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

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

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.
原文英語
頁(從 - 到)275-281
頁數7
期刊Computer Methods and Programs in Biomedicine
140
DOIs
出版狀態已發佈 - 三月 1 2017

指紋

Medication Adherence
Health
Control Groups
Insurance
Costs
Costs and Cost Analysis
Prescription Drugs
Self Care
Disease Management
Taiwan
Health Personnel
Outpatients
Delivery of Health Care
Industry

ASJC Scopus subject areas

  • Software
  • Computer Science Applications
  • Health Informatics

引用此文

A personalized medication management platform (PMMP) to improve medication adherence : A randomized control trial. / Huang, Chu Ya; Nguyen, Phung Anh Alex; Clinciu, Daniel L.; Hsu, Chun Kung; Lu, Jui Chia Richard; Yang, Hsuan Chia; Wu, Chieh Chen; Tsai, Wen Chen; Chou, Yueh Ching; Kuo, Terry B J; Chang, Po Lun; Jian, Wen Shan; Li, Yu Chuan Jack.

於: Computer Methods and Programs in Biomedicine, 卷 140, 01.03.2017, p. 275-281.

研究成果: 雜誌貢獻文章

Huang, Chu Ya ; Nguyen, Phung Anh Alex ; Clinciu, Daniel L. ; Hsu, Chun Kung ; Lu, Jui Chia Richard ; Yang, Hsuan Chia ; Wu, Chieh Chen ; Tsai, Wen Chen ; Chou, Yueh Ching ; Kuo, Terry B J ; Chang, Po Lun ; Jian, Wen Shan ; Li, Yu Chuan Jack. / A personalized medication management platform (PMMP) to improve medication adherence : A randomized control trial. 於: Computer Methods and Programs in Biomedicine. 2017 ; 卷 140. 頁 275-281.
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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.",
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T1 - A personalized medication management platform (PMMP) to improve medication adherence

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AU - Huang, Chu Ya

AU - Nguyen, Phung Anh Alex

AU - Clinciu, Daniel L.

AU - Hsu, Chun Kung

AU - Lu, Jui Chia Richard

AU - Yang, Hsuan Chia

AU - Wu, Chieh Chen

AU - Tsai, Wen Chen

AU - Chou, Yueh Ching

AU - Kuo, Terry B J

AU - Chang, Po Lun

AU - Jian, Wen Shan

AU - Li, Yu Chuan Jack

PY - 2017/3/1

Y1 - 2017/3/1

N2 - 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.

AB - 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.

KW - Healthcare cost

KW - Medication adherence

KW - Medication SMS reminder

KW - Mobile management

KW - Personalized medication management

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