期刊
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION
卷 23, 期 3, 页码 449-455出版社
OXFORD UNIV PRESS
DOI: 10.1093/jamia/ocv158
关键词
adherence; biomedical informatics; adolescent; clinical trial; asthma; mHealth; mobile technology; personal health records
类别
资金
- Agency for Healthcare Research and Quality [R18 HS018168-03]
- CTSA from the NIH National Center for Advancing Translational Sciences [UL1TR000445]
Objective Personal health applications have the potential to help patients with chronic disease by improving medication adherence, self-efficacy, and quality of life. The goal of this study was to assess the impact of MyMediHealth (MMH) - a website and a short messaging service (SMS)-based reminder system - on medication adherence and perceived self-efficacy in adolescents with asthma. Methods We conducted a block-randomized controlled study in academic pediatric outpatient settings. There were 98 adolescents enrolled. Subjects who were randomized to use MMH were asked to create a medication schedule and receive SMS reminders at designated medication administration times for 3 weeks. Control subjects received action lists as a part of their usual care. Primary outcome measures included MMH usage patterns and self-reports of system usability, medication adherence, asthma control, self-efficacy, and quality of life. Results Eighty-nine subjects completed the study, of whom 46 were randomized to the intervention arm. Compared to controls, we found improvements in self-reported medication adherence (P = .011), quality of life (P = .037), and self-efficacy (P = .016). Subjects reported high satisfaction with MMH; however, the level of system usage varied widely, with lower use among African American patients. Conclusions MMH was associated with improved medication adherence, perceived quality of life, and self-efficacy.
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