Effects of a medication adherence app among medically underserved adults with chronic illness: a randomized controlled trial

被引:3
作者
Hartch, Christa E. [1 ,2 ]
Dietrich, Mary S. [1 ,3 ]
Lancaster, B. Jeanette [4 ]
Stolldorf, Deonni P. [1 ]
Mulvaney, Shelagh A. [1 ,5 ]
机构
[1] Vanderbilt Univ, Sch Nursing, 461 21st Ave S, Nashville, TN 37240 USA
[2] Manhattanville Coll, Sch Nursing & Hlth Sci, 2900 Purchase St, Purchase, NY 10577 USA
[3] Vanderbilt Univ, Dept Biostat, Med Ctr, 2525 West End Ave, Suite 1100, Nashville, TN 37203 USA
[4] Univ Virginia, Sch Nursing, 225 Jeanette Lancaster Way, Charlottesville, VA 22903 USA
[5] Vanderbilt Univ, Med Ctr, Dept Biomed Informat, 2525 West End Ave Suite 1475, Nashville, TN 37203 USA
关键词
Medication adherence; Medication self-efficacy; Mobile phone applications; Medically underserved populations; ONLINE SUPPORT GROUPS; LOW-LITERACY PATIENTS; SOCIAL SUPPORT; SELF-EFFICACY; HEALTH; RATES; INTERVENTIONS; HYPERTENSION; ASSOCIATION; MANAGEMENT;
D O I
10.1007/s10865-023-00446-2
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
For individuals living with a chronic illness who require use of long-term medications, adherence is a vital aspect of successful symptom management and outcomes. This study investigated the effect of a smartphone app on adherence, self-efficacy, knowledge, and medication social support in a medically underserved adult population with various chronic illnesses. Participants were randomized to a group who used the app for one month or a control group provided with a printed medication list. Compared to the control group, participants receiving the intervention had significantly greater medication adherence (Cohen's d = -0.52, p = .014) and medication self-efficacy (Cohen's d = 0.43, p = .035). No significant effects were observed related to knowledge or social support. The findings suggest use of the app could positively impact chronic disease management in a medically underserved population in the United States.
引用
收藏
页码:295 / 307
页数:13
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