A personalized medication management platform (PMMP) to improve medication adherence: A randomized control trial

Chu Ya Huang, Phung Anh Alex Nguyen, Daniel L. Clinciu, Chun Kung Hsu, Jui Chia Richard Lu, Hsuan Chia Yang, Chieh Chen Wu, Wen Chen Tsai, Yueh Ching Chou, Terry B J Kuo, Po Lun Chang, Wen Shan Jian, Yu Chuan Jack Li

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objectives Medication non-adherence caused by forgetting and delays has serious health implications and causes substantial expenses to patients, healthcare providers, and insurance companies. We assessed the effectiveness of a personalized medication management platform (PMMP) for improving medication adherence, self-management medication, and reducing long-term medication costs. Methods We developed a mobile PMMP to reduce delayed and missed medications. A randomized control trial was conducted of three medical centers in Taiwan. A total 1198 participants who aged over 20 years, received outpatient prescription drugs for a maximum period of 14 days. 763 patients were randomly assigned to intervention group as receiving daily SMS reminders for their medications and 434 patients in control group did not. The primary outcome was change in delaying and forgetting medication between before and after intervention (after 7 days). Results Medication delays were reduced from 85% to 18% (67% improvement) after SMSs for the intervention group and from 80% to 43% (37% improvement) for the control group. Patients forgot medications were significantly reduced from 46% to 5% (41% improvement) for the experimental group after SMSs and from 44% to 17% (27% improvement) for the control group. The SMSs were considered helpful by 83% of patients and 74% of them thought SMSs help in controlling diseases. 92% of patients would recommend this system to their family and friends. Conclusions A timely and personalized medication reminder through SMS can improve medication adherence in a nationalized healthcare system with overall savings in medication costs and significant improvements in health and disease management. Trial registration ClinicalTrials.gov: NCT02197689.

Original languageEnglish
Pages (from-to)275-281
Number of pages7
JournalComputer Methods and Programs in Biomedicine
Volume140
DOIs
Publication statusPublished - Mar 1 2017

Keywords

  • Healthcare cost
  • Medication adherence
  • Medication SMS reminder
  • Mobile management
  • Personalized medication management

ASJC Scopus subject areas

  • Software
  • Computer Science Applications
  • Health Informatics

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