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

Comput Methods Programs Biomed

Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Taipei Medical University, Wan-Fang Hospital, Taipei, Taiwan; International Center for Health Information Technology, Taipei Medical University, Taiwan. Electronic address:

Published: March 2017

AI Article Synopsis

  • * A study involving 1,198 participants in Taiwan showed that sending daily SMS reminders significantly reduced both medication delays (from 85% to 18%) and forgetfulness (from 46% to 5%) among those receiving reminders compared to a control group.
  • * The majority of participants found the SMS reminders helpful for managing their health, with 92% willing to recommend the system to others, suggesting that timely reminders can lead to improved adherence and potential cost savings in healthcare.

Article 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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Source
http://dx.doi.org/10.1016/j.cmpb.2016.12.012DOI Listing

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