The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .
Rationale and design of the Study of a Tele-pharmacy Intervention for Chronic diseases to Improve Treatment adherence (STIC2IT): A cluster-randomized pragmatic trial.
BACKGROUND Approximately half of patients with chronic cardiometabolic conditions are nonadherent with their prescribed medications . Interventions to improve adherence have been only modestly effective because they often address single barriers to adherence , intervene at single points in time , or are imprecisely targeted to patients who may not need adherence assistance . OBJECTIVE To evaluate the effect of a multicomponent , behaviorally tailored pharmacist-based intervention to improve adherence to medications for diabetes , hypertension , and hyperlipidemia . TRIAL DESIGN The STIC2IT trial is a cluster-r and omized pragmatic trial testing the impact of a pharmacist-led multicomponent intervention that uses behavioral interviewing , text messaging , mailed progress reports , and video visits . Targeted patients are those who are nonadherent to glucose-lowering , antihypertensive , or statin medications and who also have evidence of poor disease control . The intervention is tailored to patients ' individual health barriers and their level of health activation . We cluster-r and omized 14 practice sites of a large multispecialty group practice to receive either the pharmacist-based intervention or usual care .  STIC2IT has enrolled 4,076 patients who will be followed up for 12months after r and omization . The trial 's primary outcome is medication adherence , assessed using pharmacy cl aims data . Secondary outcomes are disease control and health care re source utilization . CONCLUSION This trial will determine whether a technologically enabled , behaviorally targeted pharmacist-based intervention results in improved adherence and disease control . If effective , this strategy could be a scalable method of offering tailored adherence support to those with the greatest clinical need
The most commonly described determinants at the patient level were lack of education , lack of self-awareness , lack of self-efficacy , and forgetfulness .
Clinical inertia and an inadequate health workforce were the most commonly targeted determinants at the health care team and system level .
Taking medication , interactive patient-provider communication , self-measurement , and lifestyle management were the most cited patient behaviors at both levels .
Most of the DIs did not include support from peers or family members , despite its reported effectiveness and the rate of social media penetration .
Background Information on how behavior change strategies have been used to design digital interventions ( DIs ) to improve blood pressure ( BP ) control or medication adherence ( MA ) for patients with hypertension is currently limited .
Objective Hypertension is a major modifiable risk factor for cardiovascular diseases and can be controlled with appropriate medication .
Many interventions that target MA to improve BP are increasingly using modern digital technologies .
This systematic review was conducted to discover how DIs have been design ed to improve MA and BP control among patients with hypertension in the recent 10 years .