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Mobile Apps for Increasing Treatment Adherence: Systematic Review.

作者信息

Pérez-Jover Virtudes, Sala-González Marina, Guilabert Mercedes, Mira José Joaquín

机构信息

Departamento Psicología de la Salud, Universidad Miguel Hernández, Elche, Spain.

出版信息

J Med Internet Res. 2019 Jun 18;21(6):e12505. doi: 10.2196/12505.


DOI:10.2196/12505
PMID:31215517
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6604503/
Abstract

BACKGROUND: It is estimated that 20% to 50% of patients do not take their medication correctly, and this leads to increased morbidity and inefficacy of therapeutic approaches. Fostering treatment adherence is a priority objective for all health systems. The growth of mobile apps to facilitate therapeutic adherence has significantly increased in recent years. However, the effectiveness of the apps for this purpose has not been evaluated. OBJECTIVE: This study aimed to analyze whether mobile apps are perceived as useful for managing medication at home and if they actually contribute to increasing treatment adherence in patients. METHODS: We carried out a systematic review of research published using Scopus, Cochrane Library, ProQuest, and MEDLINE databases and analyzed the information about their contribution to increasing therapeutic adherence and the perceived usefulness of mobile apps. This review examined studies published between 2000 and 2017. RESULTS: Overall, 11 studies fulfilled the inclusion criteria. The sample sizes of these studies varied between 16 and 99 participants. In addition, 7 studies confirmed that the mobile app increased treatment adherence. In 5 of them, the before and after adherence measures suggested significant statistical improvements, when comparing self-reported adherence and missed dose with a percentage increase ranging between 7% and 40%. The users found mobile apps easy to use and useful for managing their medication. The patients were mostly satisfied with their use, with an average score of 8.1 out of 10. CONCLUSIONS: The use of mobile apps helps increase treatment adherence, and they are an appropriate method for managing medication at home.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efcc/6604503/fd5acd7178c1/jmir_v21i6e12505_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efcc/6604503/fd5acd7178c1/jmir_v21i6e12505_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efcc/6604503/fd5acd7178c1/jmir_v21i6e12505_fig1.jpg

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本文引用的文献

[1]
Mobile Phone Apps Targeting Medication Adherence: Quality Assessment and Content Analysis of User Reviews.

JMIR Mhealth Uhealth. 2019-1-31

[2]
Inappropriate Use of Medication by Elderly, Polymedicated, or Multipathological Patients with Chronic Diseases.

Int J Environ Res Public Health. 2018-2-10

[3]
A Medication Reminder Mobile App: Does It Work for Different Age Ranges.

Stud Health Technol Inform. 2017

[4]
Mobile Phone Apps to Improve Medication Adherence: A Systematic Stepwise Process to Identify High-Quality Apps.

JMIR Mhealth Uhealth. 2016-12-2

[5]
Can Mobile Phone Apps Influence People's Health Behavior Change? An Evidence Review.

J Med Internet Res. 2016-10-31

[6]
Pillbox use, satisfaction, and effectiveness among persons with chronic health conditions.

Assist Technol. 2017

[7]
A mobile application improves therapy-adherence rates in elderly patients undergoing rehabilitation: A crossover design study comparing documentation via iPad with paper-based control.

Medicine (Baltimore). 2016-9

[8]
Influence of Human Factor Issues on Patient-Centered mHealth Apps' Impact; Where Do We Stand?

Stud Health Technol Inform. 2016

[9]
Mobile Applications to Improve Medication Adherence.

Telemed J E Health. 2017-2

[10]
Health Information Technology: Meaningful Use and Next Steps to Improving Electronic Facilitation of Medication Adherence.

JMIR Med Inform. 2016-3-15

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