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An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention
OBJECTIVES: With this study, we aimed to develop a mobile technology (mHealth) intervention to improve medication adherence among patients with coronary heart disease (CHD). METHODS: The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in China....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chinese Nursing Association
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626280/ https://www.ncbi.nlm.nih.gov/pubmed/31406843 http://dx.doi.org/10.1016/j.ijnss.2018.09.003 |
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author | Ni, Zhao Liu, Changqing Wu, Bei Yang, Qing Douglas, Christian Shaw, Ryan Jeffrey |
author_facet | Ni, Zhao Liu, Changqing Wu, Bei Yang, Qing Douglas, Christian Shaw, Ryan Jeffrey |
author_sort | Ni, Zhao |
collection | PubMed |
description | OBJECTIVES: With this study, we aimed to develop a mobile technology (mHealth) intervention to improve medication adherence among patients with coronary heart disease (CHD). METHODS: The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in China. Each phase was independent from the other. Phase 1 tested the integration of the two apps — “WeChat” and “BB Reminder” — as an mHealth intervention. All participants received the same educational materials via WeChat every two days. Participants in the experimental group received a reminder from BB Reminder for every dose of their medications. The duration of Phase 1 was 30 days for each participant. Phase 2 refined the intervention, in which educational materials were sent every five days rather than every two days, and medication-taking reminders were sent daily rather than every dose. RESULTS: In Phase 1, an mHealth intervention was developed by integrating two mobile apps. In Phase 2, medication adherence increased at 30-day follow-up in both groups compared to baseline. At the 30-day follow-up, the mean of the decrease in medication non-adherence score in the experimental group (M = −1.35, SD = 2.18, n = 36) was more than the decrease in control group (M = −0.69, SD = 1.58, n = 36), which means the medication adherence improved more in the experimental group. CONCLUSION: The feasibility of using mHealth to remind CHD patients to take their medications is high. |
format | Online Article Text |
id | pubmed-6626280 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Chinese Nursing Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-66262802019-08-12 An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention Ni, Zhao Liu, Changqing Wu, Bei Yang, Qing Douglas, Christian Shaw, Ryan Jeffrey Int J Nurs Sci Original Article OBJECTIVES: With this study, we aimed to develop a mobile technology (mHealth) intervention to improve medication adherence among patients with coronary heart disease (CHD). METHODS: The study was conducted in two phases with CHD patients from a Cardiology Department of a hospital located in China. Each phase was independent from the other. Phase 1 tested the integration of the two apps — “WeChat” and “BB Reminder” — as an mHealth intervention. All participants received the same educational materials via WeChat every two days. Participants in the experimental group received a reminder from BB Reminder for every dose of their medications. The duration of Phase 1 was 30 days for each participant. Phase 2 refined the intervention, in which educational materials were sent every five days rather than every two days, and medication-taking reminders were sent daily rather than every dose. RESULTS: In Phase 1, an mHealth intervention was developed by integrating two mobile apps. In Phase 2, medication adherence increased at 30-day follow-up in both groups compared to baseline. At the 30-day follow-up, the mean of the decrease in medication non-adherence score in the experimental group (M = −1.35, SD = 2.18, n = 36) was more than the decrease in control group (M = −0.69, SD = 1.58, n = 36), which means the medication adherence improved more in the experimental group. CONCLUSION: The feasibility of using mHealth to remind CHD patients to take their medications is high. Chinese Nursing Association 2018-09-08 /pmc/articles/PMC6626280/ /pubmed/31406843 http://dx.doi.org/10.1016/j.ijnss.2018.09.003 Text en © 2018 Chinese Nursing Association. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Ni, Zhao Liu, Changqing Wu, Bei Yang, Qing Douglas, Christian Shaw, Ryan Jeffrey An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title | An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title_full | An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title_fullStr | An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title_full_unstemmed | An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title_short | An mHealth intervention to improve medication adherence among patients with coronary heart disease in China: Development of an intervention |
title_sort | mhealth intervention to improve medication adherence among patients with coronary heart disease in china: development of an intervention |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6626280/ https://www.ncbi.nlm.nih.gov/pubmed/31406843 http://dx.doi.org/10.1016/j.ijnss.2018.09.003 |
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