

Nelson

Rothman

et al. 2022

JAHA

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Background Emergency department (ED) visits can be opportunities to address uncontrolled hypertension. We sought to compare short‐term blood pressure measures between the Vanderbilt Emergency Room Bundle (VERB) intervention and usual care plus education. Methods and Results We conducted a randomized trial of 206 adult patients with hypertension and elevated systolic blood pressure (SBP) presenting to 2 urban emergency departments in Tennessee, USA. The VERB intervention included educational materials, a brief motivational interview, pillbox, primary care engagement letter, pharmacy resources, and 45 days of informational and reminder text messages. The education arm received a hypertension pamphlet. After 78 participants were enrolled, text messages requested confirmation of receipt. The primary clinical outcome was 30‐day SBP. The median 30‐day SBP was 122 and 126 mm Hg in the VERB and education arms, respectively. We estimated the mean 30‐day SBP to be 3.98 mm Hg lower in the VERB arm (95% CI, −2.44 to 10.4; P =0.22). Among participants enrolled after text messages were adapted, the respective median SBPs were 121 and 130 mm Hg, and we estimated the mean 30‐day SBP to be 8.57 mm Hg lower in the VERB arm (95% CI, 0.98‒16.2; P =0.027). In this subgroup, the median response rate to VERB text messages was 56% (interquartile range, [26%‒80%]). Conclusions This pilot study demonstrated feasibility and found an improvement in SBP for the subgroup for whom interactive messages were featured. Future studies should evaluate the role of interactive text messaging as part of a comprehensive emergency department intervention to improve blood pressure control. Registration URL: https://www.clinicaltrials.gov ; Unique identifier: NCT02672787.

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Section: Methodsmentioning

confidence: 99%

Feasibility and Short‐Term Effects of a Multi‐Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial

Spieker

Nelson

Rothman

et al. 2022

JAHA

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“…Interactive journalling is a psychoeducational format that can be MI-informed (Miller, 2014). More recently, MI-based text messaging is being evaluated (Mason et al ., 2016; Nelson et al , 2021).…”

Section: Teaching Motivational Interviewingmentioning

confidence: 99%

The evolution of motivational interviewing

Miller

2023

Behav. Cogn. Psychother.

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This review traces the development of motivational interviewing (MI) from its happenstance beginnings and the first description published in this journal in 1983, to its continuing evolution as a method that is now in widespread practice in many professions, nations and languages. The efficacy of MI has been documented in hundreds of controlled clinical trials, and extensive process research sheds light on why and how it works. Developing proficiency in MI is facilitated by feedback and coaching based on observed practice after initial training. The author reflects on parallels between MI core processes and the characteristics found in 70 years of psychotherapy research to distinguish more effective therapists. This suggests that MI offers an evidence-based therapeutic style for delivering other treatments more effectively. The most common use of MI now is indeed in combination with other treatment methods such as cognitive behaviour therapies.

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“…The frequency of messaging also requires careful consideration, with the majority of interventions in chronic disease populations involving daily messaging 32 . In a study of people discharged from hospital with elevated blood pressure, 94% of participants who chose to receive text medication reminders opted for a daily frequency, and 97% of those who chose to receive informational texts selected a thrice‐weekly frequency 36 . The optimum strategy may vary according to the clinical setting and the recipient's own preferences.…”

Section: Using Digital Technologies To Improve Medication Adherence I...mentioning

confidence: 99%

“… 32 In a study of people discharged from hospital with elevated blood pressure, 94% of participants who chose to receive text medication reminders opted for a daily frequency, and 97% of those who chose to receive informational texts selected a thrice‐weekly frequency. 36 The optimum strategy may vary according to the clinical setting and the recipient's own preferences. Lastly, the appropriate duration of text message interventions is unclear, and is likely context‐dependent; simple text message education programs may only require a short program, while some individuals could potentially benefit from receiving text message adherence reminders indefinitely.…”

Section: Using Digital Technologies To Improve Medication Adherence I...mentioning

confidence: 99%

Digital health technologies to support medication adherence in chronic kidney disease

O’Hara

Lee

et al. 2022

Nephrology

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Non‐adherence to medications is a critical challenge in the management of people with chronic kidney disease (CKD). This review explores the complexities of adherence in this population, the unique barriers and enablers of good adherence behaviours, and the role of emerging digital health technologies in bridging the gap between evidence‐based treatment plans and the real‐world standard of care. We present the current evidence supporting the use of digital health interventions among CKD populations, identifying the key research questions that remain unanswered, and providing practical strategies for clinicians to support medication adherence in a digital age.

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User preferences for and engagement with text messages to support antihypertensive medication adherence: Findings from a pilot study evaluating an emergency department-based behavioral intervention

Cited by 6 publications

References 35 publications

Feasibility and Short‐Term Effects of a Multi‐Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial

Feasibility and Short‐Term Effects of a Multi‐Component Emergency Department Blood Pressure Intervention: A Pilot Randomized Trial

The evolution of motivational interviewing

Digital health technologies to support medication adherence in chronic kidney disease

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