Alexander Mertens|Christopher Brandl|Talya Miron?Shatz|Christopher Schlick|Till Neumann|Andreas Kribben|Sven Meister|Clarissa J. Diamantidis|Urs?Vito Albrecht|Peter A. Horn|Stefan Becker
A mobile application improves therapy-adherence rates in elderly patients undergoing rehabilitation
University of Duisburg-Essen
medication adherence crucial success management patients chronic conditions study analyzes whether mobile application tablet aimed supporting drug intake vital sign parameter documentation affects adherence elderly patientspatients coronary heart disease prior knowledge tablet computers recruited received personal introduction mobile application medication plan installed apple ipad study conducted using crossover design 3 sequences initial phase interventional phase 28 days using app system comparative phase 28 days using paper diary users experienced interventional comparative phases alternatelya total 24 patients 12 males mean age 738 years enrolled study mean subjectively assessed adherence a14scale 5point likert scale never often results score 0 56 study 500 sd 344 interventions significant increase pronounced interventional phase 540 sd 201 comparative phase 526 sd 249 pairs interventions p 0001 neither medical conditions number drug intake amount frequency drug taking per day affected subjective adherence logging data showed significantly stronger adherence medication app paper system blood pressure recordings p 0001 medication intake p 0033 majority participants n 22 stated would like use medication app daily lives would need assistance appa mobile app medication adherence increased objectively subjectively measured adherence elderly users undergoing rehabilitation findings promising clinical implications digital tools assist chronic disease patients achieve adherence medication blood pressure measurement although requires initial offline training reduce complications clinical overload nonadherence