Digital Communication Technology: Does Offering a Choice of Modality Improve Medication Adherence and Outcomes in a Persistent Asthma Population?

Overview

Journal Perm J

Specialties General Medicine
Health Services

Date 2021 Feb 26

PMID 33635779

Citations 1

Authors

P J Cvietusa

N M Wagner

J A Shoup

G K Goodrich

S M Shetterly

D K King

M A Raebel

C S Riggs

B Bender

Affiliations

Soon will be listed here.

Abstract

Background: Use of digital communication technology has shown potential to improve asthma adherence and outcomes. Few studies have looked at patient preference around mode of medication reminders used to improve and maintain asthma medication adherence.

Objective: To determine if, in a population already receiving automated medication reminders, offering a choice for preferred mode of reminder (text, email, phone) would improve their adherence and asthma outcomes over a 1-year period.

Methods: This was a pragmatic, randomized controlled trial conducted at Kaiser Permanente Colorado involving 7522 adult patients with persistent asthma. Study patients were randomized to receive usual care or their choice of medication reminder. Differences between the 2 groups in both medication adherence and asthma outcomes were then assessed over the following year.

Results: Only 30% of those offered a choice of medication reminder modality responded by making a choice, with 52% preferring text messaging. There was less of a decrease in adherence rate over the 1-year period in those who made a choice regarding the mode of medication refill reminder. There was no difference in asthma outcomes between those who did make a choice compared with those who did not make a choice regarding the mode of medication refill reminder.

Conclusion: In a patient population already receiving medication reminders, offering a choice about what type of technology-enabled asthma medication reminder patients wanted did not improve outcomes but did enable a subgroup to better maintain their medication adherence.

Citing Articles

Digital interventions to improve adherence to maintenance medication in asthma.

Chan A, De Simoni A, Wileman V, Holliday L, Newby C, Chisari C Cochrane Database Syst Rev. 2022; 6:CD013030.

PMID: 35691614 PMC: 9188849. DOI: 10.1002/14651858.CD013030.pub2.

References

Sharp M, OSullivan D . Mobile Medical Apps and mHealth Devices: A Framework to Build Medical Apps and mHealth Devices in an Ethical Manner to Promote Safer Use - A Literature Review. Stud Health Technol Inform. 2017; 235:363-367. View

Licari A, Ferrante G, Marseglia Md G, Corsello Md G, La Grutta S . What Is the Impact of Innovative Electronic Health Interventions in Improving Treatment Adherence in Asthma? The Pediatric Perspective. J Allergy Clin Immunol Pract. 2019; 7(8):2574-2579. DOI: 10.1016/j.jaip.2019.08.008. View

McPhail S, Schippers M, Maher C, Marshall A . Patient Preferences for Receiving Remote Communication Support for Lifestyle Physical Activity Behaviour Change: The Perspective of Patients with Musculoskeletal Disorders from Three Hospital Services. Biomed Res Int. 2015; 2015:390352. PMC: 4605203. DOI: 10.1155/2015/390352. View

Kahana S, Drotar D, Frazier T . Meta-analysis of psychological interventions to promote adherence to treatment in pediatric chronic health conditions. J Pediatr Psychol. 2008; 33(6):590-611. DOI: 10.1093/jpepsy/jsm128. View

Wilson S, Strub P, Buist A, Knowles S, Lavori P, Lapidus J . Shared treatment decision making improves adherence and outcomes in poorly controlled asthma. Am J Respir Crit Care Med. 2009; 181(6):566-77. PMC: 2841026. DOI: 10.1164/rccm.200906-0907OC. View

McQuaid E . Barriers to medication adherence in asthma: The importance of culture and context. Ann Allergy Asthma Immunol. 2018; 121(1):37-42. DOI: 10.1016/j.anai.2018.03.024. View

LaVela S, Schectman G, Gering J, Locatelli S, Gawron A, Weaver F . Understanding health care communication preferences of veteran primary care users. Patient Educ Couns. 2012; 88(3):420-6. DOI: 10.1016/j.pec.2012.06.004. View

Mosnaim G, Pappalardo A, Resnick S, Codispoti C, Bandi S, Nackers L . Behavioral Interventions to Improve Asthma Outcomes for Adolescents: A Systematic Review. J Allergy Clin Immunol Pract. 2015; 4(1):130-41. PMC: 4715910. DOI: 10.1016/j.jaip.2015.09.011. View

Byambasuren O, Sanders S, Beller E, Glasziou P . Prescribable mHealth apps identified from an overview of systematic reviews. NPJ Digit Med. 2019; 1:12. PMC: 6550270. DOI: 10.1038/s41746-018-0021-9. View

10.

Raebel M, Shetterly S, Bhardwaja B, Sterrett A, Schroeder E, Chorny J . Technology-Enabled Outreach to Patients Taking High-Risk Medications Reduces a Quality Gap in Completion of Clinical Laboratory Testing. Popul Health Manag. 2019; 23(1):3-11. PMC: 6954341. DOI: 10.1089/pop.2019.0033. View

11.

Ross T, Ng D, Brown J, Pardee R, Hornbrook M, Hart G . The HMO Research Network Virtual Data Warehouse: A Public Data Model to Support Collaboration. EGEMS (Wash DC). 2015; 2(1):1049. PMC: 4371424. DOI: 10.13063/2327-9214.1049. View

12.

Wiecha J, Adams W, Rybin D, Rizzodepaoli M, Keller J, Clay J . Evaluation of a web-based asthma self-management system: a randomised controlled pilot trial. BMC Pulm Med. 2015; 15:17. PMC: 4355974. DOI: 10.1186/s12890-015-0007-1. View

13.

Tao D, Xie L, Wang T, Wang T . A meta-analysis of the use of electronic reminders for patient adherence to medication in chronic disease care. J Telemed Telecare. 2014; 21(1):3-13. DOI: 10.1177/1357633X14541041. View

14.

Krebs P, Duncan D . Health App Use Among US Mobile Phone Owners: A National Survey. JMIR Mhealth Uhealth. 2015; 3(4):e101. PMC: 4704953. DOI: 10.2196/mhealth.4924. View

15.

Weinstein A, Singh A, Laurenceau J, Skoner D, Maiolo J, Sharara R . A Pilot Study of the Effect of an Educational Web Application on Asthma Control and Medication Adherence. J Allergy Clin Immunol Pract. 2019; 7(5):1497-1506. DOI: 10.1016/j.jaip.2018.12.024. View

16.

Blakey J, Bender B, Dima A, Weinman J, Safioti G, Costello R . Digital technologies and adherence in respiratory diseases: the road ahead. Eur Respir J. 2018; 52(5). PMC: 6364097. DOI: 10.1183/13993003.01147-2018. View

17.

Cvietusa P, Goodrich G, Shoup J, Steffen D, Tacinas C, Wagner N . Implementing Health Care Technology Research into Practice to Improve Adult Asthma Management. J Allergy Clin Immunol Pract. 2018; 7(3):908-914. PMC: 6401256. DOI: 10.1016/j.jaip.2018.08.029. View

18.

Featherall J, Lapin B, Chaitoff A, Havele S, Thompson N, Katzan I . Characterization of Patient Interest in Provider-Based Consumer Health Information Technology: Survey Study. J Med Internet Res. 2018; 20(4):e128. PMC: 6004033. DOI: 10.2196/jmir.7766. View

19.

Fitzpatrick A, Szefler S, Mauger D, Phillips B, Denlinger L, Moore W . Development and initial validation of the Asthma Severity Scoring System (ASSESS). J Allergy Clin Immunol. 2019; 145(1):127-139. PMC: 6949388. DOI: 10.1016/j.jaci.2019.09.018. View

20.

Ramsey R, Plevinsky J, Kollin S, Gibler R, Guilbert T, Hommel K . Systematic Review of Digital Interventions for Pediatric Asthma Management. J Allergy Clin Immunol Pract. 2019; 8(4):1284-1293. PMC: 7152564. DOI: 10.1016/j.jaip.2019.12.013. View