Cargando…

Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study

AIMS AND OBJECTIVES: This paper describes a pilot non-randomised controlled study of a highly tailored 56-day text messaging and smartphone app prototype intervention to increase adherence to anti-hypertensive medication in primary care. The aim of this study was to evaluate the acceptability of the...

Descripción completa

Detalles Bibliográficos
Autores principales: Kassavou, Aikaterini, A’Court, Charlotte Emily, Chauhan, Jagmohan, Brimocombe, James David, Bhattacharya, Debi, Naughton, Felix, Hardeman, Wendy, Mascolo, Cecilia, Sutton, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504598/
https://www.ncbi.nlm.nih.gov/pubmed/32974043
http://dx.doi.org/10.1186/s40814-020-00666-2
_version_ 1783584661520252928
author Kassavou, Aikaterini
A’Court, Charlotte Emily
Chauhan, Jagmohan
Brimocombe, James David
Bhattacharya, Debi
Naughton, Felix
Hardeman, Wendy
Mascolo, Cecilia
Sutton, Stephen
author_facet Kassavou, Aikaterini
A’Court, Charlotte Emily
Chauhan, Jagmohan
Brimocombe, James David
Bhattacharya, Debi
Naughton, Felix
Hardeman, Wendy
Mascolo, Cecilia
Sutton, Stephen
author_sort Kassavou, Aikaterini
collection PubMed
description AIMS AND OBJECTIVES: This paper describes a pilot non-randomised controlled study of a highly tailored 56-day text messaging and smartphone app prototype intervention to increase adherence to anti-hypertensive medication in primary care. The aim of this study was to evaluate the acceptability of the intervention and obtain patients’ views about the intervention content, the delivery mode, and the mechanisms by which the intervention supported medication adherence. METHODS: Patients diagnosed with hypertension were invited and recruited to the study via general practice text messages and attended a face to face meeting with a member of the researcher team. Participants were asked to test the text messaging intervention for 28 consecutive days and switch to the smartphone app for 28 more days. Participants completed baseline and follow-up questionnaires and took part in semi-structured telephone interviews. Digital log files captured patients’ engagement with the intervention. Participant transcripts were analysed using thematic analysis. Descriptive statistics were used to summarise data from questionnaires and log files. A mixed methods analysis generated data to respond to the research questions. RESULTS: Seventy-nine patients expressed interest to participate in this study, of whom 23 (64% male, 82% above 60 years old) were registered to take part. With one drop-out, 22 participants tested the text messaging delivery mode (with 20 being interviewed) and four of them (17%) switched to the app (with 3 being interviewed). All participants engaged and interacted with the text messages and app notifications, and all participants found the intervention content and delivery mode acceptable. They also self-reported that the interactive elements of the intervention motivated them to take their medications as prescribed. CONCLUSION: This study provides evidence that the digital intervention is acceptable by hypertensive patients recruited in primary care. Future research could usefully investigate its feasibility and effectiveness using rigorous research methods. TRIAL REGISTRATION: ISRCTN12805654
format Online
Article
Text
id pubmed-7504598
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-75045982020-09-23 Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study Kassavou, Aikaterini A’Court, Charlotte Emily Chauhan, Jagmohan Brimocombe, James David Bhattacharya, Debi Naughton, Felix Hardeman, Wendy Mascolo, Cecilia Sutton, Stephen Pilot Feasibility Stud Research AIMS AND OBJECTIVES: This paper describes a pilot non-randomised controlled study of a highly tailored 56-day text messaging and smartphone app prototype intervention to increase adherence to anti-hypertensive medication in primary care. The aim of this study was to evaluate the acceptability of the intervention and obtain patients’ views about the intervention content, the delivery mode, and the mechanisms by which the intervention supported medication adherence. METHODS: Patients diagnosed with hypertension were invited and recruited to the study via general practice text messages and attended a face to face meeting with a member of the researcher team. Participants were asked to test the text messaging intervention for 28 consecutive days and switch to the smartphone app for 28 more days. Participants completed baseline and follow-up questionnaires and took part in semi-structured telephone interviews. Digital log files captured patients’ engagement with the intervention. Participant transcripts were analysed using thematic analysis. Descriptive statistics were used to summarise data from questionnaires and log files. A mixed methods analysis generated data to respond to the research questions. RESULTS: Seventy-nine patients expressed interest to participate in this study, of whom 23 (64% male, 82% above 60 years old) were registered to take part. With one drop-out, 22 participants tested the text messaging delivery mode (with 20 being interviewed) and four of them (17%) switched to the app (with 3 being interviewed). All participants engaged and interacted with the text messages and app notifications, and all participants found the intervention content and delivery mode acceptable. They also self-reported that the interactive elements of the intervention motivated them to take their medications as prescribed. CONCLUSION: This study provides evidence that the digital intervention is acceptable by hypertensive patients recruited in primary care. Future research could usefully investigate its feasibility and effectiveness using rigorous research methods. TRIAL REGISTRATION: ISRCTN12805654 BioMed Central 2020-09-21 /pmc/articles/PMC7504598/ /pubmed/32974043 http://dx.doi.org/10.1186/s40814-020-00666-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kassavou, Aikaterini
A’Court, Charlotte Emily
Chauhan, Jagmohan
Brimocombe, James David
Bhattacharya, Debi
Naughton, Felix
Hardeman, Wendy
Mascolo, Cecilia
Sutton, Stephen
Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title_full Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title_fullStr Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title_full_unstemmed Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title_short Assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
title_sort assessing the acceptability of a text messaging service and smartphone app to support patient adherence to medications prescribed for high blood pressure: a pilot study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7504598/
https://www.ncbi.nlm.nih.gov/pubmed/32974043
http://dx.doi.org/10.1186/s40814-020-00666-2
work_keys_str_mv AT kassavouaikaterini assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT acourtcharlotteemily assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT chauhanjagmohan assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT brimocombejamesdavid assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT bhattacharyadebi assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT naughtonfelix assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT hardemanwendy assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT mascolocecilia assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy
AT suttonstephen assessingtheacceptabilityofatextmessagingserviceandsmartphoneapptosupportpatientadherencetomedicationsprescribedforhighbloodpressureapilotstudy