scholarly journals Perceptions and experiences of using mobile technology for medication adherence among older adults with coronary heart disease: A qualitative study

2020 ◽  
Vol 6 ◽  
pp. 205520762092684
Author(s):  
Linda G Park ◽  
Fion Ng ◽  
Janet K Shim ◽  
Abdelaziz Elnaggar ◽  
Ofelia Villero
Keyword(s):  
Older Adults ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medication Adherence ◽  
Mobile Phone ◽  
Mobile Technology ◽  
Text Messaging ◽  
Future Research ◽  
Antiplatelet Medication ◽  
Mobile Phone Applications

Objective Medication non-adherence is linked to adverse clinical outcomes (i.e. rehospitalization, mortality) among patients with coronary heart disease. Given its global adoption and growing popularity among older adults, mobile technology may be an effective strategy to improve medication adherence. The aim of this article is to present the perceptions, attitudes, and beliefs of individuals with coronary heart disease about using text messaging and mobile phone applications for medication adherence. Methods We recruited 28 participants (veterans and non-veterans) with a history of coronary heart disease and antiplatelet medication use in Northern California. We formed six focus groups of individuals who participated in three sessions (total 18 sessions). We analyzed our data using grounded theory. Results The median age was 69.5 ± 10.8 years for non-veterans (50% male) and 70 ± 8.6 years for veterans (100% male). In the first session, we found that participants perceived text message reminders as a convenient, easy, and flexible tool to establish a routine for taking medications. In the second session, participants were eager to use applications for their greater interactivity, individualized health monitoring, and personalized medication information. The third session, participants shared preferred features (i.e. drug interactions, tracking symptoms) after using two applications at home for 2 weeks. Conclusions Older adults are engaged and can be proficient mobile technology users. Text messaging and mobile phone applications are perceived as helpful tools for medication adherence. Future research should include rigorous clinical trials to test the efficacy of mobile health technology to promote medication adherence in populations that require strict medication adherence.

scholarly journals Effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease: A systematic review and meta-analysis

2019 ◽  
Vol 19 (3) ◽  
pp. 192-200 ◽  
Author(s):  
Yun Shan Sua ◽  
Ying Jiang ◽  
David R Thompson ◽  
Wenru Wang
Keyword(s):  
Blood Pressure ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medication Adherence ◽  
Mobile Phone ◽  
Mean Difference ◽  
Self Management ◽  
Medium Size ◽  
Significant Heterogeneity ◽  
Management Interventions

Aims: The aim of this study was to synthesise and evaluate the effectiveness of mobile phone-based self-management interventions for medication adherence and change in blood pressure in patients with coronary heart disease. Methods: Relevant randomised controlled trials evaluating mobile phone-based self-management interventions for medication adherence and/or change in blood pressure in coronary heart disease patients were identified by searching six electronic databases (PubMed, Cochrane, CINAHL, ProQuest, Scopus and EMBASE) from January 2008 to January 2019. The trials were screened, data were extracted and quality was assessed by two independent reviewers. Meta-analyses were performed for different outcomes while narrative syntheses were conducted for studies that could not be pooled or when there was the presence of high heterogeneity. Results: Fifteen trials were included in this review, of which 11 of these trials were meta-analysed. Mobile phone-based self-management interventions were associated with a statistically significant reduction in diastolic blood pressure (combined mean difference of −1.99 (95% confidence interval (CI) –3.20 to −0.78; P=0.0001)). However, the combined effect on medication adherence (medium size effect of d=0.72 (95% CI −0.32 to 1.75; P=0.17)) and change in systolic blood pressure (combined mean difference of −1.08 (95% CI −5.51 to 3.35; P=0.63)) was not statistically significant. There was significant heterogeneity among the trials reviewed. Conclusion: Mobile phone-based self-management interventions have the potential to improve self-management and adherence in patients with coronary heart disease but better designed, conducted and reported trials are needed to demonstrate this.

scholarly journals Cardioprotective medication adherence among patients with coronary heart disease in China: a systematic review

Heart Asia ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. e011173 ◽  
Author(s):  
Zhao Ni ◽  
Latefa Dardas ◽  
Bei Wu ◽  
Ryan Shaw
Keyword(s):  
Systematic Review ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medication Adherence ◽  
Secondary Prevention ◽  
Poor Adherence ◽  
Current Status ◽  
Future Research ◽  
Phone Calls

In China, poor cardioprotective medication adherence is a key reason for the high mortality rate of coronary heart disease (CHD). The aims of this systematic review are to (1) describe and synthesise factors that influence medication adherence among Chinese people with CHD, (2) evaluate the current status of intervention studies, and (3) discuss directions of future research to improve medication adherence. A comprehensive search using PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Scopus, Global Health and PsycINFO was undertaken to describe poor adherence in China. Thirty-three eligible articles were included in the study. The review shows that there are multiple contributing factors to poor medication adherence, including patients’ sociodemographic characteristics, health status and medication characteristics. In addition, from patients’ perspective, lack of medication-related knowledge, such as the name, function, dosage and frequency, contributes to poor adherence. From physicians’ perspective, a gap exists between CHD secondary prevention guidelines and clinical practice in China. Follow-up phone calls, educational lectures, booklets and reminder cards were common methods found to be effective in improving medication adherence. This systematic review indicates that cardioprotective medications were commonly prescribed as secondary prevention medication to patients with CHD in China, but adherence to these medications gradually decreased during a follow-up period. Therefore, more research should be conducted on how to establish high-quality health educational programmes aimed at increasing patients’ medication adherence.

Improving Medication Adherence in Coronary Heart Disease

2017 ◽  
Vol 19 (11) ◽  
Author(s):  
Leah L. Zullig ◽  
Katherine Ramos ◽  
Hayden B. Bosworth
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Medication Adherence

scholarly journals Physical Activity and Risk of Coronary Heart Disease and Stroke in Older Adults

Circulation ◽  
2016 ◽  
Vol 133 (2) ◽  
pp. 147-155 ◽  
Author(s):  
Luisa Soares-Miranda ◽  
David S. Siscovick ◽  
Bruce M. Psaty ◽  
W. T. Longstreth ◽  
Dariush Mozaffarian
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Coronary Heart Disease ◽  
Heart Disease
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