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 .
Low-health literacy flashcards & mobile video reinforcement to improve medication adherence in patients on oral diabetes, heart failure, and hypertension medications.
OBJECTIVE To design and investigate a pharmacist-run intervention using low health literacy flashcards and a smartphone-activated quick response ( QR ) barcoded educational flashcard video to increase medication adherence and disease state underst and ing . DESIGN Prospect i ve , matched , quasi-experimental design . SETTING County health system in Dallas , Texas . PARTICIPANTS Sixty-eight primary care patients prescribed targeted heart failure , hypertension , and diabetes medications INTERVENTION : Low health literacy medication and disease specific flashcards , which were also available as QR-coded online videos , were design ed for the intervention patients . The following vali date d health literacy tools were conducted : Newest Vital Sign ( NVS ) , Rapid Estimate of Adult Literacy Medicine-Short Form , and Short Assessment of Health Literacy-50 . MAIN OUTCOME MEASURES The primary outcome was the difference in medication adherence at 180 days after pharmacist intervention compared with the control group , who were matched on the basis of comorbid conditions , targeted medications , and medication class . Medication adherence was measured using a modified Pharmacy Quality Alliance proportion of days covered ( PDC ) calculation . Secondary outcomes included 90-day PDC , improvement of greater than 25 % in baseline PDC , and final PDC greater than 80 % . Linear regression was performed to evaluate the effect of potential confounders on the primary outcome . RESULTS Of the 34 patients receiving the intervention , a majority of patients scored a high possibility of limited health literacy on the NVS tool ( 91.2 % ) . The medication with the least adherence at baseline was metformin , followed by angiotensin-converting enzyme inhibitors and beta blockers . At 180 days after intervention , patients in the intervention group had higher PDCs compared with their matched controls ( 71 % vs. 44 % ; P = 0.0069 ) . CONCLUSION The use of flashcards and QR-coded prescription bottles for medication and disease state education is an innovative way of improving adherence to diabetes , hypertension , and heart failure medications in a low-health literacy patient population
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 .