J Telemed Telecare - Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure.

Tópicos

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Resumo

We conducted a feasibility study of a telehealth intervention (an electronic pill box) and an m-health intervention (an app on a smartphone) for improving medication adherence in older adults with heart failure. A secondary aim was to compare patient acceptance of the devices. The participants were 60 adults with HF (65% male). Their average age was 69 years and 83% were Caucasian. Patients were randomized using a 2?2 design to one of four groups: pillbox silent, pillbox reminding, smartphone silent, smartphone reminding. We examined adherence to 4 medications over 28 days. The overall adherence rate was 78% (SD 35). People with the telehealth device adhered 80% of the time and people with the smartphone adhered 76% of the time. Those who received reminders adhered 79% of the time, and those with passive medication reminder devices adhered 78% of the time, i.e. reminding did not improve adherence. Patients preferred the m-health approach. Future interventions may need to address other contributors to poor adherence such as motivation.

Resumo Limpo

conduct feasibl studi telehealth intervent electron pill box mhealth intervent app smartphon improv medic adher older adult heart failur secondari aim compar patient accept devic particip adult hf male averag age year caucasian patient random use design one four group pillbox silent pillbox remind smartphon silent smartphon remind examin adher medic day overal adher rate sd peopl telehealth devic adher time peopl smartphon adher time receiv remind adher time passiv medic remind devic adher time ie remind improv adher patient prefer mhealth approach futur intervent may need address contributor poor adher motiv

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