title: Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure.
abstract: We conducted a feasibility study of a telehealth intervention (an electronic pill box) and an m-health intervention (an app on a smartphone) for improving medication adherence in older adults with heart failure. A secondary aim was to compare patient acceptance of the devices. The participants were 60 adults with HF (65% male). Their average age was 69 years and 83% were Caucasian. Patients were randomized using a 2 × 2 design to one of four groups: pillbox silent, pillbox reminding, smartphone silent, smartphone reminding. We examined adherence to 4 medications over 28 days. The overall adherence rate was 78% (SD 35). People with the telehealth device adhered 80% of the time and people with the smartphone adhered 76% of the time. Those who received reminders adhered 79% of the time, and those with passive medication reminder devices adhered 78% of the time, i.e. reminding did not improve adherence. Patients preferred the m-health approach. Future interventions may need to address other contributors to poor adherence such as motivation.
authors: Department of Psychology, Kent State University, Kent, Ohio, USA Summa Health System, Akron, Ohio, USA cgoldst1@kent.edu.
authors: Carly M
authors: CM
authors: Goldstein
authors: Department of Psychology, Kent State University, Kent, Ohio, USA Summa Health System, Akron, Ohio, USA.
authors: Emily C
authors: EC
authors: Gathright
authors: Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland Ohio, USA.
authors: Mary A
authors: MA
authors: Dolansky
authors: Department of Psychology, Kent State University, Kent, Ohio, USA.
authors: John
authors: J
authors: Gunstad
authors: Department of Psychology, Kent State University, Kent, Ohio, USA Creative Action LLC, Akron, Ohio, USA.
authors: Anthony
authors: A
authors: Sterns
authors: Summa Health System, Akron, Ohio, USA.
authors: Joseph D
authors: JD
authors: Redle
authors: Harrington-McLaughlin Heart and Vascular Institute, University Hospitals Case Medical Center, Cleveland Ohio, USA Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
authors: Richard
authors: R
authors: Josephson
authors: Department of Psychology, Kent State University, Kent, Ohio, USA Summa Health System, Akron, Ohio, USA Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland Ohio, USA.
authors: Joel W
authors: JW
authors: Hughes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D040421:Cell Phone; D005240:Feasibility Studies; D005260:Female; D006333:Heart Failure / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D063731:Mobile Applications; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011788:Quality of Life; D017010:Reminder Systems / Q000295:instrumentation* / Q000592:standards; D017216:Telemedicine / Q000295:instrumentation / Q000379:methods*; D016903:Drug Monitoring