While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .
Patient-Centered Adherence Intervention After Acute Coronary Syndrome Hospitalization
Background — Adherence to cardioprotective medications in the year after acute coronary syndrome hospitalization is generally poor and is associated with increased risk of rehospitalization and mortality . Few interventions have specifically targeted this high-risk patient population to improve medication adherence . We hypothesize that a multifaceted patient-centered intervention could improve adherence to cardioprotective medications . Methods and Results — To evaluate this intervention , we propose enrolling 280 patients with a recent acute coronary syndrome event into a multicenter r and omized , controlled trial . The intervention comprises4 main components : ( 1 ) pharmacist-led medication reconciliation and tailoring ; ( 2 ) patient education ; ( 3 ) collaborative care between pharmacist and primary care provider/cardiologist ; and ( 4 ) 2 types of voice messaging ( educational and medication refill reminder calls ) . Patients in the intervention arm will visit with the study pharmacist ≈1 week post-hospital discharge . The pharmacist will work with the patient and collaborate with providers to reconcile medication issues . Voice messages will augment the educational process and remind patients to refill their cardioprotective medications . The study will compare the intervention versus usual care for 12 months . The primary outcome of interest is adherence using the ReComp method . Secondary and tertiary outcomes include achievement of targets for blood pressure and low-density lipoprotein , and reduction in the combined cardiovascular end points of myocardial infa rct ion hospitalization , coronary revascularization , and all-cause mortality . Finally , we will also evaluate the cost-effectiveness of the intervention compared with usual care . Conclusions — If the intervention is effective in improving medication adherence and demonstrating a lower cost , the intervention has the potential to improve cardiovascular outcomes in this high-risk patient population
While the results of this systematic review are promising , there is insufficient evidence to draw conclusions on the effectiveness of text message-based interventions for adherence to medications for secondary prevention of CVD .
BACKGROUND Worldwide at least 100 million people are thought to have prevalent cardiovascular disease ( CVD ) .
This population has a five times greater chance of suffering a recurrent cardiovascular event than people without known CVD .
Secondary CVD prevention is defined as action aim ed to reduce the probability of recurrence of such events .
Drug interventions have been shown to be cost-effective in reducing this risk and are recommended in international guidelines .
However , adherence to recommended treatments remains sub-optimal .
In order to influence non-adherence , there is a need to develop scalable and cost-effective behaviour-change interventions .
OBJECTIVES To assess the effects of mobile phone text messaging in patients with established arterial occlusive events on adherence to treatment , fatal and non-fatal cardiovascular events , and adverse effects .