Abstract
Background: Low adherence to pharmacological therapy by patients with diabetes mellitus and hypertension is frequent and represents a worldwide challenge. Introduction: This study examined the effect of an educational intervention using WhatsApp® messaging on medication adherence of patients with hypertension and diabetes. Materials and Methods: A randomized clinical trial was performed with 403 patients who had diabetes and/or hypertension and who had enrolled in the 33 Basic Health Units of Maringá-PR, Brazil. The patients were randomly assigned to either the intervention group (n = 203), which received usual care (multi-professional educational appointments according to each Unit schedule) plus 55 audio, image or text WhatsApp messages about health care promotion, with an emphasis on medication adherence, or the control group. The control group (n = 200) only received usual care. Medication adherence, as measured by the Morisky-Green Test, was compared through the chi-square test after 16 weeks. Relative risk (RR) was used as a measure of effect size. Results: After the follow-up period (4 months), 67.5% of the patients in the intervention group were adherent versus 58.5% in the control group (RR: 1.15, 95% confidence interv...Continue Reading
References
Jan 1, 1986·Medical Care·D E MoriskyD M Levine
Apr 20, 2007·Journal of Human Hypertension·J C PradoD Mion
Feb 15, 2012·Revista de saúde pública·Angela Jornada BenSotero Serrate Mengue
Apr 19, 2013·Gerontology·Anja K Leist
Jul 10, 2013·Health and Quality of Life Outcomes·Sandra NolteRichard H Osborne
Jul 31, 2013·Frontiers in Pharmacology·Przemyslaw KardasMichal Matyjaszczyk
Nov 15, 2013·Annals of Emergency Medicine·Sanjay AroraMichael Menchine
Jan 1, 2014·Journal of Diabetes and Its Complications·James E AikensJohn D Piette
Aug 31, 2014·Journal of Diabetes Science and Technology·Jessica T MarkowitzLori M B Laffel
Mar 25, 2015·Journal of Medical Internet Research·Saee HamineAmy Sarah Ginsburg
Jul 19, 2015·Journal of the American Medical Informatics Association : JAMIA·Lyndsay A NelsonChandra Y Osborn
Dec 2, 2015·Translational Behavioral Medicine·Michael J StirrattWendy J Nilsen
Mar 12, 2016·JMIR MHealth and UHealth·Damian HackingMarion Heap
Aug 16, 2016·Patient Preference and Adherence·William H Polonsky, Robert R Henry
Dec 17, 2016·Revista da Escola de Enfermagem da U S P·Angela Maria Geraldo PierinPaolo Meneghin
Feb 18, 2017·Current Atherosclerosis Reports·Hasan RehmanSalim S Virani
Feb 19, 2017·Patient Education and Counseling·Leah L ZulligHayden B Bosworth
Mar 17, 2017·Frontiers in Pharmacology·Bernard VrijensMassimo Volpe
Mar 21, 2017·Preventive Medicine·Vicki S Conn, Todd M Ruppar
Jun 8, 2017·Revista de saúde pública·Deborah Carvalho MaltaMarilisa Berti de Azevedo Barros
Dec 9, 2017·Diseases of the Colon and Rectum·Donald E Fry
May 20, 2018·Journal of Clinical Nursing·Yea Hung TangNorsiah Rahmat
Jun 27, 2018·Journal of Comparative Effectiveness Research·Turki AlanziFatima Almunsef
Nov 30, 2018·BMJ Open Diabetes Research & Care·Thamra S AlghafriAnnie S Anderson
Feb 4, 2019·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Priti P PednekarAndrew M Peterson
Feb 20, 2019·Pediatric Diabetes·Suzanne SapJean C Mbanya
Oct 6, 2019·JMIR Diabetes·Alex FischerVusumuzi Nkosi
Citations
Jul 1, 2020·Frontiers in Psychiatry·Mojtaba AhmadiankalatiGeorgios Paslakis
Nov 10, 2020·Current Hypertension Reports·Chigozirim IzeoguAntoinette Schoenthaler
Jun 2, 2021·Diabetes Technology & Therapeutics·Neal KaufmanEran Mel
Aug 20, 2021·BMC Health Services Research·Anbrasi EdwardLawrence J Appel
Oct 9, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Angela C B TrudeChristian Loret de Mola