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

IF 2.8 3区医学 Q2 PSYCHOLOGY, CLINICAL Journal of Behavioral Medicine Pub Date : 2024-06-01 Epub Date: 2023-12-21 DOI:10.1007/s10865-023-00446-2

Christa E Hartch, Mary S Dietrich, B Jeanette Lancaster, Deonni P Stolldorf, Shelagh A Mulvaney

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Abstract

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.

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在医疗服务不足的成人慢性病患者中使用坚持用药应用程序的效果：随机对照试验。

对于需要长期用药的慢性病患者来说，坚持用药是成功控制症状和取得疗效的一个重要方面。本研究调查了智能手机应用程序对患有各种慢性疾病、医疗服务不足的成年人在坚持用药、自我效能、用药知识和用药社会支持方面的影响。参与者被随机分配到使用该应用程序一个月的小组或提供打印药物清单的对照组。与对照组相比，接受干预的参与者的用药依从性（Cohen's d = -0.52，p = .014）和用药自我效能感（Cohen's d = 0.43，p = .035）明显提高。在知识或社会支持方面没有观察到明显效果。研究结果表明，该应用程序的使用可对美国医疗服务不足人群的慢性病管理产生积极影响。

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来源期刊

Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.70

自引率

3.20%

发文量

112

期刊介绍： The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders. Reports of interdisciplinary approaches to research are particularly welcomed.