Investigating the feasibility of text message reminders to improve adherence to nebulized medication in children and adolescents with cystic fibrosis

Patient Preference and Adherence
Robert W MortonNoreen S West

Abstract

Children with cystic fibrosis (CF) often have suboptimal adherence rates to nebulized medication. Adherence barriers cited include forgetting to take the nebulizers, due to busy home and social lives. Text message reminders have been shown to be effective at improving adherence rates in other chronic diseases such as asthma and diabetes. The objective of this study was to assess the feasibility and efficacy of sending text reminders for a prolonged period of time to children with CF. Children with CF aged 5-16 years taking at least one medication via a nebulizer with an electronic adherence monitor were consented for the study. Text message reminders were sent to participants and/or parents via the hospital's automated text service, up to twice a day, for 6 months. The adherence rates for the 6-month text period were compared to the previous 6 months before the study. Rates were calculated for weekdays, weekends, and school holidays. Seventeen participants were recruited to the study, with a mean age of 12 years and a mean forced expiratory volume in 1 second (FEV1) of 81% predicted. Fifteen children completed the 6-month text period, and I-neb data were accurately analyzed for 13 participants. The mean adherence rate in the 6 ...Continue Reading

Citations

Feb 20, 2018·Pediatric Pulmonology·Aarti ShakkottaiSamya Z Nasr
Nov 10, 2018·The European Respiratory Journal·John D BlakeyRichard W Costello
Jul 14, 2020·Frontiers in Pediatrics·Robert W MortonLesley Kennedy

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