Browsing by Author "Dracup, Kathleen"
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- ItemNew insights into compliance with a mobile phone diary and pedometer use in sedentary women.(2011-04-13) Fukuoka, Yoshimi; Kamitani, Emiko; Dracup, Kathleen; Jong, So SonOBJECTIVES The purposes of this study were 1 to determine compliance with a pedometer and mobile phone based physical activity diary and 2 to assess concordance between self reported daily steps recorded and transmitted by a mobile phone and pedometer measured daily steps in sedentary women METHODS In this 3 week pilot clinical study 41 sedentary women who met all inclusion criteria were recruited from local communities We asked the participants to wear a pedometer every day and to report their daily steps using a mobile phone diary each night before retiring In the first week women were asked to monitor their daily steps baseline steps In the second and third weeks they were asked to increase their steps by 20 from the previous week Although the pedometer can automatically store the most recent 41 days performance the participants were not informed of this function of the pedometer RESULTS Overall compliance was 93 8 with pedometer use and 88 3 with the mobile phone physical activity diary Bland Altman plots showed that the agreement between self reported daily steps by mobile phone diary and pedometer recorded daily steps from week 1 to week 3 was high CONCLUSION The combination of a pedometer and a mobile phone diary may enhance the quality of self reported data in clinical studies
- ItemPsychosocial factors and medication adherence among patients with coronary heart disease: A text messaging intervention.(2015-05-07) Park, Linda G; Howie-Esquivel, Jill; Whooley, Mary A; Dracup, KathleenOBJECTIVE Medication adherence is a complex behavior that is influenced by numerous factors Applying self efficacy theory the primary aim of this randomized controlled trial was to compare medication self efficacy among patients with coronary heart disease who received a text messages TMs for medication reminders and education b TMs for education or c no TMs The second aim was to identify the personal sociodemographic and clinical characteristics and psychosocial factors that were associated with and predicted medication adherence METHODS Customized TMs were delivered over 30 days Repeated measures analysis of variance was used to analyze medication self efficacy A multiple regression analysis was performed at baseline and follow up to determine variables that were associated with and predicted self reported medication adherence RESULTS Among 90 subjects with mean age 59 2 years standard deviation SD 9 4 range 35 83 total scores for medication self efficacy improved over 30 days however there was no significant difference in this improvement as a function of the different treatment groups p 0 64 Controlling for other variables in the model age education depression and social support less depression p 0 004 and higher social support p 0 02 positively predicted higher medication adherence in the final model CONCLUSIONS TM medication reminders and or health education did not improve medication self efficacy Further theory testing of current and future models and interventions are required to understand variables related to self efficacy and medication adherence Addressing psychosocial factors such as depression and social support should be a priority to improve medication adherence among patients with coronary heart disease
- ItemA quantitative systematic review of the efficacy of mobile phone interventions to improve medication adherence.(2014-08-11) Park, Linda G; Howie-Esquivel, Jill; Dracup, KathleenTo evaluate the characteristics and efficacy of mobile phone interventions to improve medication adherence Secondary aims are to explore participants acceptability and satisfaction with mobile phone interventions and to evaluate the selected studies in terms of study rigour impact cost and resource feasibility generalizability and implications for nursing practice and research
- ItemA text messaging intervention to promote medication adherence for patients with coronary heart disease: a randomized controlled trial.(2014-01-27) Park, Linda G; Howie-Esquivel, Jill; Chung, Misook L; Dracup, KathleenOBJECTIVE Pharmacologic treatment for secondary prevention of coronary heart disease CHD is critical to prevent adverse clinical outcomes In a randomized controlled trial we compared antiplatelet and statin adherence among patients with CHD who received 1 text messages TM for medication reminders and education 2 educational TM only or 3 No TM METHODS A mobile health intervention delivered customized TM for 30 days We assessed and analyzed medication adherence with electronic monitoring devices Medication Event Monitoring System MEMS by one way ANOVA and Welch tests two way TM response rates by t tests and self reported adherence Morisky Medication Adherence Scale by Repeated Measures ANOVA RESULTS Among 90 patients 76 male mean age 59 2 years MEMS revealed patients who received TM for antiplatelets had a higher percentage of correct doses taken p 0 02 percentage number of doses taken p 0 01 and percentage of prescribed doses taken on schedule p 0 01 TM response rates were higher for antiplatelets than statins p 0 005 Self reported adherence revealed no significant differences among groups CONCLUSION TM increased adherence to antiplatelet therapy demonstrated by MEMS and TM responses PRACTICE IMPLICATIONS Feasibility and high satisfaction were established Mobile health interventions show promise in promoting medication adherence