Randomized controlled feasibility trial of two telemedicine medication reminder systems for older adults with heart failure
Open accessAbstract
We conducted a feasibility study of a telehealth intervention (an electronic pill box) and an m-health intervention (an app on a smartphone) for improving medication adherence in older adults with heart failure. A secondary aim was to compare patient acceptance of the devices. The participants were 60 adults with HF (65% male). Their average age was 69 years and 83% were Caucasian. Patients were randomized using a 2 × 2 design to one of four groups: pillbox silent, pillbox reminding, smartphone silent, smartphone reminding. We examined adherence to 4 medications over 28 days. The overall adherence rate was 78% (SD 35). People with the telehealth device adhered 80% of the time and people with the smartphone adhered 76% of the time. Those who received reminders adhered 79% of the time, and those with passive medication reminder devices adhered 78% of the time, i.e. reminding did not improve adherence. Patients preferred the m-health approach. Future interventions may need to address other contributors to poor adherence such as motivation.
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Many studies have investigated the effectiveness of smartphone applications, and most have reported desirable effectiveness.
“Many studies have investigated the effectiveness of utilizing smartphone applications, and most of them have reported desirable effectiveness [16–18].”
From The effect of the mobile “blood pressure management application” on hypertension self-management enhancement: a randomized controlled trial (2021) · cites this paper as [16]
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- Authors
- Goldstein, C. M., Gathright, E. C., Dolansky, M. A., Gunstad, J., Sterns, A., Redle, J. D., Josephson, R., & Hughes, J. W.
- Affiliations
- Summa Health System (US)
- Case Western Reserve University (US)
- Kent State University (US)
- University Hospitals Cleveland Medical Center (US)
- Corresponding author
- Goldstein, Carly M
- ORCID
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2014-06-23
- Volume
- 20
- Issue
- 6
- Pages
- 293-299
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- PMC
- PMC6957063
- OpenAlex
- W2042396675
- Cited by
- 86
- References
- 21
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 3 · 2023: 10 · 2022: 14 · 2021: 12 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 6 · 2015: 7
- FWCI
- 6.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Kent State University
- University of Kent
- National Heart, Lung, and Blood Institute (R01HL096710)
- 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
- heart failure, medication adherence, telemedicine, electronic pillbox, mobile application, mobile health, medication reminders, older adults, patient acceptance, feasibility
- MeSH terms
- Assessment of Medication Adherence, Aged, Aged, 80 and over, Feasibility Studies, Female, Heart Failure, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Quality of Life, Drug Monitoring, Reminder Systems, Patient Satisfaction, Telemedicine, Cell Phone, Medication Adherence, Mobile Applications
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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