Chu-Ya Huang1, Phung-Anh Alex Nguyen2, Daniel L Clinciu3, Chun-Kung Hsu2, Jui-Chia Richard Lu2, Hsuan-Chia Yang4, Chieh-Chen Wu5, Wen-Chen Tsai6, Yueh-Ching Chou7, Terry B J Kuo8, Po-Lun Chang8, Wen-Shan Jian9, Yu-Chuan Jack Li10. 1. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Taiwan College of Healthcare Executives, Taiwan. 2. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; International Center for Health Information Technology, Taipei Medical University, Taiwan. 3. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Feng Chia University, Taichung, Taiwan. 4. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Institute of Biomedical Informatics, National Yang Ming University, Taipei, Taiwan; International Center for Health Information Technology, Taipei Medical University, Taiwan. 5. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan. 6. Department of Health Services Administration, China Medical University, Taichung, Taiwan. 7. Pharmacy Department, Taipei Veterans General Hospital, Taipei, Taiwan. 8. Institute of Biomedical Informatics, National Yang Ming University, Taipei, Taiwan. 9. School of Health Care Administration, Taipei Medical University, Taipei, Taiwan; International Center for Health Information Technology, Taipei Medical University, Taiwan. 10. Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Taipei Medical University, Wan-Fang Hospital, Taipei, Taiwan; International Center for Health Information Technology, Taipei Medical University, Taiwan. Electronic address: jack@tmu.edu.tw.
Abstract
OBJECTIVES: Medication non-adherence caused by forgetting and delays has serious health implications and causes substantial expenses to patients, healthcare providers, and insurance companies. We assessed the effectiveness of a personalized medication management platform (PMMP) for improving medication adherence, self-management medication, and reducing long-term medication costs. METHODS: We developed a mobile PMMP to reduce delayed and missed medications. A randomized control trial was conducted of three medical centers in Taiwan. A total 1198 participants who aged over 20 years, received outpatient prescription drugs for a maximum period of 14 days. 763 patients were randomly assigned to intervention group as receiving daily SMS reminders for their medications and 434 patients in control group did not. The primary outcome was change in delaying and forgetting medication between before and after intervention (after 7 days). RESULTS:Medication delays were reduced from 85% to 18% (67% improvement) after SMSs for the intervention group and from 80% to 43% (37% improvement) for the control group. Patients forgot medications were significantly reduced from 46% to 5% (41% improvement) for the experimental group after SMSs and from 44% to 17% (27% improvement) for the control group. The SMSs were considered helpful by 83% of patients and 74% of them thought SMSs help in controlling diseases. 92% of patients would recommend this system to their family and friends. CONCLUSIONS: A timely and personalized medication reminder through SMS can improve medication adherence in a nationalized healthcare system with overall savings in medication costs and significant improvements in health and disease management. TRIAL REGISTRATION: ClinicalTrials.gov: NCT02197689.
RCT Entities:
OBJECTIVES: Medication non-adherence caused by forgetting and delays has serious health implications and causes substantial expenses to patients, healthcare providers, and insurance companies. We assessed the effectiveness of a personalized medication management platform (PMMP) for improving medication adherence, self-management medication, and reducing long-term medication costs. METHODS: We developed a mobile PMMP to reduce delayed and missed medications. A randomized control trial was conducted of three medical centers in Taiwan. A total 1198 participants who aged over 20 years, received outpatient prescription drugs for a maximum period of 14 days. 763 patients were randomly assigned to intervention group as receiving daily SMS reminders for their medications and 434 patients in control group did not. The primary outcome was change in delaying and forgetting medication between before and after intervention (after 7 days). RESULTS: Medication delays were reduced from 85% to 18% (67% improvement) after SMSs for the intervention group and from 80% to 43% (37% improvement) for the control group. Patients forgot medications were significantly reduced from 46% to 5% (41% improvement) for the experimental group after SMSs and from 44% to 17% (27% improvement) for the control group. The SMSs were considered helpful by 83% of patients and 74% of them thought SMSs help in controlling diseases. 92% of patients would recommend this system to their family and friends. CONCLUSIONS: A timely and personalized medication reminder through SMS can improve medication adherence in a nationalized healthcare system with overall savings in medication costs and significant improvements in health and disease management. TRIAL REGISTRATION: ClinicalTrials.gov: NCT02197689.
Authors: Nouh Harsha; Magor Papp; László Kőrösi; Árpád Czifra; Róza Ádány; János Sándor Journal: Int J Environ Res Public Health Date: 2019-10-09 Impact factor: 3.390
Authors: Javier Dorado Chaparro; Jesus Fernandez-Bermejo Ruiz; Maria J Santofimia Romero; Cristina Bolaños Peño; Luis Unzueta Irurtia; Meritxell Garcia Perea; Xavier Del Toro Garcia; Felix J Villanueva Molina; Sonja Grigoleit; Juan C Lopez Journal: Sensors (Basel) Date: 2021-11-28 Impact factor: 3.576