Exploring the usage of a mobile phone application in transplanted patients to encourage medication compliance and education

Alana Zanetti-Yabur, Amanda Rizzo, Nicole Hayde, Anthony C. Watkins, Juan P. Rocca, Jay A. Graham

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Background Medication non-adherence in transplant patients is a grave problem that results in increased rejection episodes, graft loss and significant morbidity. Methods The efficacy of users and non-users of a mobile phone application (mobile app) in promoting medication adherence was investigated. The Beliefs about Medicine Questionnaire (BMQ) and Morisky Medication Adherence Scale (MMAS-8) were used in these cohorts to assess the predilection for poor adherence. Serum tacrolimus, creatinine levels, and rejection episodes were also recorded. Lastly, the patients were tested on their recall of their immunosuppression. Results Overall, patients had extremely negative beliefs about medication reflected in their tendency toward higher predicted rates of non-adherence. Interestingly, though not significant, app users had higher rates of medication recollection. Conclusions The high-risk nature of this population demands efforts to abrogate non-adherence. Caregivers are charged with the responsibility to offer patients a feasible option to safeguard treatment compliance. Mobile apps are a potentially powerful tool, which can be used to decrease non-adherence.

Original languageEnglish (US)
Pages (from-to)743-747
Number of pages5
JournalAmerican Journal of Surgery
Volume214
Issue number4
DOIs
StatePublished - Oct 2017

Keywords

  • Kidney transplant
  • Liver transplant
  • Medication adherence
  • Mobile phone application
  • Patient education
  • iPhone

ASJC Scopus subject areas

  • Surgery

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