학술논문
The Impact of Text Messaging on Medication Adherence and Exercise Among Postmyocardial Infarction Patients: Randomized Controlled Pilot Trial
Document Type
article
Source
JMIR mHealth and uHealth, Vol 5, Iss 8, p e110 (2017)
Subject
Language
English
ISSN
2291-5222
Abstract
BackgroundAdherence to evidence-based therapies such as medications and exercise remains poor among patients after a myocardial infarction (MI). Text message reminders have been shown to improve rates of adherence to medication and exercise, but the existing studies have been of short duration. ObjectiveTwo single-center randomized controlled pilot trials were conducted to evaluate the impact of text message reminders over 12 months on adherence to cardiac medications and exercise among patients receiving cardiac rehabilitation after hospitalization for MI. MethodsIn the medication adherence trial, 34 patients were randomized to receive usual care alone or usual care plus daily text message reminders delivered at the time of day at which medications were to be taken. In the exercise adherence trial, 50 patients were randomized to receive usual care alone or usual care plus 4 daily text messages reminding them to exercise as directed. ResultsThe text message reminders led to a mean 14.2 percentage point improvement in self-reported medication adherence over usual care (P