Monday, May 19, 2014

Million Hearts Colorado: CDC's April Science in Brief: Can Text Messaging Improve Medication Adherence in Adults with Coronary Heart Disease?

Coronary heart disease (CHD) is a leading cause of death and disability worldwide. CHD leads to more than 385,000 deaths per year in the United States and costs the country approximately $108.9 billion dollars in health care costs.

Although poor medication adherence is strongly associated with adverse outcomes for CHD patients, including hospital readmission, disability, and death, rates of medication non-adherence for heart attack patients range from 13% to 61%.

Using technology to facilitate self-monitoring, positive reinforcement, and remote coaching can be a practical
and inexpensive way to improve medication adherence.

Researchers conducted a 30-day randomized clinical trial to evaluate the effectiveness of an mobile health (mHealth) intervention that used personalized text messages (TMs) to increase adherence to antiplatelet and statin medications among patients with CHD following release from the hospital. Findings suggest that mHealth may be useful for improving medication adherence during the vulnerable time for CHD patients following discharge from the hospital. The high satisfaction rating of the program supports the feasibility of TM-based mHealth interventions. Further research is needed to assess additional intervention factors, such as target population, unintended effects, and cost analysis. Read this week's Science In Brief here.

Medication adherence is a key strategy of the  Million Hearts Initiative, an effort to prevent 1 million heart attacks and strokes over five years.  Colorado participates in this initiative and you can too. Be one in a million - make your commitment and pledge today.

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