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Pharmacy World & Science

, 31:627 | Cite as

Electronic reminders to improve medication adherence—are they acceptable to the patient?

  • Laura SahmEmail author
  • Aoife MacCurtain
  • John Hayden
  • Cicely Roche
  • Helen L. Richards
Short Research Report

Abstract

Objective Low levels of adherence to medication are commonly reported in chronic medical conditions. Empirical evidence suggests that patients are willing to accept pharmacist interventions to improve adherence. This study aimed to assess the levels of self-reported adherence to antidepressant medication in the community and to investigate the acceptability of text message reminders to self-reported unintentional non-adherers. Setting Community pharmacy in Wexford; Republic of Ireland. Method A structured questionnaire was administered to patients who were collecting antidepressant medication, which had been prescribed for at least 6 months. Results Of the 59 patients who completed the study, 54% reported that they were unintentionally non-adherent. This group tended to be younger in age (t = −2.50, P = 0.02). Fifty-nine percent of the unintentional non-adherers were willing to receive a prompt such as a text message from the pharmacy to remind them to take their medication. There was no association between gender or age and acceptability of text message reminders. Conclusion Unintentional non-adherence to antidepressant medication exceeded 50% in this population. Electronic reminders, in this case text messages, were acceptable to approximately 60% of patients who reported being unintentionally non-adherent. Reasons for refusal of electronic reminders should be investigated as this will affect the applicability of this intervention.

Keywords

Adherence Antidepressant Intervention Ireland Pharmacist 

Notes

Conflicts of interest statement

The authors have no conflicts of interest to declare.

References

  1. 1.
    Simpson S, Eurich DT, Majumdar SR, Padwal RS, Tsuyuki RT, Varney J, et al. A meta-analysis of the association between adherence to drug therapy and mortality. BMJ. 2006;333:15–21. doi: 10.1136/bmj.38875.675486.55.CrossRefPubMedGoogle Scholar
  2. 2.
    Horne R. Representations of medication and treatment: advances in theory and measurement. In: Petrie KJ, Weinman JA, editors. Perceptions of health and illness. The Netherlands: Harwood Academic Publishers; 1997. p. 155–188. ISBN: 90-5702-103-X (softcover).Google Scholar
  3. 3.
    Krishna S, Austin Boren S, Balas EA. Healthcare via cell phones: a systematic review. Telemedicine and e-Health. 2009;15(3):231–40. doi: 10.1089/tmj.2008.0099.CrossRefPubMedGoogle Scholar
  4. 4.
    van Mil JW, Schulz M, Tromp TF. Pharmaceutical care, European developments in concepts, implementation, teaching, and research: a review. Pharm World Sci. 2004;26(6):303–11.CrossRefPubMedGoogle Scholar
  5. 5.
    Lindenmeyer A, Hearnshaw H, Vermeire E, Van Royen P, Wens J, Biot Y. Interventions to improve adherence to medication in people with type 2 diabetes mellitus: a review of the literature on the role of pharmacists. J Clin Pharm Ther. 2006;31:409–19.CrossRefPubMedGoogle Scholar
  6. 6.
    Crockett J, Taylor S, Grabham A, Stanford P. Patient outcomes following an intervention involving community pharmacists in the management of depression. Aust J Rural Health. 2006;14:263–9. doi: 10.1111/j.1440-1584.2006.00827.x.CrossRefPubMedGoogle Scholar
  7. 7.
    Wroe AL. Intentional and unintentional nonadherence: a study of decision making. J Behav Med. 2002;25:355–72.CrossRefPubMedGoogle Scholar
  8. 8.
    Weingarten SR, Henning JM, Badamgarav E, Knight K, Hasselblad V, Gano A Jr, et al. Interventions used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. BMJ. 2002;325:925–33.CrossRefPubMedGoogle Scholar
  9. 9.
    Adler DA, Bungay KM, Wilson IB, Yu Pei MPA, Supran S, Peckham E, et al. The impact of a pharmacist intervention on 6-month outcomes in depressed primary care patients. Gen Hosp Psychiatry. 2004;26:199–209. doi: 10.1016/j.genhosppsych.2003.08.005.CrossRefPubMedGoogle Scholar
  10. 10.
    Haynes RB, McDonald H, Garg A. Helping patients follow prescribed treatment, clinical applications. JAMA. 2002;288:2880–3.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2009

Authors and Affiliations

  • Laura Sahm
    • 1
    Email author
  • Aoife MacCurtain
    • 1
  • John Hayden
    • 1
  • Cicely Roche
    • 2
  • Helen L. Richards
    • 3
  1. 1.School of PharmacyUniversity College CorkCorkRepublic of Ireland
  2. 2.Roche’s PharmacyGoreyRepublic of Ireland
  3. 3.Department of Clinical Health PsychologyMercy University HospitalCorkRepublic of Ireland

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