Hypertension, Medication Adherence
Conditions
Brief summary
The purpose of this study was to determine the effectiveness of using a custom-designed mobile application to improve blood pressure (BP) and promote adherence to antihypertensive medication regimens. This was a prospective, multicenter, randomized controlled trial. Patients were randomized to an intervention or control group for three months. Antihypertensive medication refill history was assessed three months before, during and three months after the study period. Continuous outcome measures investigated were systolic/diastolic BP and medication refill history, using the cumulative medication gap (CMG) score.
Interventions
The mobile app consisted of a series of features including (1) calendar reminders of when to take medications and the patient's antihypertensive medication regimen (2) a Call your Pharmacist button specific to patient's pharmacy, (3) a BP log in which the patient could enter blood pressure values that were automatically compared to goal values, (4) counseling points for lifestyle and adherence factors individually tailored to each patient and (5) lifestyle and medication adherence surveys.
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years of age * Diagnosed with hypertension as evidenced by diagnosis codes or chart documentation * Prescribed at least one antihypertensive for a minimum of three months prior to enrollment * Have access to an Android mobile device with data capabilities * Consent to using the application on their device
Exclusion criteria
* Do not read or speak English * Unable to read and sign the informed consent or Health Insurance Privacy and Accountability Act (HIPAA) waiver * Too ill or cognitively impaired to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medication adherence | 6 months | This was assessed based on cumulative medication gap (CMG) |
| Blood pressure | 6 months | This was assessed by measuring the change of systolic and diastolic blood pressure |