Randomized comparison of the effects of tailored text messaging versus pillbox organizers on medication adherence of heart failure patients.
- Publisher:
- BMC
- Publication Type:
- Journal Article
- Citation:
- BMC Cardiovasc Disord, 2024, 24, (1), pp. 244
- Issue Date:
- 2024-05-09
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Field | Value | Language |
---|---|---|
dc.contributor.author | FarzanehRad, A | |
dc.contributor.author | Allahbakhshian, A | |
dc.contributor.author |
Gholizadeh, L https://orcid.org/0000-0002-6711-3312 |
|
dc.contributor.author | Khalili, AF | |
dc.contributor.author | Hasankhani, H | |
dc.date.accessioned | 2024-08-01T04:37:08Z | |
dc.date.available | 2024-04-09 | |
dc.date.available | 2024-08-01T04:37:08Z | |
dc.date.issued | 2024-05-09 | |
dc.identifier.citation | BMC Cardiovasc Disord, 2024, 24, (1), pp. 244 | |
dc.identifier.issn | 1471-2261 | |
dc.identifier.issn | 1471-2261 | |
dc.identifier.uri | http://hdl.handle.net/10453/179945 | |
dc.description.abstract | 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. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BMC | |
dc.relation.ispartof | BMC Cardiovasc Disord | |
dc.relation.isbasedon | 10.1186/s12872-024-03884-1 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 1102 Cardiorespiratory Medicine and Haematology | |
dc.subject.classification | Cardiovascular System & Hematology | |
dc.subject.classification | 3201 Cardiovascular medicine and haematology | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Text Messaging | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Heart Failure | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Reminder Systems | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Cardiovascular Agents | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Cardiovascular Agents | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Reminder Systems | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Heart Failure | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Text Messaging | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Text Messaging | |
dc.subject.mesh | Medication Adherence | |
dc.subject.mesh | Heart Failure | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Reminder Systems | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Treatment Outcome | |
dc.subject.mesh | Time Factors | |
dc.subject.mesh | Cardiovascular Agents | |
dc.title | Randomized comparison of the effects of tailored text messaging versus pillbox organizers on medication adherence of heart failure patients. | |
dc.type | Journal Article | |
utslib.citation.volume | 24 | |
utslib.location.activity | England | |
utslib.for | 1102 Cardiorespiratory Medicine and Haematology | |
pubs.organisational-group | University of Technology Sydney | |
pubs.organisational-group | University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | University of Technology Sydney/Strength - CHSP - Health Services and Practice | |
utslib.copyright.status | open_access | * |
dc.rights.license | This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/ | |
dc.date.updated | 2024-08-01T04:37:06Z | |
pubs.issue | 1 | |
pubs.publication-status | Published online | |
pubs.volume | 24 | |
utslib.citation.issue | 1 |
Abstract:
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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