Medication adherence among homeless patients: A pilot study of cell phone effectiveness
Abstract
Purpose: We examined the feasibility of using cell phones to monitor medication adherence among homeless participants and collected data for research purposes. Data sources: Ten homeless individuals with a co‐occurring substance use and psychiatric disorders who were receiving psychopharmacologic treatment participated in the study. All psychopharmacologic treatment was provided by a psychiatric mental health nurse practitioner. Cell phones were provided to participants with unlimited phone service for 45 days. An automated telephone system was programmed to call participants daily for 30 days. All participant responses were reported to a computer and reviewed by study staff on a daily basis. Conclusions: The automated calls reached study participants 93% of days and, when reached, participants reported 100% adherence with the prescribed medication regimen. Exit interviews indicated strong support for the usefulness of the phone and the value of the call and survey as reminders to take their medication. No patients dropped out of this study. Implications for practice: This pilot study establishes the feasibility of using cell phones to monitor and manage medication regimens for hard‐to‐reach populations, such as the homeless with co‐occurring disorders. It also establishes that this technology would work for research data collection. Disclaimer The views expressed in this article do not represent the views of the Veterans Administration or the United States Government.
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Improvement of participants' existing relationships with others could facilitate engagement.
“and an improvement of participants’ existing relationships with others [182,205].”
From Barriers to and facilitators of user engagement with digital mental health interventions: Systematic review (2021) · cites this paper as [182]
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- Authors
- Burda, C., Haack, M., Duarte, A. C., & Alemi, F.
- Affiliations
- University of Maryland, Baltimore (US)
- Bay Pines VA Healthcare System (US)
- ORCID
- Alemi, Farrokh
- Venue
- Journal of the American Academy of Nurse Practitioners
- Publisher
- Wiley
- Published
- 2012-06-26
- Volume
- 24
- Issue
- 11
- Pages
- 675-681
- ISSN
- 1041-2972 (ISSN-L)
- 1745-7599
- OpenAlex
- W2113798989
- Cited by
- 50
- References
- 31
- Citations by year
- 2024: 2 · 2023: 5 · 2022: 2 · 2021: 7 · 2020: 1 · 2019: 6 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 1
- FWCI
- 3.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Nurse Practitioners (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Diabetes Research Institute Foundation
- Topics
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- medication adherence, homelessness, mobile devices, psychopharmacologic treatment, psychiatric nurse practitioners, hard-to-reach populations, feasibility, research data collection
- MeSH terms
- Adult, Mental Disorders, Drug Therapy, Computer-Assisted, Female, Ill-Housed Persons, Humans, Male, Maryland, Middle Aged, Pilot Projects, Prospective Studies, Reminder Systems, Diagnosis, Dual (Psychiatry), Substance-Related Disorders, Cell Phone, Medication Adherence, Self Report
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