Effect of a reminder system using an automated short message service on medication adherence following acute coronary syndrome

Background: Medication non-adherence leads to a vast range of negative outcomes in patients with coronary artery disease. An automated web-based system managing short message service (SMS) reminders is a telemedicine approach to optimise adherence among patients who frequently forget to take their m...

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Veröffentlicht in:European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2015-04, Vol.14 (2), p.170-179
Hauptverfasser: Khonsari, Sahar, Subramanian, Pathmawathi, Chinna, Karuthan, Latif, Lydia A, Ling, Lee W, Gholami, Omid
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container_issue 2
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container_title European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
container_volume 14
creator Khonsari, Sahar
Subramanian, Pathmawathi
Chinna, Karuthan
Latif, Lydia A
Ling, Lee W
Gholami, Omid
description Background: Medication non-adherence leads to a vast range of negative outcomes in patients with coronary artery disease. An automated web-based system managing short message service (SMS) reminders is a telemedicine approach to optimise adherence among patients who frequently forget to take their medications or miss the timing. Aim: This paper sought to investigate the effect of automated SMS-based reminders on medication adherence in patients after hospital discharge following acute coronary syndrome (ACS). Methods: An interventional study was conducted at a tertiary teaching hospital in Malaysia. A total of 62 patients with ACS were equally randomised to receive either automated SMS reminders before every intake of cardiac medications or only usual care within eight weeks after discharge. The primary outcome was adherence to cardiac medications. Secondary outcomes were the heart functional status, and ACS-related hospital readmission and death rates. Results: There was a higher medication adherence level in the intervention group rather than the usual care group, (χ2 (2)=18.614, p
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An automated web-based system managing short message service (SMS) reminders is a telemedicine approach to optimise adherence among patients who frequently forget to take their medications or miss the timing. Aim: This paper sought to investigate the effect of automated SMS-based reminders on medication adherence in patients after hospital discharge following acute coronary syndrome (ACS). Methods: An interventional study was conducted at a tertiary teaching hospital in Malaysia. A total of 62 patients with ACS were equally randomised to receive either automated SMS reminders before every intake of cardiac medications or only usual care within eight weeks after discharge. The primary outcome was adherence to cardiac medications. Secondary outcomes were the heart functional status, and ACS-related hospital readmission and death rates. Results: There was a higher medication adherence level in the intervention group rather than the usual care group, (χ2 (2)=18.614, p&lt;0.001). The risk of being low adherent among the control group was 4.09 times greater than the intervention group (relative risk =4.09, 95% confidence interval (CI) 1.82–9.18). A meaningful difference was found in heart functional status between the two study groups with better results among patients who received SMS reminders, (χ2 (1) = 16.957, p&lt;0.001). Conclusion: An automated SMS-based reminder system can potentially enhance medication adherence in ACS patients during the early post-discharge period.</description><identifier>ISSN: 1474-5151</identifier><identifier>EISSN: 1873-1953</identifier><identifier>DOI: 10.1177/1474515114521910</identifier><identifier>PMID: 24491349</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Coronary Syndrome - drug therapy ; Acute Coronary Syndrome - mortality ; Acute Coronary Syndrome - psychology ; Aged ; Cardiovascular Agents - therapeutic use ; Female ; Humans ; Malaysia ; Male ; Medication Adherence ; Middle Aged ; Patient Discharge ; Patient Preference ; Patient Readmission ; Reminder Systems ; Self Report ; Text Messaging</subject><ispartof>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2015-04, Vol.14 (2), p.170-179</ispartof><rights>The European Society of Cardiology 2014</rights><rights>The European Society of Cardiology 2014.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-ee32d6741d7218486db2983267ebf364c63bc0c9a1a6cd98b47cc44a55a9536e3</citedby><cites>FETCH-LOGICAL-c412t-ee32d6741d7218486db2983267ebf364c63bc0c9a1a6cd98b47cc44a55a9536e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1474515114521910$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1474515114521910$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>315,781,785,21823,27928,27929,43625,43626</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24491349$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khonsari, Sahar</creatorcontrib><creatorcontrib>Subramanian, Pathmawathi</creatorcontrib><creatorcontrib>Chinna, Karuthan</creatorcontrib><creatorcontrib>Latif, Lydia A</creatorcontrib><creatorcontrib>Ling, Lee W</creatorcontrib><creatorcontrib>Gholami, Omid</creatorcontrib><title>Effect of a reminder system using an automated short message service on medication adherence following acute coronary syndrome</title><title>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</title><addtitle>Eur J Cardiovasc Nurs</addtitle><description>Background: Medication non-adherence leads to a vast range of negative outcomes in patients with coronary artery disease. An automated web-based system managing short message service (SMS) reminders is a telemedicine approach to optimise adherence among patients who frequently forget to take their medications or miss the timing. Aim: This paper sought to investigate the effect of automated SMS-based reminders on medication adherence in patients after hospital discharge following acute coronary syndrome (ACS). Methods: An interventional study was conducted at a tertiary teaching hospital in Malaysia. A total of 62 patients with ACS were equally randomised to receive either automated SMS reminders before every intake of cardiac medications or only usual care within eight weeks after discharge. The primary outcome was adherence to cardiac medications. Secondary outcomes were the heart functional status, and ACS-related hospital readmission and death rates. Results: There was a higher medication adherence level in the intervention group rather than the usual care group, (χ2 (2)=18.614, p&lt;0.001). The risk of being low adherent among the control group was 4.09 times greater than the intervention group (relative risk =4.09, 95% confidence interval (CI) 1.82–9.18). A meaningful difference was found in heart functional status between the two study groups with better results among patients who received SMS reminders, (χ2 (1) = 16.957, p&lt;0.001). 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source MEDLINE; SAGE Complete; Oxford University Press Journals All Titles (1996-Current)
subjects Acute Coronary Syndrome - drug therapy
Acute Coronary Syndrome - mortality
Acute Coronary Syndrome - psychology
Aged
Cardiovascular Agents - therapeutic use
Female
Humans
Malaysia
Male
Medication Adherence
Middle Aged
Patient Discharge
Patient Preference
Patient Readmission
Reminder Systems
Self Report
Text Messaging
title Effect of a reminder system using an automated short message service on medication adherence following acute coronary syndrome
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