A Trial for a Personalized Medication Management Platform to Improve Medication Adherence

Not Applicable

Completed

• Conditions: Patients Take Medicine
• Interventions: Device: Personalized Medication Management Platform for SMS Reminder

• Registration Number: NCT02197689
• Lead Sponsor: Taipei Medical University

Brief Summary

Taiwan has attracted much attention for its National Health Insurance (NHI) and healthcare system around the world with many countries in Europe and the United States using it as a benchmark. However, increasing medication costs over the past two years account for more than 25% of total expenditure, surpassing every OECD member and mounting increasing pressure on the NHI. Nevertheless, patient medication adherence is relatively low. Thus, the investigators assessed the effectiveness of a personalized medication management system for improving the medication adherence for patients, in order to save long term medication costs.

Detailed Description

Design, Setting and Patients: The investigators developed a mobile personalized medication management platform (PMMP) to reduce delayed and missed medications. The investigators conducted a randomized control trial in medical centers of northern Taiwan from January 2010 to July 2012 using 1198 participants that missed or delayed their medications during past three days. They received a minimum 7-day to 14-day maximum medication prescription.

Interventions: Patients were randomized into a control group which non-received any SMS reminder for medication using and an intervention group which received a SMS reminder everyday in mobile devices.

Primary Outcome(s) and Measure(s): The primary outcomes were compared patient medication adherence among experimental and control groups.

Study Timeline

• Study Start: 2010-01
• Primary Completion: 2012-07
• Study Completion: 2012-11
• Status Verified: 2014-06
• Study First Submitted: 2014-07-17
• Study First Submitted QC: 2014-07-22
• Last Update Submitted: 2014-07-22
• Study First Posted: 2014-07-23
• Last Update Posted: 2014-07-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 763

Inclusion Criteria

• Delayed or forgot to take medications over the last 3 days
• Received a min. 7-day medication prescription
• Able to receive SMS using mobile phones / devices
• 20 years or older
• Having intention to receive active treatment

Exclusion Criteria

• Unable to receive SMS via mobile phones
• Illiterate and < 20 years of age
• Received outpatient prescription drugs for ≤ 7 days
• External use, injections and traditional Chinese medicine
• Planned to go abroad
• Cold, cough, or prescribed with analgesics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
SMS Medication Reminder	Personalized Medication Management Platform for SMS Reminder	763 patients were assigned to experimental group

Primary Outcome Measures

Name	Time	Method
The proportion of patients in delaying and forgetting medications	Patients who participated in this trial will be sent SMS during 7days