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- Title
The feasibility of text reminders to improve medication adherence in adolescents with asthma.
- Authors
Johnson, Kevin B.; Patterson, Barron L.; Yun-Xian Ho; Qingxia Chen; Hui Nian; Davison, Coda L.; Slagle, Jason; Mulvaney, Shelagh A.; Ho, Yun-Xian; Chen, Qingxia; Nian, Hui
- Abstract
<bold>Objective: </bold>Personal health applications have the potential to help patients with chronic disease by improving medication adherence, self-efficacy, and quality of life. The goal of this study was to assess the impact of MyMediHealth (MMH) - a website and a short messaging service (SMS)-based reminder system - on medication adherence and perceived self-efficacy in adolescents with asthma.<bold>Methods: </bold>We conducted a block-randomized controlled study in academic pediatric outpatient settings. There were 98 adolescents enrolled. Subjects who were randomized to use MMH were asked to create a medication schedule and receive SMS reminders at designated medication administration times for 3 weeks. Control subjects received action lists as a part of their usual care. Primary outcome measures included MMH usage patterns and self-reports of system usability, medication adherence, asthma control, self-efficacy, and quality of life.<bold>Results: </bold>Eighty-nine subjects completed the study, of whom 46 were randomized to the intervention arm. Compared to controls, we found improvements in self-reported medication adherence (P = .011), quality of life (P = .037), and self-efficacy (P = .016). Subjects reported high satisfaction with MMH; however, the level of system usage varied widely, with lower use among African American patients.<bold>Conclusions: </bold>MMH was associated with improved medication adherence, perceived quality of life, and self-efficacy.Trial Registration This project was registered under http://clinicaltrials.gov/ identifier NCT01730235.
- Subjects
TEXT messages; PHYSICAL fitness mobile apps; ASTHMA treatment; PATIENT compliance; CLINICAL trials; MEDICAL records; DRUG therapy for asthma; COMPARATIVE studies; DRUGS; INTERNET; RESEARCH methodology; MEDICAL cooperation; QUALITY of life; RESEARCH; RESEARCH funding; HEALTH self-care; PILOT projects; EVALUATION research; RANDOMIZED controlled trials; HEALTH care reminder systems; MOBILE apps
- Publication
Journal of the American Medical Informatics Association, 2016, Vol 23, Issue 3, p449
- ISSN
1067-5027
- Publication type
journal article
- DOI
10.1093/jamia/ocv158