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Health Information Technology: Text Messaging Interventions for Medication Adherence Among Patients with Chronic Diseases

CDC

An Evidence-Based Practice

Description

In these interventions, patients who have at least one chronic medical condition receive text messages reminding or encouraging them to take their medications as prescribed.

Messages must be accessible through mobile phones and sent regularly (though frequency may vary from medication dose times to weekly reminders). Messages may be personalized for patients, and they may involve two-way communication.

Results / Accomplishments

The systematic review included 16 studies.
-Medication adherence improved significantly (16 studies).

Evidence from a subset of seven studies conducted in high-income countries was used as the basis for the CPSTF recommendation.
-Medication adherence, measured either by patient or dose, increased by a median of 13.8 percentage points (7 studies).

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS V25-5
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Heart Disease & Stroke
For more details
https://www.thecommunityguide.org/findings/health-...

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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