Samir S. Patel|Laura Jacobus?Kantor|Lorraine Marshall|C. Ritchie|Michelle Kaplinski|Parvinder Sheena Khurana|Richard J. Katz
Mobilizing Your Medications: An Automated Medication Reminder Application for Mobile Phones and Hypertension Medication Adherence in a High-Risk Urban Population
Washington University Medical Center|George Washington University|University of Chicago|Washington University Medical Center|George Washington University|Washington University Medical Center|George Washington University|Washington University Medical Center|George Washington University|Washington University Medical Center|George Washington University
hypertension frequently accompanies diabetes mellitus worsening prognosis complicating medical care patients low medication adherence multiple medications major factor inadequate achievement blood pressure treatment goals widespread access mobile phones offers new opportunity communicate patients enhance disease selfmanagementwe recruited 50 highrisk urban patients hypertension using least two prescription medications hypertension openlabel trial using medication reminder software mobile phone medication adherence assessed review pharmacy refill rates availability medication reminder software preactivation activation postactivation phase respectivelyfortyeight patients completed study subjects insured medicaid 96 africanamerican majority diabetes mellitus proportion days covered study phase follows preactivation phase 054 activation phase 058 postactivation phase 046 significant difference found activation postactivation phases p 001 increase measured adherence preactivation activation phases approached significance p 057 fortysix patients completed pre postmorisky medication adherence survey median score rose 20 baseline 30 study completion p 001 average blood pressure level control study period improved significantly initiation study remained improved baseline course study 48 subjects completed study reported high level satisfaction medication reminder application final study visita mobilephonebased automated medication reminder system shows promise improving medication adherence blood pressure highcardiovascularrisk individuals