Denise Yeung|Kristin Alvarez|Marissa Escobar Quinones|Christopher A. Clark|George R. Oliver|Carlos Álvarez|Adeola O. Jaiyeola
Low–health literacy flashcards &amp; mobile video reinforcement to improve medication adherence in patients on oral diabetes, heart failure, and hypertension medications
design investigate pharmacistrun intervention using low health literacy flashcards smartphoneactivated quick response qr barcoded educational flashcard video increase medication adherence disease state understandingprospective matched quasiexperimental designcounty health system dallas texassixtyeight primary care patients prescribed targeted heart failure hypertension diabetes medications intervention low health literacy medication disease specific flashcards also available qrcoded online videos designed intervention patients following validated health literacy tools conducted newest vital sign nvs rapid estimate adult literacy medicineshort form short assessment health literacy50the primary outcome difference medication adherence 180 days pharmacist intervention compared control group matched basis comorbid conditions targeted medications medication class medication adherence measured using modified pharmacy quality alliance proportion days covered pdc calculation secondary outcomes included 90day pdc improvement greater 25 baseline pdc final pdc greater 80 linear regression performed evaluate effect potential confounders primary outcomeof 34 patients receiving intervention majority patients scored high possibility limited health literacy nvs tool 912 medication least adherence baseline metformin followed angiotensinconverting enzyme inhibitors beta blockers 180 days intervention patients intervention group higher pdcs compared matched controls 71 vs 44 p 00069the use flashcards qrcoded prescription bottles medication disease state education innovative way improving adherence diabetes hypertension heart failure medications lowhealth literacy patient population